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Intervention design in public health

Adaptive messaging in the Tanzanian National Sanitation Campaign

Bibliographic Data

ID22945176
AuthorsAlexandra Czerniewska (0000-0001-8370-879X, Department of Disease Control, London School of Hygiene and Tropical Medicine , London , UK), Kaposo Mwambuli (Project CLEAR, Ltd ., Dar es Salaam , Tanzania), Val Curtis (0000-0001-8994-2878, Department of Disease Control, London School of Hygiene and Tropical Medicine , London , UK), Robert Aunger (0000-0001-8136-9376, Department of Disease Control, London School of Hygiene and Tropical Medicine , London , UK, corresponding author)
Year2023
Volume38
Issue3
Publication date2023-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daad064
PMID37341996
OpenAlexW4381469662
LanguageEN
References cited16

Few case studies exist in the public health or design literatures showing how to create national scale messaging campaigns in low-income countries using design processes. In this paper, we describe how we used Behaviour Centred Design to develop Nyumba ni choo, the Tanzanian National Sanitation Campaign. The process involved multiple iterations of ideation and filtration by professional creatives, government staff, academics and sanitation specialists to create a branded mass communication campaign, which was refreshed annually. The campaign was based on the insight that Tanzania is modernizing rapidly, with people upgrading their homes, but leaving their outside toilets in a ‘traditional’ state. Built around the ‘big idea’ that a household is not fully modern without a good-quality, modern toilet, the campaign employed reality TV shows, live engagements and mass and digital media postings, all targeted at motivating both the government and general population to improve toilets. The campaign has made toilets a topic of national conversation and has led to a major uptick in the rate of toilet building. Efforts to improve public health-related behaviour can be enhanced by using systematic approaches that build on available evidence, understand behaviour in its common settings, employ psychological theory and engage creative expertise.

Advertising · Business · Environmental health · Government (linguistics) · Mass media · Political science · Population · Public health · Public relations · Sanitation · Socioeconomics · Sociology · Tanzania · Toilet · Child Nutrition and Water Access · Children's Rights and Participation · ICT in Developing Communities · Medicine · Nursing

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Citation velocityhistorical
Highly citedNo

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