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An introduction to Strategic Health
Communication (SHC)
Moving from raising
awareness to
changing behaviour
BCC then & now…..
FEAR era
expert era
AWARENESS era
field era
ADVERTISING era
social marketing era
STRATEGIC
COMMUNICATION era
FEAR era (1960s)
• If people know the DANGERS, they will
change their behaviour.
• Experts (doctors, nurses) scare people into
changing their behaviour.
Please don’t speed near schools
AWARENESS era (1970s)
information over-load
• If people are AWARE they will change their
behaviour
– Community outreach/talks
– Information brochures, booklets
– Health Education Approach
Make half your plate fruit & veggies (Samoa)
AWARENESS RAISING PERIOD (1970s)
A Abstain
B Be faithful
C Condoms every time with every partner
D Do less risky things
E Early treatment of STIs
F Free and honest discussion
G Get real – you could be infected.
I don’t
know
what to
do….so,
I’ll do
nothing
Specific behaviour!
ADVERTISING ERA (1980s)
social marketing
• “SELL, don’t TELL”
• Persuade people to change their behaviour
• Focus on the benefits of changing behaviour
• Make it “the popular choice”, desirable to
change.
What’s the benefit?
Every day 2000 people win against tobacco. What about you?
What’s
the
benefit?
What the behaviour?
What’s the benefit?
SHC ERA (from 1990s to now)
HEAD Give the facts
HEART Persuade with
BENEFITS
 HANDS Be specific about
behaviour
HEAD
HEART
HEART
HANDS
LET’S RE-CAP
What era?
STRATEGIC COMMUNICATION ERA
• Strategic health communication:
– promotes specific behaviour
– avoids information-overload
– focus on positive, benefits-based messages
– stresses participation of audience
– is a systematic process with clear steps
1. KNOW YOUR ISSUE
2. KNOW behaviour
YOUR OBJECTIVE
3. KNOW &
involve YOUR
AUDIENCE
4. KNOW
YOUR
STRATEGY
5. KNOW
YOUR
MESSAGES
6.
IMPLEMENT &
MONITOR
7.
EVALUATE
7 – STEP
FRAMEWORK
FOR STRATEGIC
HEALTH
COMMUNICATION
IEC MATERIALS REVIEW
 Choose 1 material fear-based era
 Choose 1 material awareness era
 Choose 1 material advertising era
 Choose 1 material from SHC era
 Choose most favourite & least favourite material & say
why
Know your issue
Step 1
Know your objective
Step 2
Know your audience
Step 3
Know your strategy mix
Step 4
Know your message
Step 5
Implement & Monitor
Step 6
Evaluate
Step 7

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