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Public Health Communication has to be 'Mainstream'

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Author: Anshuman Rawat, August 24 2016 [cross-posted from Anshuman Rawat's blog site, linked below] - A cursory study of health communication would reveal that when it comes to catching eyeballs, the catchy promotions of, for example, private label herbal supplements beat hollow the rather ritualistic promotions of healthcare initiatives by our government. While the difference in the target audience indeed contributes to the difference, the key, I'm afraid, remains the incentive for the campaigns.

It is very easy in our current world to get very passionate about a project that offers instant riches as a ready incentive. Given the demands of the modern life, there's absolutely nothing acutely immoral in that, I guess.

Given the background, however, how does one attract the best talent for the production of public health communication campaigns - irrespective of the media platform?

Isn't that an urgent issue in a country like India, where healthcare continues to be one of the biggest 'enemies of the state'?

It wouldn't be anyone's argument that the mighty government bodies do not have funds to be able to afford an accomplished 'mainstream' talent. The operative word being 'mainstream', denoting not someone who caters to the lowest common denominator but a maker of communication campaigns that work with the widest possible range of the target audience.

For example, many might dislike a popular Hindi film actor but would still not only be exposed to his 'messages' - mostly commercial advertisements but also public policy or program endorsement - across mass media platforms.

And we do have a stirring example of that: Endorsement of the Government of India's Pulse Polio program by Amitabh Bachchan, who, I believe, is the biggest star-actor in the history of Hindi cinema. During the run of the campaign, India reported an exhilarating decrease in the number of polio cases - from 741 cases in 2008, to 42 in 2010 and just one case of polio in 2011. The program was such a superlative success that it was acknowledged by UNICEF.

Another good current example of 'mainstreaming' of public health message is the 'Nirmal Bharat Abhiyan' - a Government of India program about national sanitation. The campaign makes great use of a widely recognisable Hindi film actress Vidya Balan to stress home the urgent need to have toilets at home. In fact, it manages to be provocative enough to pass on the message - aimed largely at semi-urban and rural households - of sanitation being more important than socio-cultural rituals like women covering their face in front of elderly male in-laws of the family.

This is a great example of public health communication that pushes the envelope while, ostensibly, talking only of a single issue in an easy to understand language.

If you were to do a popular pole of public health communication campaigns that most people are aware of the Vidya Balan 'build toilets' campaign would feature well in a list that is still bound to be headed by Bachchan's pulse polio program.

Simply because both the communications bring the campaign right to the dining table - via people who most would love to invite home for dinner.

But these are just two of the handful of successful public health communication by government agencies. The rest are either not produced well or not delivered well. In most cases, it is the combination of the two. Money, of course, is spent on them anyway.

As with any war, the idea of the government of the day should be to 'choose the battles wisely' and go all out with making the message as much part of the daily life of society as much possible, using as much recognisable messengers (not just film actors, of course) as possible, in as much understandable and repeatable manner as possible.

Neither being too clever (by being too 'cutting edge') nor being too arrogant (by 'obliging' the masses with stale messages) is going to work.

Click here to read the original blog post. [Image caption: "Amitabh Bachchan (in black blazer), Hindi cinema's biggest star-actor, administering polio drops to a child"]

As with all of the blogs posted on our website, the content above does not imply the endorsement of The CI or its Partners and is from the perspective of the writer alone. We do not check facts and strive to retain the writer's voice, as is detailed in our Editorial Policy

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Submitted by Sheeva Dubey on Tue, 08/30/2016 - 13:43 Permalink

Very well written. I also believe that for any health program to succeed, its implementation at the grassroots also has to be equally good. Polio drops were well availed and publicised heavily at the grassroots, in addition to the Mr. Bachchan's endorsements. I am curious to know what you think of Swachh Bharat Mission. The recent television commercial featuring Kangana Ranaut comes to my mind.

Submitted by Anshuman on Tue, 08/30/2016 - 20:17 Permalink In reply to by Sheeva Dubey

Hi:

Thanks for the comment! Yes, I absolutely agree with you. Communication, after all, is just that - and can't really work in vacuum. If there is no apparatus to carry out the talk, no program anywhere can ever walk. It takes government's initiative, people's acceptance, and the toiling of thousands and thousands of volunteers, doctors and service providers to make such things possible. 

As for Swachh Bharat Mission, I believe it is an infinitely bigger program than Pulse Polio - especially in the Indian context. There is no set 'system' that can make it work. It is up to us people to make it successful. There can be penalties for littering etc - or other legal measures - but that too looks implausible currently in a nation that currently has 30 million pending court cases. In other words, neither PM Modi nor his successor is going to see the fruits of the program in their lifetime. But it is, in my opinion, one of the most noble programs ever initiated by any government in India. But it would require a few decades of Kangana Ranaut type of programs to make a difference. Btw, I believe the Vidya Balan campaign about toilets too is an indirect part of Swachh Bharat Mission.

Have a good one ahead!

Kind Regards,
Anshuman

Submitted by Sheeva Dubey on Wed, 08/31/2016 - 07:43 Permalink In reply to by Anshuman

I see your point. Yes, the two campaigns are surely connected. As a communication student, I just don't see much sense in the advertisement featuring Kangana.

First of all, it derives from higher Hindu caste discourse of Goddess Laxmi, with which many Indians may not identify or connect. It smells of Brahminism, which can still be accepted at some level because that is how this government works.

Secondly, it appeals to the capitalist/neoliberal want of accumulating more money, the want is unending. Goddess Laxmi is there to give you that (we have been capitalist way before the West), she is just asking for some cleanliness at your place. This is still acceptable because after all that is what everyone wants these days.

The most problematic idea promoted by the advertisement is that only my place should be clean for me to get rich, it is okay if I dump my trash at my neighbor's door. Therefore, while people may strive hard to keep their homes and surroundings clean, who will take the responsibility of public places? I have seen this all my life, neighbors dumping the trash across the road because it does not matter how dirty the other side of the road is.

Moreover, the people who clean India on a daily basis remain missing from the campaign.

Swachh Bharat Mission has a long way to go, it definitely needs to come above such myopic ideas of cleanliness and get more inclusive.

While I say this, I do understand that the perspective of your article is a more macro one.