Programs and Activities of Population Media Center June 2013 Since PMC’s inception, we have initiated projects in Argentina, Bolivia, Brazil, Burkina Faso, Burundi, Chile, Colombia, Costa Rica, Côte d’Ivoire, Democratic Republic of the Congo, Dominican Republic, nine island nations of the Eastern Caribbean, Ecuador, El Salvador, Ethiopia, Guatemala, Haiti, Honduras, Jamaica, Kyrgyzstan, Mali, México, Nicaragua, Niger, Nigeria, Papua New Guinea, Panamá, Paraguay, Peru, the Philippines, Puerto Rico, Rwanda, Senegal, Sierra Leone, South Africa, Sudan, Swaziland, the United States, Uruguay, Venezuela, and Vietnam. PMC has new projects in development in Cameroon, China, India, Kenya, Kyrgyzstan, Niger, Pakistan, the Philippines, Rwanda, Tanzania, and Uganda. In 2007, PMC was recognized by the Population Institute with a Global Media Award for having the Best Electronic Communications Service for its entertainment-education television and radio dramas, featuring family planning, gender equality, and reproductive health issues. In 2009, PMC won third place in the Peter F. Drucker Awards for Nonprofit Innovation. In 2011, PMC won our second Global Media Award for Best Serial Drama for PMC-Ethiopia’s radio serial drama, Mieraf (“New Beginning”). The Aspen Institute's 2012 Global Leaders Council for Reproductive Health Resolve Award has been awarded to Ethiopia, largely due to Population Institute's nomination of PMC's work there. This highly competitive, non-monetary award is designed to honor innovative and scalable approaches in accelerating progress toward universal access to reproductive health. Following is detailed information about PMC’s work. AFRICA Burkina Faso Population Media Center has received funding from the UN Population Fund (UNFPA) and UNICEF to develop two 156-episode radio serial dramas for promotion of family planning use. One of the programs is in the Mooré language (Yam Yankre or “the Choice”), and the second is in the Dioula language (Here S’ra or “the Road to Happiness”). The programs started broadcasting on the national broadcaster and 22 community radio stations in September 2012. In Burkina Faso, the barriers to use of modern methods of contraception are largely informational and cultural. Among sexually active, fertile women in union, the top reasons for non-use are the desire for more children (18%); personal, partner, or religious opposition (17%); fear of health effects (10%); and not knowing a method or a source (10%). Cost is cited by only 2.5%, and lack of access is cited by only 0.7%. The annual population growth rate in Burkina Faso is 3.4 per cent, which means that the population is doubling every 20 years. The total fertility rate is the 8th highest in the world at 6.0 children per woman. The majority of the population is young: 46% of the population is under the age of 15. Population growth and population dynamics are important challenges that must be addressed in order to reduce poverty. 1 Childbearing begins early in Burkina Faso: almost half of all women in union less than 20 years of age have already given birth to at least one living child. The actual fertility rate closely follows the desired family size for women: married women interviewed during the 2003 Demographic and Health Survey in Burkina Faso said they would like to have about six children on average. Married men would like seven children. Although knowledge of contraceptive methods in Burkina Faso is high (92% of those interviewed know at least one modern method), only 13% of married women are currently using a modern method of contraception. Burundi PMC has received support from the Segal Family Foundation, and commitments from UNICEF, UNFPA, and Population Services International. The goals of the program will be to reduce under-nutrition trends and promote child survival, improve maternal health, inform audiences about and promote family planning and small family norms, promote gender equality through role modeling, promote universal primary education, and prevent HIV/AIDS and other STIs. We plan to conduct a scriptwriters’ training workshop in October 2013 and begin broadcasting in 2014. Burundi’s total fertility rate is 6.4 children per woman, one of the highest in the world. Only 18 percent of married women use modern methods of contraception. Such high fertility results in high maternal mortality rates: the rate of maternal mortality in Burundi is estimated to be 500 maternal deaths for every 100,000 live births. In part, because of the high fertility levels and close birth intervals, Burundi has one of the highest rates of stunting among children under five in the sub-region. Democratic Republic of the Congo (DRC) PMC has received commitments from UNICEF, the World Bank, UNFPA, UNAIDS, and UN Women for three separate radio serial dramas (in Lingala, Swahili and French) each with 156 episodes. While seeking the remaining funding needed (about $500,000), PMC is planning to conduct a scriptwriters’ training workshop in November 2013 and begin broadcasting in 2014. Ethiopia PMC is conducting three concurrent projects in Ethiopia. 1. Youth Media Capacity Building Programs and Interactive Radio Serial Drama on Cross-Sectoral Program Issues is the newest project in Ethiopia, funded by UNICEF. Program components include: a 208-episode radio serial drama in Amharic; training for journalists and producers in Education Media Centers and radio stations on six themes (and guidebooks); media capacity training for children and youth through multimedia training at select youth centers on priority youth issues. 2. A Multi-Media Communication Campaign to Address Alcohol, Substance Abuse and HIV/AIDS in Ethiopia is a project funded by the Ethiopian Public Health Association (EPHA). The project consists of a radio serial drama, talk 2 show, spots, print production and capacity building training programs for religious leaders, youth group leaders, women’s group leaders, and community leaders, plus production of a book in February 2012, called Azurit (“Whirlwind”) with real-life stories of victims of alcohol and substance abuse. The radio programs are: a. Yeregebu Fetiloch (“Broken Dreams”), a 120-episode radio serial drama. b. Fenote Lesiket (“the Right Path to Success”), a radio magazine in Amharic. 3. Save the Children Norway (SCN) is continuing their support of PMC-Ethiopia for 2011-2015 with a project addressing Harmful Traditional Practices and Female Genital Mutilation consisting of a national talk show, two regional radio magazine shows, print materials, capacity building workshops, and research and monitoring. This is a continuation of the project SCN supported from 2007-2010. Additional support has been provided by Bayer Corporation. a. The talk show Gudayachin has aired 64 episodes as of the end of April. b. The two regional magazine-style programs, Naedetai (in Afar) and Igadda (in Somali) have aired 75 and 74 shows respectively as of the end of April. c. A training workshop on HTP & FGM was held from April 1-3, 2013. Thirty-two high school students, drawn from nine regions participated. There was also an experience sharing forum for students from Afar, Somali and SNNPR regions where a severe type of FGM, infibulation, is being practiced. A 15-minute film on FGM was relayed, and general discussion was held at the culmination of the training. This work has been described by Women’s E-News as being highly effective at stopping the practice of FGM. Previously, as part of a project to improve the delivery of health services in Ethiopia through increased awareness and communication between the 30,000 health extension workers in rural Ethiopia and the communities they serve, PMC-Ethiopia broadcast Mieraf (“New Beginning”), a 180-episode radio drama series in Amharic, from June 2010 through November 2011, with funding from UNICEF. The program addressed rural health care, including family planning, HIV/AIDS, malaria, tuberculosis, and STIs, hygiene and sanitation, and was designed to model positive health care and client rights to information on their health status. Mieraf received the 2011 Global Media Award for Best Serial Drama. From October 2010 to November 2011, PMC conducted a program with support from UN Women, designed to address violence against women in Ethiopia. The objective of the project was to provide information and increase the knowledge of change agents and communities on issues related to violence against women and female empowerment. The project included TV and radio spots, plus print materials including a book, Yenealem (“My World”), a collection of real-life stories. As part of the project, PMC conducted five capacity building workshops to address the issue of violence against women. 3 o The first workshop was “The Role of Journalists and Media Practitioners to Address Violence against Women in Ethiopia.” o Workshop 2 was for women leaders of all regions. o Workshop 3 was for youth leaders from all regions. o Workshop 4 was for law enforcement bodies from all regions. o Workshop 5 was for senior writers of all regions. From 2005 to 2010, PMC produced a talk show and panel discussion, called Alegnta (“Security”). The serial drama, Sibrat (“Trauma”), was broadcast from September 2007 through February 2010. Sibrat was broadcast over the National Service of Radio Ethiopia and FM Addis. From 2002 to 2004, PMC-Ethiopia aired two radio serial dramas addressing the issues of reproductive health and women’s status, including HIV/AIDS, family planning, marriage by abduction, education of daughters, spousal communication, and related issues in two major languages. Yeken Kignit (“Looking over One’s Daily Life”) was broadcast in Amharic in 257 episodes; Dhimbibba (“Getting the Best out of Life”) was broadcast in Oromiffa in 140 episodes. Broadcast of the radio serial dramas in the two languages began in June 2002. Quantitative research (14,400 client interviews at clinics) done in November 2004 found that 63% of new clients seeking reproductive health services at 48 service centers in Ethiopia reported that they were listening to one of the PMC serial dramas. In fact, 18% of new clients named one of PMC’s programs by name as the primary motivating factor for seeking services. Of new clients who cited radio programs as a motivation for seeking services, 96% said that they were motivated by one of PMC’s programs. About half the population reported being regular listeners. In just two and a half years of nationwide broadcasting, the following changes were recorded: Listeners were 5.4 times more likely than nonlisteners to know at least 3 or more family planning methods. (Adjusted odds ratio with p<.00001 controlling for age and education). Among married women in the Amhara region who were listeners, there was a 55 percentage point increase in those who had ever used family planning methods, while among non-listeners, the change was only 24 percentage points. A similar increase occurred among male listeners in the Amhara region. Among married women in the Amhara region who were listeners, current use of modern family planning methods went from 14% to 40% among listeners vs. 25% among non-listeners. Listeners sought HIV tests at 2.5 times the rate of non-listeners*. Among married women who know of a method of family planning, spousal communication about family planning issues climbed from 33% to 66%.* *These findings remained significant after running statistical controls for all significant socioeconomic and demographic variables. 4 PMC’s first serial drama project in Ethiopia was supported by the David and Lucile Packard Foundation, the HIV/AIDS Prevention and Control Office of the Government of Ethiopia (HAPCO), the Hughes Memorial Foundation, the Flora L. Thornton Foundation, CARE-Ethiopia, the UN Population Fund, and 35 individual contributors. Yeken Kignit is currently being rebroadcast in southern Ethiopia with support from the Packard Foundation. A partnership with Save the Children-US involved production and distribution of a third serial drama on audiocassettes for play by truck drivers and other high-risk groups. The support from Save the Children allowed production and distribution of 24 episodes of this program, plus the writing of another 28 episodes. The evaluation of the cassette-based drama showed major changes in self-reported behavior by those who listened to the program. HAPCO awarded PMC additional funds to complete production of the remaining episodes and to distribute them to high-risk populations via cassette, as well as to broadcast a modified version on Radio Ethiopia. The broadcast of this program, Maleda (“Dawn”), started in May 2005 and was completed in September 2006. Among other findings, the evaluation showed that listeners were 4.3 times more likely than nonlisteners to know where to go for counseling and testing services. PMC also received support from the Packard Foundation for two additional projects in Ethiopia designed to involve the creative community in addressing population and reproductive health issues. These projects included creating traveling stage plays to address reproductive health issues; developing two video documentaries on population and HIV/AIDS issues in Ethiopia; holding contests for the best short stories and poems that address reproductive health issues; and conducting training of journalists in covering reproductive health issues. PMC produced a full-length stage play entitled Yesak Jember (“Laughter at Dusk”), focusing on HIV/AIDS prevention. The stage play was launched in September 2003 and was attended by the former President of Ethiopia, Dr. Negasso Gidada. The play was staged in the capital for five months, followed by performances in 14 other cities around Ethiopia. The script was then given to local drama groups for adaptation. PMC received additional support from the Packard Foundation for additional training of journalists in covering reproductive health issues, and that project was completed in 2006. As part of this work, PMC-Ethiopia began publishing a series of books. The first was a collection of eight national prize-winning short stories and three poems focusing on HIV/AIDS and related social issues, published in 2003 under the title Yehiwot Tebitawoch (“Drops of Life”). The creative pieces were selected from among 146 short stories and 176 poems submitted in response to a national competition for the best poems and short stories that address reproductive health and HIV/AIDS issues. Ten thousand copies of this book were published and distributed throughout Ethiopia. A second volume of short stories was published in 2004 as a result of a second nationwide competition. The book, Kinfam Hilmoch (“Winged Dreams”), was also 5 widely distributed and dealt with major health, social and health issues. A third book, Wenzoch Eskimolu (“Waiting for the Rivers to Rise”), was published and distributed in 2006. In 2007, PMC published a fourth book, Yemaleda Shekim (“Burden at a Tender Age”), consisting of 13 short stories on harmful traditional practices in Ethiopia, chosen from 99 submissions. A fifth book, published in 2008, is entitled, Zaren Ketegubet (“If You Become Diligent Today”). A collection of essays, the book focuses on youth mental and physical development and holds out positive role models for young people. In 2009, PMC published a sixth book, Yaltenabebu Libotch (“Incongruous Hearts”), focused on social and economic problems affecting women. It consists of 11 short stories written by nine women writers. It highlights the inequalities faced by women with regard to economic, educational and employment opportunities. Also in 2009, PMC published Wurse (“Inheritance”), consisting of 11 non-fiction stories on harmful traditional practices. The writers were given financial support to visit various parts of Ethiopia to collect the stories first hand from victims of these practices. In 2010, PMC published Mulu Sew (“The Complete Personality”). The stories in this volume show the consequences of people’s attitudes toward harmful traditional practices. It consists of 11 short stories. In 2011, PMC published the book Literature for Social Change & Development. This book covers the weaknesses and strengths of writing short stories and real-life stories for behavior change. As mentioned above, in February 2012, PMC held a launching event for two new books with real-life stories: Azurit (“Whirlwind”) on alcohol and substance abuse (with support from EPHA) and Yenealem (“My World”) on violence against women (with support from UN Women). All of these books have been distributed to the libraries of government agencies, UN organizations, professional associations, schools, and other relevant organizations. In 2005 and 2006, PMC received support from UNICEF, HAPCO and the Flora L. Thornton Foundation to develop and broadcast a youth-focused radio serialized melodrama to motivate young people to adopt positive behaviors regarding HIV/AIDS, reproductive health and related social issues. The program, Menta Menged (“Crossroads”), began broadcasting on Radio Ethiopia in March 2005 and was completed in March 2007. The evaluation of Menta Menged demonstrated that it had significant behavioral effects among listeners. These included the following: Listeners were 3.2 times more likely to know about STIs than non-listeners. Listeners were 2.5 times more likely to discuss issues relating to HIV/AIDS than non-listeners. 6 Listeners were 1.8 times more likely to take measures to protect themselves from HIV/AIDS infection than non-listeners. Listeners were 3.2 times more likely to know about voluntary counseling and testing (VCT) than non-listeners. Listeners were 1.4 times more likely to be tested for HIV/AIDS than nonlisteners. This same project involved production of a talk radio program aimed at youth. The program, Alegnta, began in October 2005, with youth-led panel discussions with experts. The Alegnta project also involved production of print materials for youth on reproductive and sexual health issues. A total of five booklets have been published and distributed in 32,000 copies each, along with four leaflets distributed in 40,000 copies each. The outpouring of emotion in Ethiopia, in response to PMC’s programs, has been overwhelming. From all over the country – and even beyond the borders of Ethiopia – 35,000 letters have poured in to PMC’s office in Addis Ababa. Ethiopia’s news media have run about one hundred stories on the soap opera phenomenon PMC has created. Mali The West African country of Mali has among the highest fertility rates in the world (6.6, according to the 2006 Demographic and Health Survey). The DHS showed that only 6.9% of married women currently use modern methods of contraception. The top reasons for non-use included: personal opposition to family planning (22.1%), wanting as many children as possible (17.6%), male opposition (9.0%), and not knowing a method (8.6%). Among non-users, 33.7% say they intend to use contraception in the future, while 54.5% do not. To address these issues, PMC broadcast a radio serial drama, Jigi ma Tignè (“Hope Is Allowed”), from March to September 2009. The 74-episode drama was heard nationally on eight regional stations of the national radio network and 50 local community radio stations. The project was carried out with support from the Wallace Global Fund, the Jewish Communal Fund, the Conservation, Food and Health Foundation, USAID/Mali, and an individual donor. USAID’s support was intended to also promote reducing stigma and discrimination against people with disabilities. Following is the data from the endline survey. The University of Vermont Statistics Department conducted a logistic regression analysis to identify significant differences between listeners and non-listeners on key indicators after controlling for other variables, as shown below. Listeners were 2.6 times more likely than nonlisteners to know at least two methods of contraception. (Adjusted odds ratio with p<.0001 controlling for age, sex, education, and urban/rural location). Listeners were 2.6 times more likely than nonlisteners to know one or more places to obtain a method of contraception. (Adjusted odds ratio with p<.0001 controlling for age, sex, and education). 7 Listeners were 1.5 times more likely than nonlisteners to say “yes” when asked if they have “ever used a contraceptive method.” (Adjusted odds ratio with p=.0032 controlling for age, sex, and education). Listeners were 1.8 times more likely than nonlisteners to say they “currently use something to delay or avoid pregnancy.” (Adjusted odds ratio with p=.0012 controlling for age, education, marital status, and urban/rural location). Listeners were 3.4 times more likely than nonlisteners to say they “approve of using contraceptive methods.” (Adjusted odds ratio with p=.0005 controlling for age, sex, marital status, education and urban/rural location). Listeners were 2.1 times more likely than nonlisteners to say that the “health of the mother” is the reason they approve of using contraceptive methods. (Adjusted odds ratio with p<.0001 controlling for sex and education). Listeners were 2.1 times more likely than nonlisteners to say they “discussed birth spacing with their spouse/partner in the last 12 months.” (Adjusted odds ratio with p<.0001 controlling for sex, education, marital status, and urban/rural location). Respondents who were not using contraception at the time of the survey were asked if they “intend to adopt a method of contraception in the future.” Results show that listeners were 1.5 times more likely than nonlisteners to say “yes.” (Adjusted odds ratio with p=.0123 controlling for age, sex, and education). Listeners were 1.8 times more likely than nonlisteners to say they “favor equality between the sexes.” (Adjusted odds ratio with p<.0001 controlling for age, sex, education, and urban/rural location). Listeners were 1.8 times more likely than nonlisteners to believe AIDS is a fatal disease. (Adjusted odds ratio with p<.0001 controlling for sex and urban/rural location). Listeners were 2.4 times more likely than nonlisteners to say they “approve of condom use as a means to prevent AIDS.” (Adjusted odds ratio with p=.0008 controlling for sex, education, marital status, and urban/rural location). Listeners were 1.7 times more likely than nonlisteners to say “yes” when asked if they will “use a condom in the future.” (Adjusted odds ratio with p=.0125 controlling for age, sex, education, and marital status). Listeners were 1.8 times more likely than nonlisteners to say “yes” when asked if they “discussed HIV/AIDS with anyone in the last 12 months.”(Adjusted odds ratio with p<.0001 controlling for sex, education, and marital status). 8 Listeners were 1.7 times more likely than nonlisteners to say that “people with disabilities have a right to prosthetics.” (Adjusted odds ratio with p<.0001 controlling for sex, education, marital status, and urban/rural location). Listeners were 1.9 times more likely than nonlisteners to know of a source of information for people with disabilities. (Adjusted odds ratio with p=.0003 controlling for age, education, and urban/rural location). Listeners were 3.3 times more likely than nonlisteners to have spoken with someone they know about rights of people with disabilities. (Adjusted odds ratio with p<.0001 controlling for age, sex, and education). Mali, Côte d’Ivoire, and Burkina Faso Previously, in West Africa, PMC produced a radio serial drama to address issues of child slavery and the link between this problem and poverty-inducing factors, such as unwanted pregnancy and HIV/AIDS. Formative research was completed, and training was conducted for the producer and writers in June 2004. The radio serial drama went on the air in November 2004 and was completed in October 2005. The program, Cesiri Tono (“Fruits of Perseverance") was done in partnership with First Voice International, which distributed the program via WorldSpace satellite to 169 community radio stations. These stations then broadcast the program throughout Mali, Côte d’Ivoire, and Burkina Faso. PMC received a grant from USAID to support this work. The Ashoka Foundation awarded PMC the Changemakers Innovation Award (one of three worldwide) in their global competition for the most creative programs designed to prevent human trafficking. A random-sample, household evaluation survey was conducted in Mali, Burkina Faso, and Côte d’Ivoire to determine the impact listening to Cesiri Tono had on awareness of and attitudes towards child trafficking and exploitation and its underlying causes in the three countries. The December 2005 survey data indicated that the program produced the following results: Mali 22.4% of respondents listened to the drama. Listeners in Mali were half as likely as non-listeners to prioritize educating boys over girls (11% vs. 22%). 31% of listeners in Mali had discussed exploitative child labor during the period of the program, compared to 17% of non-listeners during the same period. The belief that it is acceptable for women to work outside of the home was 53% higher among listeners than it had been at baseline. Burkina Faso In Burkina Faso, 23% of listeners had taken action against exploitative child labor, compared to 9% of non-listeners. 96% of listeners could identify at least one place that provides family planning/reproductive health services, compared to 80% of non-listeners. 9 Côte d’Ivoire 43% of listeners in Côte d’Ivoire had discussed children’s rights in the 12 months before the end of the program, while only 25% of non-listeners had discussed children’s rights in the same period. 32% of listeners knew at least three factors that can lead to child trafficking, compared to 14% of non-listeners. All Three Countries Listeners in all three countries were substantially more aware of child trafficking than non-listeners. Thanks to a Peace Corps volunteer in Burkina Faso, Cesiri Tono was rebroadcast over six stations nationwide. Niger In March 2005, PMC received USAID funding to implement a 2-year radio serial drama project in Niger to address similar issues to those addressed in Mali, Côte d’Ivoire, and Burkina Faso. The program, entitled Gobe da Haske (“Tomorrow Will Be a Brighter Day”) was on the air from February 2006 to January 2007, distributed by First Voice International via WorldSpace satellite to community radio stations in Niger. USAID provided PMC with a no-cost extension through December 2007, to allow for rebroadcast of the program throughout Niger. The final evaluation provided strong evidence of widespread listenership and significant changes in several indicators among listeners, as opposed to non-listeners. Of all households surveyed, 67.2% were familiar with the serial drama program. The vast majority of the listeners (94%) had no education or only primary education. 39% of listeners could identify at least three methods of family planning, compared to 10% of non-listeners. 67% of listeners had heard about exploitative child labor, compared to 28% of non-listeners. 55% of listeners had heard of child trafficking, compared to 28% of non-listeners. 23% of listeners knew the link between use of family planning and reducing exploitative child labor, compared to 6% of non-listeners. 40% of listeners had discussed exploitative child labor during the past 12 months, compared to 19% of non-listeners. 34% of listeners could cite at least three practices that lead to exploitative child labor, compared to 15% of non-listeners. 29% of listeners could cite at least three practices that lead to child trafficking, compared to 14% of non-listeners. Nigeria PMC is initiating a third serial drama project, reaching most of Nigeria with programs in two languages, Hausa (Tafigawalo or “Working towards Change”) and Pidgin (Hannunika Mai Sanda or “Power in Your hands”) with support from the Ford 10 Foundation, the MacArthur Foundation, UNFPA, and Skye Bank. A writers’ workshop was held in April 2013, and production of the programs is under way. PMC’s second serial drama project in northern Nigeria was supported by the David and Lucile Packard Foundation, the Conservation, Food and Health Foundation and an individual contributor. The 208-episode drama program, Ruwan Dare (“Midnight Rain”), was broadcast in Kano, Kaduna, Katsina, and Sokoto states from July 2007 to June 2009. The program was a hit, with 72% of the population aged 15-59 reporting they listened at least every week. The endline survey in 2009 showed significant differences between listeners and non-listeners on key programmatic indicators. The program was rebroadcast three times per week from July 2009 through November 2010. Following is data from the endline survey and clinic monitoring. At the time of the baseline survey in the four states where we were planning to broadcast, the mean desired number of children for all respondents was 7.43 (females 7.71, males 7.03), and this decreased significantly* to 5.93 by the endline survey, most notably among females (females 5.39, males 6.96). (*Non-parametric t-test p<.0001). The likelihood of respondents saying they did not want to have another child was 5.7* times greater at endline compared to baseline. (*Adjusted odds ratio with p=.0001 controlling for sex, urban/rural location, education, age, marital status, and state). The likelihood of respondents saying they “currently use something to delay or avoid pregnancy” was 5.6* times greater at endline compared to baseline. (*Adjusted odds ratio with highly significant p=.0001 controlling for sex, urban/rural location, education, age, marital status, and state). o On this indicator, listeners were 2.4* times as likely as nonlisteners to say they “currently use something to delay or avoid pregnancy.” (*Adjusted odds ratio with p=.01 when controlling for sex, urban/rural location, education, age, marital status, and state). To monitor the effects of the program on listeners’ behaviors, PMC established 11 clinic research sites in the four states. Four rounds of client exit interviews were conducted during the broadcast period. The survey data was analyzed to determine motivating factors for new clients seeking reproductive health and family planning services. The results showed that Ruwan Dare achieved significant success with increasingly higher percentages of new clients reporting seeking services because of listening to Ruwan Dare. (See Table 1). Monitoring Period Percent motivated by Ruwan Dare Round 1: October 2007 - December 2007 55% Round 2: January 2008 - April 2008 66% Round 3: May 2008 - July 2008 64% Round 4: September 2008 – Dec. 2008 67% Table 1. Percent of new clients motivated by Ruwan Dare radio serial drama. 11 The likelihood of respondents saying they had talked with their spouse or partner “once or twice” or “more often” about family planning in the last three months was 4.5* times greater at endline compared to baseline. By sex there were notable differences regarding this indicator: for males there was a notable relative increase of 48% from baseline to endline; however for females there was a sharp relative increase from baseline to endline of 172%. (*Adjusted odds ratio with highly significant p=.0001 controlling for sex, urban/rural location, education, age, marital status, and state). This result shows that the program strongly benefited both females and males in increasing the amount of discussion of reproductive health with their partner. o On this indicator, listeners were 1.7* times more likely than non listeners to say they talked to their spouse or partner “once or twice” or “more often” about family planning in the last three months (*Adjusted odds ratio with p=.04 controlling for age, urban/rural location, education, marital status, and state). The likelihood of respondents saying they “discussed the practice of family planning with family, friends, or neighbors” in the past three months was 2.7* times greater at endline compared to baseline. (*Adjusted odds ratio with p=.0001 controlling for age, education, state, and marital status). On this indicator, listeners were more 1.9* times more likely than nonlisteners to say they “discussed the practice of family planning with family, friends, or neighbors” in the past three months. (*Adjusted odds ratio with p=.0002 controlling for age, education, and marital status). The likelihood of respondents thinking that “couples should space children 2.5 to 3 years apart” was 1.5* times greater at endline compared to baseline. (*Adjusted odds ratio with p=.0009 controlling for sex, urban/rural location, education, age marital status, and state). o On this indicator, listeners were 1.9* times more likely than nonlisteners to think that “couples should space children 2.5 to 3 years apart.” (*Adjusted odds ratio with p=.0003 controlling for sex, urban/rural location, education, age marital status, and state). Listeners were 1.7* times more likely than nonlisteners to say “yes” when asked if “couples should share responsibility for making decisions about family size.” (*Adjusted odds ratio with p=.00001 controlling for sex, urban/rural location, education, age marital status, and state). Respondents who were not married or in a union were asked if they would “ever use contraceptives if married;” the likelihood of answering “yes” was 1.9* times greater at endline compared to baseline. (*Adjusted odds ratio with significant p=.01controlling for sex, urban/rural location, education, age, marital status and state). 12 Listeners were 1.6* times as likely as nonlisteners to think that “children 12-14 should be taught about using condoms to avoid AIDS.” (*Adjusted odds ration with significant p=.04 controlling for marital status, state, and education). The likelihood of respondents thinking that “people should plan how many children they have” was 1.4* times greater at endline compared to baseline. (*Adjusted odds ratio with p=.01 controlling for sex, urban/rural location, education, age, marital status and state). On this indicator, listeners were nearly two times as likely as nonlisteners to think that “people should plan how many children they have.” (Adjusted odds ratio (1.9) with p=.01 controlling for sex, urban/rural location, education, age, marital status and state). The likelihood of respondents saying that using contraceptives is not “against the will of Allah” was 3.6* times greater at endline compared to baseline. (*Adjusted odds ratio with p=.0001 controlling for sex, location, education, age, marital status and state). o On this indicator, listeners were 1.5* times more likely than nonlisteners to say that using contraceptives is not “against the will of Allah.” (*Adjusted odds ratio with p=.04 controlling for sex, location, education, age, marital status and state). Listeners were 1.7* times more likely than nonlisteners to “know a place to obtain a method of family planning.” (*Adjusted odds ratio with highly significant p=.01 controlling for sex, location, education, age, marital status and state). Previously, from June 2006 – February 2007, PMC produced and broadcast Gugar Goge (“Tell It to Me Straight”), a 70-episode radio serial drama addressing reproductive health, family planning, and obstetric fistula in northern Nigeria. Obstetric fistula is a condition commonly resulting from early childbirth that makes its victims incontinent. The drama was produced in collaboration with the Rotarian Action Group on Population and Sustainable Development (RFPD) and with support from the David and Lucile Packard Foundation and the Conservation, Food and Health Foundation. Gugar Goge was broadcast over regional government-owned and private radio stations in Kaduna and Kano states. PMC worked with clinics throughout Kaduna and Kano to conduct exit interviews with clients; 47% of new reproductive health clients indicated they were listening to the program. The clinic monitoring determined that Gugar Goge served as the primary motivation to seek health care services for 33% of family planning/reproductive health clients and 54% of fistula clients. The endline evaluation of the program showed that 93.7% of the population in Kano and Kaduna states had heard at least one episode of the program. Even more impressive was 13 the fact that 82.1% of those interviewed reported listening to the radio serial drama at least weekly (four or more episodes per month). The endline evaluation also found that: When asked their opinion as to whether “a woman with fistula should be part of the community like everyone else,” more male listeners (32.1%) “strongly agreed” with this statement than did non-listeners (17.6%). When asked if they or someone they knew had “ever sought treatment for fistula,” more female listeners (59.7%) said “yes” than non-listeners (48.5%). A significant difference was found between male listeners (92.8%) reporting knowing of a place to get a male condom compared to non-listeners (75.0%). A significantly larger percentage of female listeners (96%) also knew of a place to get condoms than did female non-listeners (64.4%). When asked if a condom was used the last time they had heterosexual intercourse in the last 12 months, significantly more female listeners (79.5%) said “yes” compared to female non-listeners (35.6%). When asked if it is “acceptable or not for information on condoms to be provided,” significantly more female listeners (87.2%) compared to female nonlisteners (49.1%) said it is “acceptable.” A post-broadcast qualitative evaluation, which consisted of participatory sketching and photography with avid listeners of Gugar Goge, demonstrated the personal impact of the obstetric fistula story line. Many listeners, both in their sketches and photos, focused on the interrelated themes of early marriage and pregnancies, the development of obstetric fistula, and the debilitating (and often fatal) consequences of such practices. With support from UNFPA, PMC also carried out an additional project dealing with obstetric fistula. “Fistula Voices” involved capacity building among community leaders for promoting behavior change to prevent fistula. A training workshop was held for fistula spokespersons in October 2007. Twelve women who had experienced fistula were trained to reach out to other women in their communities to let them know how to prevent and treat fistula. Rwanda With support from UNFPA, the Segal Family Foundation, and an individual donor, PMC is rebroadcasting a 312-episode program, Umurage Urukwiye (“Rwanda’s Brighter Future”), on Radio Rwanda from October 2012 through 2014. The program was previously broadcast on smaller networks, Contact FM and Radio Salus, from July 2007 to August 2009. It addressed a combination of issues, including reproductive health, prevention of HIV/AIDS, preservation of wildlife habitat, preservation of natural resources, land conservation, sustainable farming practices, and promotion of civil harmony. PMC carried out this project with support from UNFPA, the Flora L. Thornton Foundation, the Mulago Foundation, the Arcus Foundation, the U.S. Fish & Wildlife Service, and USAID. The program is designed, among other things, to help remove some of the cultural and informational barriers to use of family planning. As of the 2005 Demographic and Health Survey, personal, spousal, or religious opposition was the leading reason for non- 14 use of contraception (22% cited these reasons). Fear of negative health effects of contraception was also a significant barrier (18% of the non-users cited this concern). About 10% of non-users stated they want as many children as possible. Ignorance of methods was cited by only 1.4%. Cost and lack of access to family planning methods were insignificant as reasons for non-use, at less than 1 percent each. Following are the results of the first broadcast of Umurage Urukwiye. Listenership: Results from the final evaluation show that 37% of respondents listened to the broadcast one or more times. Listenership for males (44%) was higher than for females (32%). Unmarried respondents (40%) were more likely to listen to the program than married respondents (35%). Listenership levels found in both clinic monitoring (57%) and monitoring at tree seedling distribution points (52%) confirmed the popularity of the broadcast. More than half of all listeners (females 52%, males 58%) said they talked to someone about the drama. Desired Family Size Population Media Center’s program had significant effects in changing desired family size among those who were listening. At the time of the baseline survey the mean desired number of children for all respondents was 3.61 (females 3.73, males 3.44), and this decreased significantly* to 2.94 by the endline survey, with both females and males showing similarly significant decreases (females 3.02, males 2.81). (*Non-parametric ttest with p<.0001). On this indicator, listeners were 1.5* times more likely than nonlisteners to desire three or fewer children, as opposed to four or more. (*Adjusted odds ratio with p=.0159 controlling for age, sex, and urban/rural location). Family Planning Clinic exit interviews showed that 15% of new reproductive health clients cited the PMC drama as their reason for seeking services. Of those seeking family planning, 9% cited the program as their source of motivation. The analysis of the survey data showed: The likelihood of respondents saying they “currently use something to delay or avoid pregnancy” was 1.6* times greater at endline compared to baseline. (*Adjusted odds ratio with p=.0083 controlling for age and marital status). Listeners were 1.6* times more likely than nonlisteners to say they talked to their spouse or partner “once or twice” or “more often” about family planning in the last three months. (*Adjusted odds ratio with p=.0506 controlling for age, sex, urban/rural location, education, and marital status). 15 Listeners were 1.4* times more likely than nonlisteners to agree that “having fewer children reduces the health risk to the mother.” (*Adjusted odds ratio with p=.0181 controlling for sex, education, and marital status). Listeners were 2.9* times more likely than nonlisteners to say “yes” when asked if they could obtain a condom themselves and would not need to rely on someone else. (*Adjusted odds ratio with p=.0009 controlling for sex). Listeners were two* times more likely than nonlisteners to know of a place to get a male condom. (*Adjusted odds ratio with p=.0007 controlling for sex, age, education, and urban/rural location). Listeners were 2.1* times more likely than nonlisteners to know of a place to get a female condom. (*Adjusted odds ratio with p=.0052 controlling for sex, education, and urban/rural location). The likelihood of respondents knowing that a female condom can prevent pregnancy was 1.4* times greater at endline compared to baseline. (*Adjusted odds ratio with p=.0007 controlling for sex, urban/rural location, education, age, and marital status). o On this indicator, listeners were 2.3* times more likely than nonlisteners to know that a female condom can prevent pregnancy. (*Adjusted odds ratio with p<.0001 controlling for sex, urban/rural location, education, age, and marital status). HIV/AIDS Clinic exit interviews showed that, of those seeking voluntary counseling and testing (VCT) for HIV/AIDS, 17% cited the program as their source of motivation. Of clients seeking help with preventing mother to child transmission of HIV, 24% cited the program as their reason. The analysis of the survey data showed the following: Listeners were two* times more likely than nonlisteners to have heard about a medication mothers can take to prevent transmission of HIV/AIDS to a baby. (*Adjusted odds ratio with p=.0319 controlling for age and education). Listeners were 2.7* times more likely than nonlisteners to want to know their HIV status by getting a blood test. (*Adjusted odds ratio with p=.0030 controlling for education). The likelihood of respondents saying “yes” when asked “apart from AIDS, have you heard of sexually transmitted infections?” was 2.6* times greater at endline compared to baseline. (*Adjusted odds ratio with p<.0001 controlling for age, education, marital status, and urban/rural location). 16 o On this indicator, listeners were 2.2* times more likely than nonlisteners to say “yes” when asked “apart from AIDS have you heard of sexually transmitted infections?” (*Adjusted odds ratio with p=.0027 controlling for sex, age, and urban/rural location). Preservation of Mountain Gorillas and Natural Resources In an effort to reverse the problem of erosion of farmland, the government of Rwanda sponsors a reforestation program. Tree seedlings are made available at nurseries throughout the country, and there is a designated national tree seedling planting day. PMC’s drama capitalized on that effort and featured characters that planted trees to stabilize farmland and encouraged others to do the same. An independent survey found that 11% of those buying tree seedlings were motivated by the program. In addition: Listeners were 1.5* times more likely than nonlisteners to cite population growth as the primary cause of environmental degradation and loss of gorilla habitat. (*Adjusted odds ratio with p=.0013 controlling for sex, education, and urban/rural location). The likelihood of respondents knowing that protection of gorillas and their habitat can reduce poverty and bring tourists was 3.4* times greater at endline compared to baseline. (*Adjusted odds ratio with p=.0471 controlling for sex, age, education, and urban/rural location). o On this indicator, listeners were 1.6* times more likely than nonlisteners to know that protection of gorillas and their habitat can reduce poverty and bring tourists. (*Adjusted odds ratio with p=.0167 controlling for sex, age, education, and urban/rural location). Listeners were 1.5* times more likely than nonlisteners to have talked with their spouse or partner in the past three months about the connection between family planning and conservation of natural resources. (*Adjusted odds ratio with p=.0196 controlling for sex, age, education, marital status and urban/rural location). Senegal Population Media Center received funding from USAID and UNFPA-Senegal for two radio serial dramas that went on the air in October and November 2008. One serial drama, funded by USAID, was written in the Wolof language was broadcast nationwide throughout Senegal in 168 episodes through June 2011. This program, Ngelawu Nawet (“Winds of Hope”), addressed USAID/Senegal’s core themes of family planning, reproductive health, HIV/AIDS, child survival, and malaria prevention. The second serial drama, Coñal Keele (“The Harvest of the Seeds of Life”), completed its broadcast in 2010. It was funded by UNFPA and was written in the Pulaar language for broadcast in the UNFPA target region of Matam. This 58-episode program targeted youth and focused on HIV and STI prevention, and sexual and reproductive health. The Matam region has been identified by UNFPA as a priority region, having a high need for youth health 17 interventions. For the USAID program, PMC was a subcontractor to the Agence pour le Développement de Marketing Social (ADEMAS), which implements USAID-Senegal’s health social marketing activities. For both programs, PMC worked in coordination with RAES (Réseau Africain de l’Education pour la Santé) based in Dakar, Senegal and the University of California, Los Angeles, School of Public Health. Sierra Leone With support from the UNFPA, PMC is broadcasting a 208-episode radio serial drama (Saliwansai or “Puppet on a String”) for promotion of family planning use. The program also addresses such issues as stopping child marriages, preventing or repairing obstetric fistula, ending female genital mutilation, stopping gender based violence, and preventing HIV infection. A training workshop for scriptwriters was held in February 2012, and the program began broadcasting in April 2012. Clinic monitoring was completed during 5 months (July – November 2012) in 12 districts across the country. In total, 1525 clients were interviewed. Of clients who cited radio programs (prompted and unprompted) as their source of information and for the country collectively, 82% cited Saliwansai as the motivating factor in seeking FP/RH services. Out of all facility clients, the percentage of clients citing Saliwansai as influential in their decision to seek services is 57% for the entire country. In addition to the serial drama project with UNFPA, PMC has produced two other programs in Sierra Leone: Marie Stopes funded PMC to produce and broadcast a national 36-episode serial drama on reproductive health and contraception (called Kumbra Bot); Welthungerhilfe, a German NGO (formerly known as German Agro Action) funded PMC to produce and broadcast a 10-episode short serial on financial literacy, market access for agricultural products and sexual/reproductive health in the Bo and Pujehun districts. The program was called Kpala Nafie (“The Benefits We Get from Farming”). Sierra Leone is a country of approximately 6 million people with a population doubling time of 32 years. The total fertility rate of 5 children per woman is among the highest in the world. This high fertility rate is compounded by low use and knowledge of modern contraceptive methods by men and women throughout the country. The fertility rate is, in part, a reflection of the ideal number of children among married women (5.3) and among married men (6.8). Only 7% of married women (15-49 years of age) in Sierra Leone use a modern method of contraception. Among non-users of modern contraception, the reasons given for non-use are partner opposition (14.4%), fear of side effects or health concerns (14.2%), personal opposition (13.5%), lack of knowledge of methods or sources (12%), wanting as many children as possible (10.8%), and religious opposition (9.3%). Cost was cited by only 1.3%, and lack of access was cited by only 0.3%. There is a critical need to change social norms with regard to ideal family size, acceptability of family planning, and self-efficacy with regard to decision-making about family matters, and to provide correct information 18 regarding the relative safety of contraception compared to early and repeated childbearing. PMC hopes that its program will have a major impact in on these norms. South Africa PMC is providing technical assistance to Goldfish Films for production of a serialized drama program at the request of South African Broadcasting Company (SABC). In February 2010, PMC provided training to the scriptwriters and producers of a series called Isithunzi Siyalandela (“The Shadow that Walks with You”) for Ochre Moving Pictures. SABC is very interested in developing local talent, specifically to produce programs in a telenovela format. Sudan In August 2006, PMC completed a radio serial drama project dealing with reproductive health issues and elevation of the status of women and girls. The program, called Ashreat Al Amal (“Sails of Hope”), was broadcast over Radio Omdurman, with free air time provided by the government's Ministry of Information and Communication from November 2004 to June 2006. Evaluation research was conducted by a team from Ohio University led by communications scholar Professor Arvind Singhal. Support for the work in Sudan was provided by the David and Lucile Packard Foundation. Highlights of the July 2006 evaluation of the project in Sudan include the following: Monitoring data showed that among the targeted group (women of reproductive age) there was high listenership. Data gathered from clinic clients in 2005 indicated that between 29% and 39% of clinic clients listened to Ashreat al Amal. Respondents to the impact evaluation were over 2 ½ times more likely to have discussed HIV/AIDS with their partners after the program than respondents at the baseline. LATIN AMERICA AND THE CARIBBEAN Brazil In Brazil, PMC is working in partnership with Comunicarte, an organization in Rio de Janeiro, to assist TV Globo with tracking the social and health issues in its entertainment programs and measuring the impact of these programs. TV Globo’s programming is received throughout 98% of Brazil. With telenovelas, the lives of the characters mix with people’s lives. And these characters can influence the knowledge of people. TV Globo inserts messages related to reproductive health and other issues in its most popular programs. The air time TV Globo has donated to issues of social concern would have costs tens of millions of dollars within the last year alone. Audience research has shown that people value educational content in entertainment programming, as long as it is not presented in a boring way. In fact, TV Globo has received numerous national and international awards for the social relevance of its telenovelas. These programs are broadcast nationwide in Brazil and exported to dozens of countries worldwide, dubbed into various languages. 19 In 2007, PMC and Comunicarte helped TV Globo to measure the effects of a popular telenovela, titled Páginas da Vida (“Pages of Life”), on audience behaviors, knowledge, and attitudes. The program completed its broadcast of 203-episodes in March 2007. At the conclusion of the program, women were interviewed at reproductive health clinics throughout Brazil to monitor the effects of Páginas da Vida on decisions to seek family planning services. The data point to the widespread effects of this popular telenovela: 60% of women interviewed watched Páginas da Vida on a regular basis. There was more than a 50% increase in knowledge among women interviewed with regard to various reproductive health issues such as: contraceptive methods, family planning, maternal health, maternity/paternity, unwanted pregnancy, adolescent pregnancy, and HIV/AIDS. Among viewers interviewed at BEMFAM family planning clinics, 60% of clients age 18-24 said that scenes in Páginas da Vida served as a stimulus for them to seek a health service. 65.4% of female viewers interviewed said they would be “more careful” to prevent unwanted pregnancy. Additionally, the issue of Down syndrome was especially important to include in Páginas da Vida, because it is rarely discussed in Brazilian society. Both quantitative and qualitative research was used to evaluate changes in viewers’ knowledge, attitudes, and practices regarding people living with Down syndrome. One focus group participant said: “The biggest impact of the telenovela was seeing the awakening of a series of questions and sensitizations that were made relating to Down syndrome. Moreover, the image of a person with Down syndrome on television during prime time opens space for a new set of opportunities.” Haiti PMC is collaborating with the Restavek Freedom Foundation (RFF) in producing a 78episode radio serial drama in Haitian Creole, funded by RFF and an individual donor to PMC. The program, Zoukoutap! (“Limping Along – but learning to walk straight”), addresses restavek (child slaves/servants), family planning, adolescent reproductive health and HIV. PMC conducted the training workshop for the writers and producer in February 2013. PMC and RFF are seeking funding for a 156-episode sequel to Zoukoutap! Jamaica In Jamaica, PMC worked in coordination with JA-STYLE (Jamaica’s Solution for Youth Lifestyle and Empowerment) to produce and broadcast a 155-episode radio drama. The drama, titled Outta Road (“What’s Happening Out in the Streets”), was a story about twelve teens from different social backgrounds whose lives are interconnected. The characters in the drama were confronted with the same issues that plague Jamaican teens, such as love, friendship, peer pressure, violence, sex, drugs, and HIV/AIDS. Funding for this project was provided by USAID and UNFPA. Commercial sponsorship for broadcast was provided by Digicel. 20 Outta Road was broadcast on two of Jamaica’s most popular national radio stations from March 2006 to March 2007. In addition to national broadcast, listening groups were established in schools as a part of the guidance curriculum. Youth listened to the programs in a classroom setting and were also given CDs of the program to bring home to listen to and share with their friends. Guidance counselors used the program as a stimulus for discussion about the difficult and highly sensitive issues addressed in Outta Road. JA-STYLE distributed flyers, pamphlets, handbooks, CDs of Outta Road, and good parenting calendars to encourage further discussion among listeners. This supplemental information, what PMC refers to as the Whole Society Strategy, helped to reinforce lessons learned through the program and provided another platform for discussion. This integrated strategy was cited by the teens interviewed as being very helpful, especially in building better relationships with their family and friends. A quantitative evaluation conducted at the conclusion of the program found: 31% of the adolescents surveyed had heard of Outta Road 32% of listeners discussed the Outta Road drama with friends 56% of listeners were motivated by Outta Road to seek healthy lifestyles services. These include reproductive health, substance abuse, parenting, parent-child relationships, sexuality, and conflict resolution services. Mexico and 17 Other Spanish Speaking Countries in Latin America and the Caribbean In 2012 PMC co-produced a telenovela with MTV-Mexico to address teenage pregnancy issues. The program, Ultimo Año (“Last Year”), was broadcast throughout Latin America. With an estimated audience reach of 22 million households in 18 territories, the program included 70 one-hour episodes that weaved in issues related to teen sexual health, avoidance of unwanted pregnancy, contraception, prevention of HIV infection, and formation of healthy relationships. The program started broadcasting in Latin America on September 3, 2012 five nights per week, with three repeats of each episode. The entire series was rebroadcast starting in February 2013. It was also broadcast on MTV’s U.S. Spanish language channel, starting in February 2013. PMC prepared a special website (“Sexy Sex”) with informational resources for the U.S. broadcast in English and Spanish, which can be linked to from the MTV website. PMC had the cooperation of Mexfam (the Planned Parenthood of Mexico) in providing a chat service via text messages and online that promoted in the program. The project was supported by an individual donor, the West Wind Foundation, the Weeden Foundation, and MTVLatin America. In addition to Mexico, the countries that broadcast the program are Argentina, Bolivia, Chile, Colombia, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala, Honduras, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, Uruguay, and Venezuela. The final research report on the Mexican broadcast, which was produced by de la Riva Group in Mexico City, found that “viewers of UA (78%) were significantly more likely 21 than non-viewers (64%) to say they used something to prevent pregnancy in the last month.” Previously, PMC worked with the Adolescent Orientation Center (CORA) of Mexico to produce a series of radio mini-serials mixed with talk shows in the five states of Mexico with the highest fertility rates. These programs were developed by young people and were aimed at youth audiences. PMC tested the model, called Dimensiones Sexuales (“Sexual Dimensions”), for the radio programs in Puebla State and then developed a manual for the methodology. PMC and CORA expanded the use of the methodology to other states, including Hidalgo, Tlaxcala, and Michoacán. In addition to the radio programs, the project included intensive training of health care providers and youth service agency staff in how to effectively deal with adolescent sexuality issues. Support for the work in Mexico was provided by the Bergstrom Foundation, the Compton Foundation, the Jewish Communal Fund, Path, Interact Worldwide, an individual donor and the participating state governments. In 2006, PMC and CORA revised the Dimensiones Sexuales model to keep it current with youth needs. To evaluate the needs and interests of Mexican youth, PMC engaged a local research firm to conduct a series of focus group discussions with Mexican youth. This research helped to inform the development of PMC’s next program in Mexico, a radio call-in show called Válvula de Escape, Un Espacio sin Censura. Sexo Netas y Preguntas (“Escape Valve, a Space without Censorship: Discussion and Questions about Sex”). Válvula de Escape provided an outlet for teens to discuss issues relating to sexual/reproductive health on the air with health professionals and other teens. In order to gauge the success of the show, a survey of 300 students was conducted in the fall of 2007 at schools in one of the broadcast areas. Respondents were asked a series of questions about their awareness and exposure to the radio program Válvula de Escape; knowledge of HIV and STIs; and knowledge, attitudes, and behaviors with regard to family planning. Listenership When asked to recall youth radio programs about sexuality, 73% of students interviewed mentioned Válvula de Escape. The radio show had high appeal among those who listened, with 88% of students indicating they “liked it” or “liked it a lot.” 68% of listeners found Válvula de Escape to be a “useful” radio program. Family Planning Knowledge Listeners were significantly more likely than non-listeners to know about various family planning methods including birth control pills (74% vs. 60%), female condoms(44% vs. 27%), and injections (28% vs. 10%). Listeners (92%) were significantly more likely than non-listeners (83%) to recognize emergency contraception as a form of birth control. 22 Knowledge and Attitudes about HIV and STIs Significantly more listeners (93%) compared to non-listeners (72%) correctly indicated that, without an HIV test, “a person can’t tell when another person has HIV just by their appearance.” Listeners were significantly more likely than non-listeners to know HIV can be transmitted: - By having sex without a condom: listeners (77%) vs. non-listeners (52%). - From sharing needles: listeners (58%) vs. non-listeners (22%). - Through blood transfusions: listeners (63%) vs. non-listeners (29%). Listeners (59%) were significantly more likely than non-listeners (26%) to know that a blood test will not detect HIV infection one week after exposure to the virus. Listeners were significantly more likely than non-listeners to know about sexually transmitted infections (STIs), including knowing symptoms and modes of transmission. PMC and CORA also developed a program in Mexico using the web to improve adolescent sexual health. The project, known as Sexpertos Saludables (“Healthy Sexperts”), has several components that complement each other to create a forum for young men and women where they can share their thoughts and questions about sexuality with each other in an entertaining format. Interactive components, including quizzes, information, the debunking of myths, animations, and a video game, are accessible to Mexican youth by going to the Sexpertos website. Youth also have the opportunity to chat with a virtual counselor. The animations are two-minute segments about a group of friends dealing with their first sexual experiences. The target audience is between the ages of 11 and 16. To ensure the interest of this age group, the animations have been created in the style of Japanese manga, a very popular graphic style. An important feature of the entire approach in Sexpertos is to be sure that the information presented never feels as though it is coming from an “official source.” Based on years of investigation, the serious scenarios are presented with a sense of humor to engage the audience and to ensure their frequent return to the site. PMC is funding Sexpertos with additional help from the Carso Foundation of Mexico. The website was launched in February 2011. ASIA/PACIFIC Kyrgyzstan In 2012, PMC provided training for MC2 Media of Bishkek with support from the U.S. embassy in Bishkek to help them create a compelling TV serial drama addressing issues of ethnic harmony in Kyrgyzstan. The resulting program, The Dorm, started broadcasting in March 2013. In the meantime, with support from Aga Khan Foundation, RTI, Soros Foundation, UNICEF, and UNFPA, PMC is developing a long-running program for Kyrgyz television 23 to address bride kidnapping, other forms of violence against women, family planning and reproductive health issues, and child health and nutrition. Papua New Guinea In May, 2013, PMC completed broadcasting two radio drama series nationwide in PNG. The series, Nau Em Taim (“Now is the Time”), written and broadcast in Tok Pisin, and Echoes of Change, written and broadcast in English addressed a broad array of issues pertaining to the achievement of the Millennium Development Goals. The project was carried out under the United Nations Millennium Development Goals Campaign in PNG. Nau Em Taim and Echoes of Change each followed three separate transitional characters through the trials and tribulations of their lives as they faced daily struggles with poverty, violence, family size, educational barriers, land ownership and destruction, the downward spiral of drinking and drugs, HIV/AIDS, and sexual behavior decisions. Audiences found themselves deeply engrossed in the dramatic lives of the characters while simultaneously learning through the characters’ experiences about family planning, avoidance of risky sexual behavior, community organizing, communication alternatives to violence, environmental protection, and improving the status of women in society. Both programs launched in February 2011. Support for the project was provided by UNFPA and the UN Country Team, Population Services International, the David and Lucile Packard Foundation, AusAID, and Colgate Palmolive. In addition, Population Services International supported the creation of CDs for distribution to truck drivers and a discussion guide for groups listening to the radio serial dramas. Philippines In 2005, PMC produced and broadcast a radio soap opera in the Philippines called Sa Pagsikat ng Araw (“The Hope After the Dawn”). The radio serial drama was supported by UNFPA for broadcast nationwide on affiliate stations of the Manila Broadcasting Corporation. This 120-episode drama was aired intensively between July and December 2005. A participatory evaluation of the impact of the program was conducted by a team from Ohio University (led by Dr. Arvind Singhal) in December 2005, and the findings indicated profound effects of the program on the lives of listeners. In addition, in 2005, PMC conducted a training workshop for members of the AIDS Society of the Philippines and for scriptwriters brought together by them, as well as a seminar for the International Rice Research Institute on the use of entertainmenteducation for the farming community. Previously, in 2001, PMC held a "Soap Summit" for producers and writers of the 29 television soap operas and dozens of radio soap operas on the air in the Philippines. A one-day meeting, co-sponsored by three committees of the Philippine Congress and held in the largest hearing room of the Congress, attracted 300 participants from the broadcasting industry, various government ministries, communication scholars, advertisers, members of Congress, NGOs, and other agencies. In addition, a half-day 24 seminar by Miguel Sabido on the design of entertainment-education serial dramas, held at the National Library, attracted 150 broadcast professionals and was followed by dinner hosted by then-President Gloria Macapagal-Arroyo at Malacanang Palace. In November 2003, PMC led a session focused on the role of female scriptwriters in elevating the status of women and in bringing about social change worldwide at the Women Playwrights International conference in Manila. In addition, in 2003, PMC conducted a training workshop for members of the AIDS Society of the Philippines. Vietnam At the invitation of UNFPA-Vietnam, PMC provided training to the Voice of Vietnam Radio (VOV) for a serial drama that launched in March 2008. The radio program, Khat Vong Song ("Aspiration to Live"), was created to promote reproductive health and avoidance of HIV/AIDS. The 104-episode drama began airing on VOV2, but because of the drama’s huge popularity after just 2 months on the air, Voice of Vietnam decided to extend Khat Vong Song’s broadcast to its two other stations, VOV1 and VOV3. Each episode was followed by a 15-minute call-in show, where experts answered listeners’ questions. The program aired through March 2010, with broadcast coverage in all 64 provinces and cities. Support for this project came from the Danish government via UNFPA. PMC and VOV launched a second broadcast serial on radio, designed to address climate change issues. The program was called Hanh Trinh Xanh (“Green Journey”). PMC conducted the training workshop for the writers in June 2011, and the program launched in July. Hanh Trinh Xanh addressed many of the environmental challenges that Vietnam is being confronted with as a result of climate change. The drama unfolded in four different geographical regions – ranging from the mountain areas to the coast to the river deltas. Hanh Trinh Xanh not only focused on hardships of surviving in an economy based on natural resources, but it also drew the audience into the personal conflicts, romances, and relationships between the characters from the different regions. Episodes aired once a week through June 2013. The project was funded by DANIDA, the Danish International Development Agency. NORTH AMERICA United States PMC produced a serialized drama addressing teenage pregnancy prevention among American Latinas. The first Sabido-style program in the United States, East Los High helped to promote reproductive health, prevent HIV/AIDS and other STIs, promote healthy relationships, encourage healthy eating and exercise habits, and improve selfimage among teens. The program aired on Hulu in June 2013 and is available at www.hulu.com. PMC engaged a talented team of Hollywood producers and writers to create the program. In addition to the drama, the project included character websites, character blogs, and other “transmedia” elements. Numerous participating organizations encouraged viewers to watch the program. The program’s online elements also linked viewers to clinic sites and other resources. The project was supported by an individual 25 donor, the Blue Shield of California Foundation, the California Endowment, the Argosy Foundation, the Weeden Foundation, the National Campaign to Prevent Teenage Pregnancy, and the Ford Foundation. Dozens of magazines and online entertainment news features, including the LA Times, USA Today, Hollywood Reporter, Entertainment Weekly, and Variety, did news stories about the show. PMC is also conducting a program to place population and sustainability experts on talk shows and news interviews in order to better inform the American people about population issues and the ramifications of continued population growth. As of April 2013, nearly 700 placements had been made on radio talk shows across America. These placements have resulted in over 300 hours of core programming; figuring in syndications, there have been in excess of 4,500 broadcasts and at least 3,200 hours of total airplay. This project also distributes editorial columns by population experts via the Cagle Syndication Service to its 800 subscribing U.S. newspapers and magazines. This service has distributed a series of editorials on population issues generated by PMC, including two by PMC President William Ryerson, an editorial from Dr. Thoraya Obaid, past Executive Director of the United Nations Population Fund on World Population Day, plus columns by former Colorado Governor Richard Lamm; Lindsey Grant, former U.S. Assistant Secretary of State for Population and Environment; attorney John Rohe; John Flicker, President of the National Audubon Society; UCLA professor Ben Zuckerman; Berkeley professor Malcolm Potts; and Population Institute’s President, Robert Walker. PMC is also distributing frequent news articles and editorials about population and global sustainability issues to a global list of population-concerned individuals and institutions. This email service has generated a flood of letters reacting to both negative and positive statements by political leaders, the news media, environmental leaders and others. Individuals can sign up for the mailing list at www.populationmedia.org/who/subscribeto-pmc/. As part of this project, PMC conducted a Roper poll of segments of the American public to understand their perceptions of various ways of framing the population issue. Three PMC staff authored an article in Worldwatch Magazine summarizing the findings of this research. From 2006 to 2013, PMC engaged Sonny Fox, former Chairman of the Board of the National Academy of Television Arts and Sciences, to represent the organization on the West Coast and to work with the entertainment industry to engage them in positive treatment of population and reproductive health issues. As part of this work, in May 2007, PMC held the Entertainment-Public Health Summit to bring together entertainment industry leaders and public health professionals for the purpose of creating dialogue and an ongoing mechanism for regular and speedy input by the public health community into entertainment programs on reproductive health and other health concerns. The Summit was held in Atlanta at the Rollins School of Public Health at Emory University, which was a co-sponsor of the event. The Summit was presented in association with the 26 Mailman School of Public Health at Columbia University, the Harvard School of Public Health, the Writers Guild of America West, and the Academy of Television Arts and Sciences Foundation. Key presenters at the 2007 Summit included Dr. Albert Bandura, Stanford Psychology Professor and originator of Social Cognitive Theory; Bill Ryerson, President of Population Media Center; Vicki Beck, Director Hollywood, Health and Society, Norman Lear Center, University of Southern California; Dr. Zoanne Clack, Co-Producer and Writer for ABC’s hit series Grey’s Anatomy; Gary Knell, President and CEO of Sesame Workshop; Cindy Popp and Tracy Melchior from The Bold and the Beautiful TV series; Sonya Lockett, Vice President for Public Affairs of Black Entertainment Television; Diana Cristina Diaz, Director, Corporate and Community Relations, Univision; Michelle Alban, Director, Primary Research, Telemundo; Arvind Singhal, Professor of Communication Studies and Presidential Research Scholar at Ohio University; Kriss Barker, Vice President for International Programs for Population Media Center; Patric Verrone, President, Writers Guild of America West; Dr. Susan Allen, Director of the Rwanda, Zambia HIV Research Group; and Dr. John Brooks, Director, HIV Clinical Epidemiology Team at the Centers for Disease Control. The proceedings of the Entertainment-Public Health Summit are available online on Emory University’s website at www.sph.emory.edu/media/EPH/Summit.html. A link under the screen of the opening session leads to a menu of other sessions that one can watch. In November 2008, PMC conducted a daylong Climate Change Summit in Los Angeles in partnership with the Writers Guild of America West, the Academy of Television Arts and Sciences, Women in Film and the Environmental Media Association. The Summit gave attention to the health and security consequences of climate change and the role that population growth plays in accelerating the climate crisis. As mentioned at the Summit, the projected addition of 2.5 billion people to the world’s population between now and 2050 is the carbon equivalent of adding two United States to the planet. Writers and producers of numerous American television shows attended the Summit. Key presenters at the 2008 Climate Change Summit included Patrick Verrone, President, Writers Guild of America; Jane Fleming, President, Women in Film Foundation; Debbie Levin, Executive Director, Environmental Media Association; John Shaffner, President, Academy of Television Arts and Sciences; Dr. Howard Frumkin, Director, National Center for Environmental Health, Centers for Disease Control and Prevention; Dennis McGinn, Vice Admiral, (Ret.) U.S. Navy; David Rambo, Writer/Supervising Producer, CSI; Chris Alexander, Senior V.P. of Corporate Communications, 20th Century Fox Communications; Dr. Neal Baer, Executive Producer, Law &Order: SVU; William Ryerson, President, Population Media Center; Steve Schiffman, General Manager, National Geographic Channel; and Professor Edward Maibach, Director of the Center for Climate Change Communication, George Mason University. The proceedings of the Climate Change Summit can be viewed at www.populationmedia.org/where/united_states/united-states-climate-change-summit/. 27 With support from the Wallace Global Fund, PMC and the Population Institute held a meeting of population experts and ecological economists in October 2009 to develop responses to the claims that the economy depends on endless population growth. The material developed during this meeting is being used to advise those appearing on talk shows and news interviews so that they can provide this information to the American people. Podcasts and PowerPoint presentations from “Population Growth and Rising Consumption: What’s Sustainable?” can be viewed online. Podcasts are available (via iTunes) at http://www.populationinstitute.org/newsroom/podcasts/. PowerPoint slides are available at http://www.populationinstitute.org/newsroom/news/view/25/. Speakers included: William Catton Jr., author of Bottleneck: the Human Impasse (2009); Laurie Mazur, editor of A Pivotal Moment: Human Population, the Environmental Crisis and the Justice Solution (2009); Peter Victor, York University, author of Managing without Growth (2008); Dennis Meadows, author of Limits to Growth (1972) and Limits to Growth: the 30 Year Update (2002); Richard Heinberg, Post Carbon Institute, author of Peak Everything: Waking Up to the Century of Declines (2007); and Robert Engelman, WorldWatch Institute, author of More: Population, Nature, and What Women Want (2008). In 2004 and 2005, PMC conducted nationwide contests, which awarded prizes for the best published editorial cartoons dealing with population-related issues. In 2004, the first year of the contest, 188 published cartoons were submitted. In the 2005 contest, 156 entries were submitted. The National Cartoonists Society and the Association of American Editorial Cartoonists publicized both contests to their members. Judges in the 2004 contest included former Colorado Governor Richard Lamm, retired United Media Chairman Robert Metz, Yale University Professor Robert Wyman, Planned Parenthood Federation's Vice President for International Programs Allie Stickney, and cartoonists Edward Koren and Signe Wilkinson. The 2005 panel of judges included cartoonists Greg Evans (Luann), Rick Kirkman (Baby Blues), Rick Stromoski (Soup to Nutz) and population experts John Seager (President of Population Connection) and Nancy Yinger (Director of International Programs for the Population Reference Bureau). The awards event for the 2005 contest was held in the Senate Environment Hearing Room in the Dirksen Building in Washington, DC. Vermont Senator Jim Jeffords spoke at the event. Many of the 2004 finalists can be viewed on the world's largest editorial cartoon website at www.cagle.com/news/NationalPopulation/1.asp. GLOBAL Electronic Game against Gender-Based Violence PMC worked in partnership with the Emergent Media Center of Champlain College to create an electronic game to prevent violence against women. Breakaway is a football/soccer game targeted toward boys aged 8 to 15. Utilizing the Sabido methodology and the FIFA Fair Play Code, Breakaway offers a variety of features that appeal to boys in various cultures while engaging them in a compelling narrative that 28 promotes non-violent values. Project development of the e-game began in 2008 with support from UNFPA. The game has become part of the Secretary General’s UNite Campaign to End Violence against Women (http://endviolence.un.org/). Cameroonian football star, Samuel Eto’o is the public spokesperson for the game. The game contains music by Francis Mbappe. The game contains 13 episodes. Episodes 1-3 of Breakaway were released in June 2010 and were distributed to the following groups during the World Cup in South Africa. Fundación Privada Samuel Eto’o: http://www.fundacionsamueletoo.org/a_index.html Grassroot Soccer: http://www.grassrootsoccer.org Man Up Campaign: http://www.manupcampaign.org/ Streetfootballworld: http://www.streetfootballworld.org/ Students Partnership Worldwide: http://www.spw.org/about_southafrica.php Ikamva Youth: http://ikamvayouth.org/ Chapters 4-6 were released in August 2010, and episodes 7-13 were completed in February 2011. In addition, PMC and Champlain College produced a facilitator’s guide to the game. More information about E-game can be found as follows: To play the game, visit http://www.breakawaygame.com. For a summary and to view a ten minute video produced by EMC, go to http://www.populationmedia.org/where/worldwide/. Project web site (http://www.emergentmediacenter.com/unvaw) linked to the already existing project blog (http://emc-gamestakeonvaw.blogspot.com). Facebook group (Facebook: Empowering Play http://www.facebook.com/group.php?gid=108661302908) that helps spread the mission. Inter-Regional Training In 2003, PMC implemented a project for the U.N. Population Fund (UNFPA) on a region-wide basis in Africa and the Asia/Pacific Region to assist local FM and community radio stations in addressing HIV/AIDS and reproductive health issues through entertainment-education. The project included training workshops in the use of entertainment-education techniques for community radio producers and representatives from selected NGOs. Personnel from radio stations and NGOs from Angola, Guinea Bissau, Mali, Mozambique, Namibia, Niger, Nigeria and South Africa received training at a workshop in Johannesburg in March 2003. In the Asia/Pacific Region, personnel from Cambodia, Mongolia, Nepal, Papua New Guinea, Philippines, and Vietnam participated in a similar workshop in Manila in May 2003. As part of the project, PMC produced a report of a needs assessment, Strengthening Partnerships among Local FM Radio Networks and Reproductive Health Agencies on HIV/AIDS, which can be found at www.unfpa.org/upload/lib_pub_file/486_filename_157_filename_commmunityradio.pdf. In follow up to the workshops, PMC has developed long-running social-content serial drama projects with several of the participants. 29 Training Guide & Best Practices Manual In 2004, UNFPA asked PMC to develop a training guide with detailed information on the application of the serial drama methodology to address such issues as the way in which gender discrimination impacts women’s vulnerability to HIV/AIDS. The training guide was published in 2005. A PDF of the Training Guide is available on the PMC website at www.populationmedia.org/2005/01/06/soap-operas-for-social-change-to-preventhivaids/. As a result of the positive response to the training guide, UNFPA asked PMC to develop a manual with examples of excellent social change communication programs worldwide. That book was published in December 2011 and can be downloaded at http://www.populationmedia.org/resources/publications/training-guides/. An article on PMC’s work appears on the UNFPA website at www.unfpa.org/news/news.cfm?ID=761&Language=1. International Media Presentations PMC personnel have made presentations at Commonwealth Broadcasting Association (CBA) global meetings on the use of broadcasting for social change and the importance of broadcasters addressing issues related to population, reproductive health and the rights and status of women. PMC’s West Coast Representative, Sonny Fox, was one of the founders of the International Academy of Television Arts & Sciences, which is the largest organization of global broadcasters, with members from nearly 70 countries and over 400 companies. In 2006, PMC participated in the International Emmy World Television Festival (held the weekend before the International Emmy Awards) with presentations on socially responsible broadcasting, in a panel chaired by TV Globo of Brazil. In 2007, PMC cosponsored and participated in four panel discussions focused on socially responsible broadcasting. The 2007 panels can be viewed at http://link.brightcove.com/services/player/bcpid1386356872. PMC has been invited to present its work at various international conferences, including the 2006, 2007, and 2010 Rotary International Conventions, several Global Health Conferences, the UNFPA Africa Regional Fistula Knowledge and Experience Sharing Meeting held in Mauritania in 2007, the Y-PEER conference of UNFPA held in Istanbul in 2007, the first and second national Behavior, Energy and Climate Change conferences held in Sacramento in 2007 and 2008, the National Endowment for Democracy conference on Community Radio Development held in 2007, two conferences of the International Association of Business Communicators, the Sundance Film Festival, the biennial meeting of the Commonwealth Broadcasting Association, the Boulder World Affairs Conference, the Earth Institute at Columbia University, the U.S. Centers for Disease Control and Prevention, the Asian Forum of Parliamentarians on Population and Development, UNICEF headquarters, the 2008 and 2009 Bioneers by the Bay conferences, the 2009 and 2012 Bioneers conference, the International Family Planning Conferences in Kampala, Uganda in November 2009 and in Dakar, Senegal in December 2011, the meeting of European Parliamentarians on Population and Development in Paris in May 2011, the World Bank conference on entertainment-education in June 2011, the Reproductive Health Supplies Coalition annual meeting in Paris in October 2012, the 30 International Sustainability Conference in Hiroshima in January 2013, and various civic organizations, colleges and universities in the U.S. and overseas. For more information, contact: Population Media Center P.O. Box 547 Shelburne, Vermont 05482-0547 USA Telephone: 1-802-985-8156 Email: info@populationmedia.org Website: www.populationmedia.org 31