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2002 Conference Abstract
E5: Media and Health: Building Powerful Partnerships in Crises

Using the Media to Help Eliminate Leprosy
Roy Head

LEARNING OBJECTIVES
Participants attending this session will be able to understand the potential of large-scale media campaigns.

PROJECT
In September 1999, DFID awarded The Trust a 1.1 million grant to carry out the world's largest-ever media campaign to help eliminate leprosy.

SETTING
he campaign focused on five states in India over a 12-month period. In accordance with the BBC World Service Trust's philosophy of working in partnership with national broadcasters in developing countries, the programming was created by Doordarshan TV and All-India Radio. Over 257 million people were reported to have viewed these programs in five north Indian states.

PARTNERS
The Indian Ministry of Health, Doordarshan TV, All-India Radio.

RESULTS
In addition to helping the Ministry of Health persuade some 186,000 patients to come forward for treatment, there has been a real impact on attitudes. The radio and TV spots were seen by 59 percent of the total population (275 million of the 467 million people) of the five states. The impact on stigma was dramatic. The percentage of the total population believing leprosy is hereditary fell from 56 percent (12 months ago) to 32 percent (after Phase 1) to 19 percent now (after Phase 2). This means some 172 million people changed their attitudes on this issue over the 12-month period. The percentage of people believing leprosy is transmitted by touch fell from 52 percent to 37 percent to 27 percent (i.e., 117 million people changed their minds).

CONCLUSIONS
Media, if used on a large enough scale, can promote behavior and attitude change. This project is being repeated for AIDS in India and for blindness in Ethiopia, Ghana, Niger, Nepal and Egypt.

Tackling HIV/AIDS in South Africa Through the Media
Shereen Usdin

LEARNING OBJECTIVES
Participants attending this session will be able to understand the Soul City methodology and its interventions to date as well as the key findings from its evaluations.

PROJECT
Soul City is a South African NGO, established in 1991 to use the power of the mass media to promote health and development. It was established against the backdrop of numerous health and development problems. In more recent years, HIV/AIDS has become the biggest threat to the health and development of the people of South Africa. In the year 2000, the HIV/AIDS prevalence rate was 24.2 percent.

METHODOLOGY
Understanding that mass media is perhaps the most powerful social change agent in the world today, Soul City decided to use the media with the following principles: access prime time through entertainment to reach the maximum audience; use more than one medium so as to get to diverse audiences; use a formative research process that consults stakeholders and audiences; and use an ongoing media vehicle to deal with multiple issues over time, rather than a campaign to deal with one issue once.

With this as a basis, Soul City has developed the following vehicles: a primetime TV drama that has become one of the three most watched TV shows in South Africa; a daily radio drama in nine languages; high-quality support print material on the issues covered for the general public as well as for schools (16,000,000 copies have been disseminated to date) and an advocacy strategy that uses our credibility for its interventions. The series runs for six out of every 18 months. Each new series looks at a different range of issues. The one recurring issue is HIV/AIDS.

SETTING
Primary audience: the people of South Africa. Secondary audience: the people of eight countries in the southern African region.

PARTNERS
The 31 staff members at Soul City, independent research companies.

RESULTS
These findings are based on large-scale independent research. Soul City reaches 79 percent of its target audience, which has led to significant and measurable shifts in individual behavior and attitude toward HIV/AIDS as well as national policy shifts.

CONCLUSIONS
Entertainment is a powerful force for social change if used correctly. The Soul City: IHDC model provides a template for the use of the media through entertainment. The model is being used by eight African countries and reviewed for use by another four countries internationally.

ADDITIONAL AUTHOR
Garth Japhet