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Modelling the effect of a mass radio campaign on child mortality using facility utilisation data and the Lives Saved Tool (LiST): findings from a cluster randomised trial in Burkina Faso (BMJ Global Health 2018;3)

August 20, 2018

A cluster randomised trial (CRT) in Burkina Faso was the first to demonstrate that a radio campaign increased health-seeking behaviours, specifically antenatal care attendance, health facility deliveries and primary care consultations for children under 5 years.

Methods: Under-five consultation data by diagnosis was obtained from primary health facilities in trial clusters, from January 2011 to December 2014. Interrupted time-series analyses were conducted to assess the intervention effect by time period on under-five consultations for separate diagnosis categories that were targeted by the media campaign. The Lives Saved Tool was used to estimate the number of under-five lives saved and the per cent reduction in child mortality that might have resulted from increased health service utilisation. Scenarios were generated to estimate the effect of the intervention in the CRT study areas, as well as a national scale-up in Burkina Faso and future scale-up scenarios for national media campaigns in five African countries from 2018 to 2020.

Evidence from a CRT shows that a child health radio campaign increased under-five consultations at primary health centres for malaria, pneumonia and diarrhoea (the leading causes of post neonatal child mortality in Burkina Faso) and resulted in an estimated 7.1% average reduction in under-five mortality per year. These findings suggest important reductions in under-five mortality can be achieved by mass media alone, particularly when conducted at national scale.

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Filed Under: *MASS MEDIA ROUTES, Awareness Raising, Behaviour Change Communication, Burkina Faso, Children, Early Childhood Development (ECD), Health, Malaria Tagged With: Child Mortality, Maternal Mortality

Contested and Under Pressure: A Snapshot of the Enabling Environment of Civil Society in 22 Countries (CIVICUS 2017)

April 8, 2017

Between 2013 and 2016, civil society in 22 countries carried out an Enabling Environment National Assessment (EENA). The EENA is a civil society-led process that analyses the extent to which national conditions enable the work of civil society.
The EENA analysis explores in particular how laws and regulations relating to civil society are implemented in practice, and how they impact on civil society. The assessments, led by national civil society partners, employed a common methodology that encompassed interviews with key stakeholders, consultations, focus groups and desk research. In every country, six core dimensions were assessed: the ability of civil society groups to form, operate and access resources -all aspects of the freedom of association – plus the freedoms of peaceful assembly
and expression, and relations between civil society and governments.
Overall the EENA assessments reveal a picture of an environment for civil society that is volatile, contested and often under pressure, but also with some optimism in some contexts about the potential for progress.

Filed Under: Benin, Bolivia, Brazil, Burkina Faso, Cambodia, Cameroon, Colombia, Governance, Honduras, India, Jordan, Lebanon, Mexico, Mozambique, Nepal, Nigeria, Panama, Philippines, Publications (published in print and/or online), South Africa, Tajikistan, Tunisia, Uganda, Zambia Tagged With: civil society, Social Change

Malaria Social & Behavior Change Communication National Strategies (collected and mapped by HC3 2016)

October 16, 2016

HC3 has analyzed, collected and mapped a number of national malaria communication strategies. A number of countries are updating their malaria communication strategies as they prepare concept notes for the Global Fund. The strategies include those written both and after 2010 as well as current strategies.

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Filed Under: Behaviour Change Communication, Benin, Burkina Faso, Burundi, Colombia, Democratic Republic Of Congo (DRC), Dominican Republic, Ecuador, Equatorial Guinea, Guatemala, Guinea, Guyana, Haiti, Health, Kenya, Madagascar, Malawi, Mali, Mozambique, Myanmar, Nicaragua, Nigeria, Panama, Peru, Publications (published in print and/or online), Rwanda, Senegal, Social Behaviour Change Communication (SBCC), Somalia, Suriname, Tanzania, Uganda, Zambia, Zimbabwe Tagged With: Communication strategies, HC3, Malaria

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