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Slum Radio – Educating Parents [Updated 6th Jan 2015]

As per WHO, Diarrhoea and Acute Respiratory illness (ARI) are the leading cause of death in children under five and are responsible for killing around 760,000 children every year. In Urban slums areas, Child survival is threatened by environmental factors such as overcrowding, poor environmental conditions, poor methods of faeces disposal and high poverty levels, exposing under 5 Children in particular to diseases. Our idea is a program that tackles the problem of " inadequate source of health information" among parents in Slums on the topmost killer disease (diarrhoea and Acute Respiratory Infections (ARI)) among children under 5 (Updated 4th Dec'14)

Photo of Andrew Binns
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Low health literacy among parents living in slums results in an inability to understand and use health care materials effectively. Parents who fail to understand the health risks often fail to appreciate the benefits of early detection and how to effectively treat diarrhoea and Acute Respiratory Infections (ARI), which are major killers among under five children. Low health literacy may influence choice of information source, how well information is absorbed, and how complex messages can be while still being effectively conveyed. 

Diarrhea and ARI prevention and control messaging using a Slum Radio Station (SRS) will broadcast diarrhea and ARI related information using interactive and culturally appropriate messages for a sustainable and effective impact in promoting disease awareness and education among parents of under five children. SRS will be used as the most effective venue for reaching parents with information about prevention, early detection and control of diarrhea and ARI. The SR Station will employ volunteers from Slums to reinforce health messaging using parents as change agents by encouraging them to promote diseases awareness, key preparedness and response (Updated 2nd Dec'14).
 
Diarrhea and ARI messages on SRS will be tailored to target parents (under 5) and will provide a forum for 2-way communication via live radio shows, during which listeners can engage messengers and each other to obtain health and other information. This could include for example information on how to treat mild diarrhea at home with oral rehydration therapy, thus preventing expensive medical treatment and hospitalization. Govt. Health official personal will be invited for on-air interviews, and community health promotions can be run this way. The SR stations will be effective change agents by encouraging community partnerships and promoting diseases awareness, key preparedness and response, education, and other community issues, including those related to Malnutrition.

Who will benefit from this idea and where are they located?

The primary beneficiaries of this idea will be the parents of children (targeted to the under 5 age group). Diarrhea and ARI messages on Slum Radio (SR) Station will be tailored to target parents and designed to contain interactive elements customized to local community concerns. SRS will provide a forum for 2-way communication via live radio shows, during which listeners can engage messengers and each other to obtain health and other information. The SR Station idea will be implemented in Slums of India/Kenya.

How could you test this idea in a quick and low-cost way right now?

Radio messaging is a long-trusted source of information which makes an effective way to educate parents especially mothers on disease prevention and control. The SR station will be tested in local slum as per below stratergy. 1. Seek help from local University students – Student volunteers from University Health department will be approached to design and survey baseline data for Knowledge Attitude Practice (KAP) among parents of under five children in Slums. 2. Information, Education and Communication (IEC) - A 60 second (10 times a day for one month) interactive radio spot will be requested from the local FM radio stations to broadcast diarrhea and ARI disease identification, prevention and treatment. (Updated 15th Dec'14) 3. After a months’ time, a small section of parents in Slums will be consulted to discuss the effectiveness of radio messaging related to diarrhea and ARI related messaging.

What kind of help would you need to make your idea real?

We need two things from OpenIDEO; 1. Feedback from experts of OpenIDEO community. 2. We will use OpenIDEO name and contacts during initial discussions with local Universities in countries where we want to test this idea.

Is this an idea that you or your organization would like to take forward?

  • Yes. I am looking for partners that might be interested in taking this idea forward in their communities.

44 comments

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Photo of Kağan Rüstem
Team

You mentioned that you would employ people from the slums to re-enforce the message you are trying to convey. Exactly what will they be doing to achieve this. Do you think maybe they could be used as more of a Q & A service rather than just re-iterating the same message people will be hearing on the radio?

Photo of Irene Blas
Team

Maybe they could take the message to those people who do not have access to that radio, and this way you will be able to spread out your system quicker and more effectively. It is a great idea! The first educators for chlidren are their parents so they are the first that ahould have the info to be able to make their children thrive. If they do not know whats the correct way to do it there is a problem there. Parents always give their best to their children but maybe they do not know what is that best. Educate parents to educate their children.. great!

Photo of Felipe Bottrel
Team

Great idea team! To use radio broadcasting as a informational and disease prevention is a very powerful idea that can really help the community. I know another team that is also developing a project that relies on radio transmission. Maybe you could get some insights from them:

https://openideo.com/challenge/zero-to-five/ideas/shared-voices

Photo of ARCHIVE Global
Team

This is a great idea. The use of a medium such as radio can help transcend the challenges of illiteracy and lack of formal education to deliver lifesaving tools and resources.

Will your broadcasts have a community-wide component in its pedagogical methodology?

In many communities where our organization works, for instance, poverty prevents the widespread ownership of radios and therefore listening to broadcasts is often a communal event where families and neighbors gather to listen as a community. Therefore, perhaps consider creating content and training based on community/group learning. Shared experiences and communal education can both strengthen and reinforce learning. Great work!

Photo of Rajesh Pasupuleti
Team

Hi there, SR station will use community volunteers for awareness raising through mass campaigns and street plays where a live question and answer show will be performed. Community members will be the "Change Agents" for spreading health messages.

Thanks
Rajesh

Photo of OpenIDEO
Team

Congratulations on making the Zero to Five Challenge Refinement list, Andrew! We like that you are hoping to leverage a popular mode of communication and have started thinking about how you can begin testing your idea. Is there a particular community where you would like to begin testing in? Taking a look at some of the ideas on the platform addressing similar issues might be a good place to start. Is this an initiative that World Vision Australia is planning to implement? If not, who would run this program? Have you had experience with student or community volunteers before? What have you learned that could be applied to slum radio? Once you identify where you might like to implement this idea, we urge you to think of ways you can test some of your key assumptions (e.g. that parents will listen to and internalize the messages in the format you are planning) using a quick prototype. Check out tips for Refinement http://ideo.pn/0to5-tips-refine for some tools to help you get started.

Photo of Andrew Binns
Team

Hi OpenIdea Team, thanks for the shortlist

The SR station concept will be tested in Slums that has high incidence of Under 5 mortality rate and are part of Urban areas. All the baseline data of Under 5 mortality will initially be shared with Govt. Health departments to triangulate the information before we test our idea on ground.

World Vision have piloted similar concept in remote islands of Solomon Island to educate community members with health and hygiene messaging. This project will be implemented by World Vision through our National Offices and each WV National office has good relations and experience working with Universities and Research institutes involving PG students and Community volunteers in our development projects. The BIG learning we had across all our projects is to involve community members in each and every stage of project implementation to make this initiative people centric and sustainable.

Thanks
Rajesh

Photo of Meena Kadri
Team

We're loving your User Experience Map – and are glad to hear that Geeta is ok :^) Be sure to provide your answers to the OpenIDEO questions above on the Word Form downloadable from our challenge brief page – and a summary of other responses to feedback here in the comments section. You'll then need to convert it to a PDF and upload it here on your idea. Read more details at: http://ideo.pn/0to5-tips-refine

We'd also strongly encourage you to create your own OpenIDEO login, Rajesh. There's been some cofusion amongst our community with a number of people posting under Andrew Binn's login. Once you've created your own login, Andrew can add you to his team using the Manage Team button.

Keep up the great work and we're looking forward to hearing more on how you're involving target community members as you progress. And do check out other ideas here in Refinement to see how their ideas are evolving and provide feedback. Collaboration is the name of the game here on OpenIDEO :^)

Photo of Andrew Binns
Team

Thanks a lot Meena.

I tried opening a new account but the website doesn't allow - please could you help on this.

I will download the question format and will upload it with answers.

Thanks
Rajesh

Photo of Meena Kadri
Team

Hi Rajesh. You should be able to open a new account as long as you are using a unique email address (not the one Andrew used previously) If you're still facing issues – please contact our helpdesk and someone on our team will happily help you out: hello@openideo.com

Photo of Rajesh Pasupuleti
Team

Thanks Meena. Now, I have a new account.

Photo of Laura Schwecherl
Team

This is a great idea. Do you know how you will measure the impact of the radio shows? Are you looking for a specific decrease in diarrhea and ARI over X amount of time? How long will you keep one show going before deciding to potentially adjust strategy to reach more people & increase it's effectiveness?

Photo of Andrew Binns
Team

Hi Laura,

1. Do you know how you will measure the impact of the radio shows?
SR station volunteers will conduct bi-weekly monitoring and structured interviews on increase knowledge and behaviors among caregivers and parents of under 5. The project will also link up with local hospitals and health centers and evaluate health data (growth rate, episodes of illnesses etc.) of families with under 5 children and compare the data with the initial KAP survey (baseline) results to measure the impact.

2. Are you looking for a specific decrease in diarrhea and ARI over X amount of time?
The idea behind SR station project is to bridge the gap between CHWs / health officials and Parents of U5 in slum areas by bringing them together to a common platform to improve the quality of health service and build trust among each other.

We will measure our impact using two indicators;
a. We will closely monitor and test the knowledge levels of U5 Parents in slums using participatory approaches and real time emergency simulation exercises.
b. Compare the health statistics mainly decrease in Diarrhea/ ARI cases.

Once both the indicators shows good results - we will propose an exit strategy.

3. How long will you keep one show going before deciding to potentially adjust strategy to reach more people & increase it's effectiveness?

As explained above, SR station programs will be designed based on initial findings of KAP survey and will be aired for a month initially. Later, SR station volunteers will regularly interact with Parents/caregivers and govt. CHWs/ MO's to evaluate the impact of health messaging and street plays to reach more people effectively.

Hope it help's

Rajesh

Photo of Sanjukta Das
Team

Hi Andrew! Love the idea.
We are developing a mobile voice messaging program as part of our intervention to improve neonatal health, which will focus on similar topics to your radio show (because, repeatedly health care providers are suggesting that we focus on equipping mothers with information on how they can prevent diarrhea and ARI in their babies). Given that you are hoping to deliver the information as 60-second spots on the radio, I think that even the way our information is constructed and presented to the respective target groups will be similar (especially since you are also planning to work in India). I was just curious if you had started to explore curriculum development, as that is something we are beginning now. I imagine that we could probably collaborate if you're interested. It would be great if women across India were receiving consistent information around newborn care from all their media sources. Please let me know your thoughts! And we encourage you to check out our idea: https://openideo.com/challenge/zero-to-five/ideas/shishu-information-and-delivery-ecosystem-for-first-48-hours-of-newborn-care. We'd love to know what you think and thoughts on how we can improve and/or work together. Thanks!

Photo of Andrew Binns
Team

Hi Ayzh,
I can see a strong link between mobile voice messaging and Slum Radio station as both these mediums are accessible to parents in Slums. At this stage, we are doing a research (online) on what could be the best trigger point in terms of health messaging for parents to internalize and adopt the messages aired from SR station - this will be clear once we complete KAP survey in Slum locations.

Thanks
Rajesh

Photo of Chioma Ume
Team

Great user experience map, Andrew! Thanks for sharing. I wonder, based on your research and World Vision's work in the Solomon Islands, do you have hypothesis about the types of messaging that could work? How could you begin to test those assumptions? It would be awesome to have you share these with the community and to potentially collaborate with Ayzh!

Have you begun to narrow down where you might be interested in piloting this project and developing relationships with partners that will be part of implementation?

Photo of Andrew Binns
Team

Hi Chioma,
One of the key lessons learned from Solomon Island projects are;

• Always use experienced educators familiar with the local community;
• Collaborate with community leaders to spread health messages.;
• Use village “intermediaries” and respect “established accepted social structures” for making project successful.

All our messaging will take into account the lessons learned from SI and other projects. Also, we will do KAP survey at the start of this project using local Universities, Research students and local CBO's and the impact will be measured against the KAP survey results/ indicators for achieving health impact in community.

We will definitely collaborate with Ayzh.

We wanted to pilot this project in Kibera (slum in Nairobi, Kenya) or Dharavi (Mumbai, India) as we have well established relations with partners, CBO's and community leaders and have ongoing projects in these slums.

Thanks
Rajesh

Photo of Chioma Ume
Team

Thanks Rajesh!

Photo of Maurizio Bricola
Team

Hi Andrew this is a great idea! Have you thought about having parents contributing to the same SRS Programs? You might consider of adding interactivity to the SRS programs allowing listener to call in and ask questions, questions can be recorded by a IVR system, the next session the most relevant and important questions will be answered by experts. SRS might even call the listener back while registering the session and have him/her ask the question "live". This will create a sense of participation as well as engagement since people will have the chance to listen to their own voice at the radio. You might also want to have parents sharing best practices using the same IVR and select the best tips to play on the radio. If you would like to rapid prototype your idea and need a radio hack you can check the link I have posted here: https://openideo.com/challenge/zero-to-five/ideas/village-vibe-fm
Cheers

Photo of Andrew Binns
Team

Hi Maurizio, thanks for your suggestion. The SRS Program will use three main tools - live radio discussion, expert (CHW) advice and street plays. For the live radio discussion, we will invite parents within slums to share their experiences and how health message adaptation have reduced their hospital costs and saved their kids from killer diseases. The idea will be to use Parents as " Change Agents" for spreading health messages.

We will contact you for the radio hack prototype if we get shortlisted - Thanks for your advice on this.

Thanks
Rajesh

Photo of Bettina Fliegel
Team

Hi SRS people!
The Mali Health Organizing Project has a long running radio show program, "Health Radio", which brings experts on air for health promoting education as well as Listener Groups - "through our organized Listener Groups, Health Radio listeners come together to advocate for better health conditions in their communities." Might be an interesting model to look at?
http://www.malihealth.org/communication-advocacy/

Photo of Maurizio Bricola
Team

Dear Andrew most welcome! We will be happy to collaborate. For further inspiration on how to expand your radio programs with mobile participation see http://www.gramvaani.org/
Cheers

Photo of Andrew Binns
Team

Thanks Bettina,I will look through the Mali Health Oragnizing model.

Thanks
Rajesh

Photo of Andrew Binns
Team

Dear Maurizio,

Thank for your support and please count my full support on collaboration.

Cheers,
Rajesh

Photo of International Youth Empowerment Network
Team

Good idea. I see you want to use the radio to provide two way interaction. What is the plan on providing physical support to slum dwellers like how to prepare ORS? How will you monitor and evaluate information in line to attaining the ultimate goal of reducing child mortality?

Photo of Andrew Binns
Team

Hi There,

SR station project has three main components;
1.Broadcast health messages
2. Call-in shows and personal on-air interviews from experts (CHW's/ MOs) and Parents (from community)
3 Street plays and HH demonstration - CHW's and Community volunteers will perform street plays using participatory approaches to make Parents aware of disease prevention and treatment which includes ORS solution preparation, breast feeding, safe disposal of children excreta, hand-washing practice at critical times, Household water quality management and vaccination drives.

The idea is to educate parents on "ALL RISK" factors associated with Under 5 Child mortality.

SR station volunteers will conduct monitoring visits and semi structured interviews for every household on increased knowledge and behaviors among caregivers and parents of under 5. The project will also link up with local hospitals and health centers and evaluate health data (mainly episodes of sickness among U 5 children, children growth chart etc.) of families with under 5 children and compare the data with the initial KAP survey results to measure the impact.

Thanks
Rajesh

Photo of Chioma Ume
Team

Hello Andrew! We've been having early childhood experts take a look at the ideas in Refinement and want to share some of their feedback with you. Here are few comments and thoughts to strengthen the idea: consider parents availability to listen to radios and what the best times are for them. How interactive will this be with the listeners? What are your thoughts about how to monitor and evaluate how the information provided is being used? Have you considered bringing experts to speak on the radio and provide basic information to parents, etc.?

Photo of Andrew Binns
Team

1. Consider parents availability to listen to radios and what the best times are for them ?

Answer - Most of the slum dwellers are laborers working in industries and construction companies and from our own research, 90% of these households in slums of Kibera and Dharavi have radios. At the start of this project, we will conduct Focus group discussions with parents and community leaders using participatory approaches to figure out what are the best times that would suit parents and caregivers for airing health messages. Once we have these data we will design the program.

2. How interactive will this be with the listeners ? Have you considered bringing experts to speak on the radio and provide basic information to parents, etc.?

Answer -To make it interactive, SR station will broadcast both call-in shows and personal on-air interviews from experts (CHW's/ MOs) and Parents (from community) that will be effective for promoting social learning, whereby people reciprocally learn from each other. Messages on these shows will be tailored to target audiences and designed to contain interactive elements customized to local community concerns.

Also, SR station will provide forum for 2-way communication via live radio shows, during which listeners will engage with each other to obtain health and other information. On-air discussions between a moderator, health professional, and Parents will prompt several families to listen to messages and inquire about any health concerns they may have with their children. There will be shows such as “All day talk” whereby parents will be educated not only on health messaging but also on issue related to child protection, vaccination programs mainly Polio campaign and any recent outbreak’s in city / slums.

3. What are your thoughts about how to monitor and evaluate how the information provided is being used?

Answer- First of all, we will do a pre-test of all the health messaging using radio spots to ensure that they are understandable, acceptable, relevant, attractive, and persuasive and based on the comments and suggestions made during the pre-test, we will revise spots.

SR station volunteers will conduct bi-weekly monitoring and structured interviews on increase knowledge and behaviors among caregivers and parents of under 5. The project will also link up with local hospitals and health centers and evaluate health data of families with under 5 children and compare the data with the initial KAP survey results to measure the impact.

Thanks
Rajesh

Photo of Andrew Binns
Team

Hi Openidea team, I tried to open a new login for myself (Rajesh) but the system doesn't allow me to do that.

Could you please help !

Thanks
Rajesh

Photo of Diini Omar
Team

This programme is actually great idea and radio is the best aspect to give massage to people and promote the disease. It’s also very effective as a lot of low income people don’t have TV or internet to be aware of those diseases and the clear consensus about the problems can cause them and mainly have small radio. This project will totally get people to response and hopefully will reduce the diarrhea. Good luck! Diini

Photo of Andrew Binns
Team

Thanks Diini,

We are very optimistic about this concept and I am sure if we hit right audience with right messaging - we will be able to save the lives of children.

Thanks
Rajesh

Photo of Vishagan Baskaramoorthy
Team

Great idea, constantly having these announcements made on the radio should get people to realize the importance of these issues opposed to just hearing them once or twice.Have you thought about/looked into the ways you could make announcements easy to remember whilst still being informative? Could there be a way to get these radio announcements mobile/moving around in these communities so it can reach even more people (like public service announcement vehicles)? Also well done on making it to the next stage!

Photo of Andrew Binns
Team

SR Station will work with Slum Community volunteers and Govt. CHW's who will reinforce health messages that are aired by visiting each household.

Apart from Radio messaging, CHW's and Community volunteers will perform street plays using participatory approaches to make Parents aware of disease prevention and treatment.

Thanks
Rajesh

Photo of Bettina Fliegel
Team

Hi Andrew. I like your radio show idea! Congratulations on moving on to refinement! Are you aware of any radio shows or public service announcements on the air in slum communities currently which address health and well being?
Have you thought about what time of day would be best to air such a show? When and where might parents have time to listen to the show? weekend, evening, maybe mid day at a job site? I wonder if a business owner who employs workers that live in slums would be motivated to air the show during a break time/ meal time - as keeping young children healthy will keep workers at work.
Excited to see how this develops! Good luck!

Photo of Andrew Binns
Team

Hi Bettina,

I am aware of radio shows that broadcast generic messages for general public but not specifically for Urban Slums. The idea behind SR Station is to tailor Under 5 health messaging inline with Slum culture that includes local accent, cultural practices etc.

The timing of airing such shows will be decided upon baselines studies as we want to make sure parents and caregivers are reached fully while airing such shows.

Thanks
Rajesh

Photo of An Old Friend
Team

I can only imagine how the people of 'Azundi' in my idea would be excited about this radio. Great thoughts. May you could read through the story of SECURED stamp and see how your idea could be integrated into our community mobilization and behaviour change interventions for better child care:

https://openideo.com/challenge/zero-to-five/ideas/our-village-raising-our-children

Photo of Andrew Binns
Team

Hi Alex, Rajesh Pasupuleti here;

Core Community Team (CCT) seems a great idea and this is something we could try in Slums as well.

Photo of Kastriot Hasani
Team

Great idea as this is a very powerful way of spreading health awareness messages. You did mention that the SR will employ locals to help spread the knowledge of Diarrhea and ARI prevention. I was wondering who will teach the locals to raise their awareness ?

Photo of Andrew Binns
Team

Hi Hasani, I am Rajesh Pasupuleti, WASH Advisor with World Vision Australia.
Local volunteers in slums will be trained by Govt. Community Health Workers (CHWs) on a monthly basis for raising health awareness. This SR station project will bridge the gap between slum dwellers and Govt. health workers.

CHW's will also participate in radio interviews to educate parents. Once we have good results from this project - we will use SR station for Polio vaccination awareness.

Photo of Guy Viner
Team

Great share, Andrew! Something we'd encourage you to think about is how you might update your Summary section (text above the image gallery) to encapsulate what your idea actually entails briefly and clearly.

Here's a template if you need some help, though feel free to come up with your own clarifying sentence structure.

Our idea is a_________________ [campaign/app/service/program/online platform/toolkit/social enterprise/etc.] that tackles the problem of _____________[the issue being addressed ] by __________[what your idea looks like in practice].

See some Summary examples from the Amplify Team on a previous challenge here: https://openideo.com/challenge/womens-safety/shortlist

Photo of Guy Viner
Team

And here's a friendly tip: update your OpenIDEO profile so folks can dig who they're collaborating with. Think skills, experience, passions & wit! Looking forward to seeing more of you across conversations on this challenge...

Photo of Andrew Binns
Team

Hi Guy, I am Rajesh Kumar Pasupuleti, Water Sanitation and Hygiene (WASH) Technical Advisor with World Vision Australia. Andrew Binns is our Innovation Hub manager. I will reply to any tech. related queries.

I will edit the text as per the template you have suggested.

Photo of Tobias Schreier
Team

Hi Andrew,

this is a great idea, it is always important to spread the word and have effective ways of communication! What if you could add more media to it, not only providing information via radio, which could be overheard by some people? We though about having a kind of life hacks book, which wanders around in communities, and where people share their experiences and therefore help others lead a better and easier life. I see potential that you could adapt you idea to something like that, to spread the word even more?

Check out our idea if you want to have more as an inspiration: https://openideo.com/challenge/zero-to-five/ideas/low-cost-life-hack-book

Photo of Dominique Rockert
Team

Well done, Andrew. The radio is the best way to spread important information where a great number of people don't know how to read and I noticed that there are lots of similar ideas here. What about getting in touch with other teams and mixing your ideas?
These are other two really good ideas with the same concept of yours:

https://openideo.com/challenge/zero-to-five/ideas/shared-voices

https://openideo.com/challenge/zero-to-five/ideas/a-radio-program-for-kids