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behavior change

#5 from 2015: The things we do: How a simple text message is the difference between success and failure

Roxanne Bauer's picture
Our Top Ten blog posts by readership in 2015. This post was  originally posted on April 21, 2015.
 

A woman and her child get the anti-malaria drugs distributed in Freetown.Mobile phones are increasingly prevalent throughout the world, and researchers have found that sending text message reminders can help people follow-through with their intentions, significantly increasing the success of development interventions.

“People need to be reminded more often than they need to be instructed.”

These are the wise words of Samuel Johnson, an English author, critic, and lexicographer. Even though he lived more than 200 years ago, international development interventions are proving him correct today. 
 
Reminders for Malaria
 
It’s widely known that failure to adhere to a full course of antibiotic treatment leads to treatment failure and encourages bacterial resistance to antibiotics, threatening the sustainability of current medications. This is extremely important for malaria, which, according to the World Health Organization, results in 198 million cases each year and around 584,000 deaths.  The burden is particularly heavy in Africa, where around 90% of malaria deaths occur, and in children under 5 years of age, who account for 78% of all deaths. Moreover, low rates of adherence to artemisinin-based combination therapy (ACT) treatments has led to a prevalence of antibiotic-resistant Malaria in many parts of the world, particularly Africa. One of the biggest and simplest  reasons why people fail to complete the full treatment for Malaria is that they forget.

The things we do: Self-command takes practice

Roxanne Bauer's picture

Also available in: العربية

Following prolonged conflict, it is often difficult to reestablish security and reduce crime and violence, especially among poor young men. In Liberia, development experts have been researching the most effective ways to support high-risk individuals, and they may have found an effective approach combining therapy with cash.

Cognitive Behavior Therapy and Cash Transfers on High-Risk Young Men in LiberiaOne of the most pressing concerns in post-conflict settings is how to help individuals transition back into a peaceful life. After a conflict has subsided, small arms are usually very common, local and national economies have been destroyed, and the emotional stress of the violence begins to take on new forms. Former soldiers, in particular, have trouble with the transition as they struggle with the pain and horror of what they experienced, and many do not remember how to participate in community life anymore.  In response, the international development community often tries to “enable” these men by creating jobs for them. The theory is that if people are busy working they will not have the time or the inclination to commit crime.
 
However, simply providing jobs is rarely enough. The Network for Empowerment & Progressive Initiative (NEPI), an organization operating in Monrovia, Liberia, challenges this paradigm and seeks to support men formerly engaged in the country’s two civil wars by rehabilitating them through therapy.  
 
Klubosumo Johnson Borh, the founder of NEPI, was as a Liberian teenager when he was recruited for Charles Taylor‘s infamously brutal rebel army. Borh was made a commander and oversaw soldiers who were even younger than he was. By the end of the conflict, which lasted from 1989 through 2003, nearly 10% of the population had been killed, and thousands of child soldiers were now grown men.  Many of these men had trouble shaking the violent behaviors they had learned in war so Borh helped start NEPI in an effort to reform these and other troubled men.

The things we do: How a simple text message is the difference between success and failure

Roxanne Bauer's picture

A woman and her child get the anti-malaria drugs distributed in Freetown.Mobile phones are increasingly prevalent throughout the world, and researchers have found that sending text message reminders can help people follow-through with their intentions, significantly increasing the success of development interventions.

“People need to be reminded more often than they need to be instructed.”

These are the wise words of Samuel Johnson, an English author, critic, and lexicographer.  Even though he lived more than 200 years ago, international development interventions are proving him correct today. 
 
Reminders for Malaria
 
It’s widely known that failure to adhere to a full course of antibiotic treatment leads to treatment failure and encourages bacterial resistance to antibiotics, threatening the sustainability of current medications. This is extremely important for malaria, which, according to the World Health Organization, results in 198 million cases each year and around 584,000 deaths.  The burden is particularly heavy in Africa, where around 90% of malaria deaths occur, and in children under 5 years of age, who account for 78% of all deaths. Moreover, low rates of adherence to artemisinin-based combination therapy (ACT) treatments has led to a prevalence of antibiotic-resistant Malaria in many parts of the world, particularly Africa. One of the biggest and simplest  reasons why people fail to complete the full treatment for Malaria is that they forget.

#2 from 2014: Entertainment Media Can Help Change Behaviors and Stop the Ebola Outbreak

Margaret Miller's picture

Our Top Ten blog posts by readership in 2014.
This post was originally posted on August 06, 2014


In the wake of the current Ebola crisis, the 2011 movie Contagion (See the trailer here) directed by Steven Soderbergh has repeatedly been cited as one of the best examples of a movie taking on the subject of pandemic disease and managing to educate while providing gripping entertainment. This is no coincidence.Contagion was produced with both A-list stars (Gwyneth Paltrow, Matt Damon, Laurence Fishburne, Kate Winslet, and others) and support from leading public health experts such as Dr. Ian Lipkin who is the inspiration for one of the scientists portrayed in the film, and award-winning writer Laurie Garrett, author of several books including The Coming Plague. Participant Media, founded by Jeff Skoll to inspire social change through entertainment, was a producer, with the Skoll Global Threats Fund, World Health Organization (WHO), and U.S. Centers for Disease Control and Prevention (CDC) providing input as well.

The tagline from the film is “No One is Immune…to Fear.” While one of the early scenes is of a woman dying of a flu-like illness (played by Paltrow) the movie elicits fear not from gruesome symptoms but instead from plot lines and messages that focus on how human responses to these types of public health crises make matters worse. It also showcases the valuable work done by epidemiologists and other public health workers who are the heroes of this film. Contagion communicates these and other lessons effectively using the power of story, a subject recently discussed on this blog.

Blog Post of the Month: Entertainment Media Can Help Change Behaviors and Stop the Ebola Outbreak

Margaret Miller's picture

Each month, People, Spaces, Deliberation shares the blog post that generated the most interest and discussion.

In August 2014, the most popular blog post was "Entertainment Media Can Help Change Behaviors and Stop the Ebola Outbreak"

In this post, Senior Economist Margaret Miller and Economic Adviser Olga Jonas, in collaobration with the UNICEF Communication for Development Team (C4D), discuss the ways in which entertainment media can be used to raise awareness among publics facing a crisis and to support interventions by encouraging the adoption of safe behaviors. 

Using entertainment media in this way to inform, educate and support behavior change is also known as entertainment education (EE). "Entertainment education is effective," states Miller and Jonas "because narratives or stories are emotionally powerful – they help us to organize information and to create the “mental models” that we use to make sense of the world and can help to explain why we behave in particular ways."

Read the blog post to learn more!
 

Entertainment Media Can Help Change Behaviors and Stop the Ebola Outbreak

Margaret Miller's picture

In the wake of the current Ebola crisis, the 2011 movie Contagion (See the trailer here) directed by Steven Soderbergh has repeatedly been cited as one of the best examples of a movie taking on the subject of pandemic disease and managing to educate while providing gripping entertainment. This is no coincidence. Contagion was produced with both A-list stars (Gwyneth Paltrow, Matt Damon, Laurence Fishburne, Kate Winslet, and others) and support from leading public health experts such as Dr. Ian Lipkin who is the inspiration for one of the scientists portrayed in the film, and award-winning writer Laurie Garrett, author of several books including The Coming Plague. Participant Media, founded by Jeff Skoll to inspire social change through entertainment, was a producer, with the Skoll Global Threats Fund, World Health Organization (WHO), and U.S. Centers for Disease Control and Prevention (CDC) providing input as well.

The tagline from the film is “No One is Immune…to Fear.” While one of the early scenes is of a woman dying of a flu-like illness (played by Paltrow) the movie elicits fear not from gruesome symptoms but instead from plot lines and messages that focus on how human responses to these types of public health crises make matters worse. It also showcases the valuable work done by epidemiologists and other public health workers who are the heroes of this film. Contagion communicates these and other lessons effectively using the power of story, a subject recently discussed on this blog.
 

#9 from 2013: Using Social Media for Good Governance

Jude Hanan's picture

Our Top Ten Blog Posts by readership in 2013
This post was originally published on Jaunary 14, 2013


2011 was a year of turmoil. Internationally, economic meltdown deepened and continued, massive earthquakes struck New Zealand and a tsunami hit Japan. But 2011 will be also remembered for a different type of earthquake – the Arab Spring – an event that shook the Middle East, causing regimes across the region to totter and fall. Unlike other revolutions, this one used relatively new tools and technologies – networked or social media.

Much has already been written about the Arab Spring but what is already clear from the current body of work being produced is that it was the use of social media that acted as the catalyst for change in an already unpredictable environment. The use and availability of social media easily created connections between prominent thought leaders and activists to ordinary citizens, rapidly expanding the network of people willing to take action.

The Power of Storytelling

Maya Brahmam's picture

Think back to your childhood…do you remember your favorite story?  Whether it was Ali Baba and the Forty Thieves or Pinocchio, I bet you can recall every detail. Why do stories hold such power over our imaginations and why are they being talked about so much in businesses today?

Steve Denning, former Director of Knowledge Management at the World Bank, explains in the Science of Storytelling posted on Forbes, “Slides leave listeners dazed. Prose remains unread. Reasons don’t change behavior. When it comes to inspiring people to embrace some strange new change in behavior, storytelling isn’t just better than the other tools. It’s the only thing that works…” In fact there is scientific evidence that storytelling mimics the way our brain works, and this is why we remember stories so well.

Will Midterm Evaluations Become the Dinosaurs of Development?

Milica Begovic's picture

I argued a few months back that information we get from story-telling is fundamentally different to what we get from polls and surveys. If we can’t predict what’s coming next, then we have to continuously work to understand what has and is happening today. (See: Patterns of voices from the Balkans – working with UNDP)

Methods we’re all used to using (surveys, mid-term evaluations) are ill prepared to do that for us and increasingly act as our blindfolds.

Why stories?

As I started working through the stories we collected, this question has become even stronger.

To give you some background, we started testing whether stories could help us:

I Only Hear What I Want to Hear – And So Do You

Anne-Katrin Arnold's picture

Do you know these people who always only hear what they want to hear? Who interpret everything in a way that fits their own views? Yes? Deal with them every day? Well, chances are, you’re one of them. Biased information processing is a common phenomenon. It happens when the information we receive is out of sync with what we believe to be true, or want to be true, or when the information is inconvenient for us. This obviously has huge implications for communication campaigns in development.

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