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    Health Messages

    Dr. M. Javaid A. Ghani,

    Khyber Medical University,

    Peshawar, Pakistan1

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    Health Messages

    Health communication is a key strategy to inform the public

    about health concerns and to maintain important health issues

    on the public agenda.

    The use of the mass and multi media and other technological

    innovations to disseminate useful health information to the

    public, increases awareness of specific aspects of individual and

    collective health as well as importance of health in

    development.

    Health communication is directed towards improving the healthstatus of individuals and populations. Much of modern culture is

    transmitted by the mass and multi media which has both

    positive and negative implications for health.

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    Health communication encompasses several areas including

    edutainment (television programs, DVDs , software, etc. that

    entertain you while they teach you something), interpersonal

    communication, media advocacy,

    It can take many forms from mass and multimedia

    communications to traditional and culture-specific

    communication such as story telling, puppet shows and songs.

    Communication goes far beyond providing people with

    information. It involves listening to people, sharing information

    in interesting and accessible ways and helping them understand

    its relevance to their lives. Hence the key health messages

    should contain the essential information that people need to

    protect themselves and their children.

    These messages should be clear, brief and practical, so people

    can easily understand them and take the recommended action.3

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    Communication breakdowns

    The message may reach only some of the intended target

    audience because the communication channels were noteffective.

    Example:

    Using only printed materials such as newspaper articles andleaflets will not reach those who cannot read, and the use of

    radio and television will reach only those who have access to

    these media.

    Solution:

    If possible, use a combination of mass media to inform the

    audience and person-to-person communication to reinforce

    the message. Find out what communication channels are most

    likely to reach and have credibility with the audience. 4

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    People may receive the message but not understand it.

    Example:

    The message may use technical terminology or be

    expressed in the wrong language or dialect.

    Solution:

    When translating or adapting the messages, usesimple, non-technical language. Pre-test the messagesto check if the intended audience understands them.

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    People may receive the message but misinterpret it and

    apply it incorrectly.

    Example:

    Mothers who have been taught to use oral rehydration

    solution (ORS) may still use too much water, which makes

    the solution ineffective, or too little, making the solutionpotentially dangerous.

    Solution:

    If any new skills are required, provide adequate training

    and follow up periodically to identify and correct any

    problems by offering additional support or revising the

    message. Repeat the information to reinforce it.

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    People may receive and understand the information but notact on it because it conflicts with existing attitudes and

    beliefs.

    Example:

    Mothers who are instructed to continue feeding a childsuffering from diarrhoea may not act on this informationbecause it conflicts with a common, traditional belief thatthe stomach needs to rest during diarrhoea.

    Solution:

    Prepare messages that dispel harmful myths in a culturallysensitive way.

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    Part II

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    Guide for Developing Health Messages / Materials

    When writing, adapting, or choosing Health Messages /

    materials, ask yourself, Have I considered culture,

    language, and health literacy?

    Do I understand culture, and health literacy?

    Who is my audience? Did I engage with them? Have theyidentified their needs?

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    Have I considered . . .

    Culture: What cultural groups do I work with? What issues do

    they face? How do I reflect their life experience, and culture?

    How will they have access to my information?

    Race/ethnicity: Did I consider the needs and lived experience

    of local racially and ethnically diverse individuals, such asimmigrants and refugees? Did I consider race and ethnicity in

    content, images and examples?

    Sex/gender: Did I consider the needs and lived experience of

    men and women, boys and girls? Did I make sure I have notstereotyped roles and behaviors? Did I consider sex and gender

    diversity in content, images and examples?

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    Socio-economic status: Did I consider the effects of low

    social status and low income on health? Can those on low

    incomes relate to this? Will they have access to it?

    Ability: Did I consider people with differing levels of physical

    or mental ability?

    Location: Did I consider where people live, including rural

    and urban realities (for example, safety, access to services

    and transportation)?

    Age: Did I consider different age groups, for examplechildren, youth, seniors, and the middle-aged?

    Spirituality: Did I consider diverse faiths, spiritual beliefs, and

    practices?14

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    FORMAT OF A HEALTH MESSAGE

    Adapt, choose, or write materials for the literacy level of your

    audience.

    Write with clarity and understanding in mind. Use shorter

    and familiar words and clear language. Avoid jargon,

    acronyms, abbreviations, and technical terms.

    Use fewer than 20 words per sentence.

    Use a logical order with one main idea per paragraph.

    Put the most important information first.

    Write the way people speak. Use a friendly and inviting tone.

    Use you and we not patient, consumer, or client.

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    Include only what is necessary.

    Use bias-free, inclusive language.

    Avoid the use of italics and shadowing. These are hard to

    read.

    Use images, diagrams, and text descriptions that assist with

    understanding.

    Use personal and community channels to share health

    messages.

    Keep in mind the stigmas facing people with limited literacyand health literacy skills.

    Encourage and empower people to ask questions and learn

    more through the materials you provide.16