Transcript Session 3 Dialogue with Those Affected and Involved on the Front

Setting the Stage
Session 3: Dialogue with those
affected and involved
What do we know?(1)
•
•
•
•
There are 1000 cases and 100 deaths -- 10% death rate?
EATEX-D is a new illness, does not respond to anti-biotics
Threat is worldwide news, creating worldwide concern
Likely mode of transmission is food, but also close contact
with an infected person
• Control Strategy: self quarantine of 10,000 potentially
infected citizens
What do we know? (2)
• Concentration of new cases in specific
neighbourhood: Downville
• No difference in risk management/risk
communication strategies across the city
• No obvious reason why behaviour change strategy
not working in this area
• Question: WHY?
Sample Twitter feed out of Downville
AlexaT So tired of covering for coworkers with suspected
#EATEX-D. Seriously? Take some medicine and get back to
the office already!
MikeyBOY EATEX-D quarantine?
I’m a vegetarian!!! #quarantine
Nadia28
Downville self-quarantine not so bad. Back
home the government would just shoot
everyone – 100% compliance! #quarantine
Risk Communication Surveillance
United through
Our Saviour
Refugee ME
Service starts at 8. Potluck…cancelled the EATEX catering ;)
BJ Allinatumbo
Bring hand sanitizer, all this quarantine stuff is making me a bit
nervous
Amber Gonzaga
“The saviour cleans the unwashed, purifies the diseased, soothes
the afraid.”
Fugee
Don’t forget where you come from BJ – all we have is each other.
Web Analytics - Downville
Searches EATEX-D
Official website visits
Related social media activity
Week 1 Week 2
150,000 30,000
10,000
500
high
low
What is the biggest risk to the control strategy
succeeding?
A. Low risk perception
B. Inadequate support
measures for those in
self quarantine
C. Criticism of
authorities
75%
25%
0%
A.
B.
C.
Towards achieving the behavioural goal, what is
your communication priority?
A. Information campaign
for vulnerable
populations
B. Partner engagement
and coordination
C. Communication
“surveillance” eg. Social
media monitoring
50%
50%
0%
A.
B.
C.
For those not following self quarantine, what is
the likely key to making them do so?
86%
A. Threat of
prosecution
B. Fear based
messaging
C. Peer pressure
14%
0%
A.
B.
C.
Dialogue with those
affected and involved
Desired
State
Current
State
Factors Influencing Behaviour Change
•
•
•
•
•
Perceived Risk
Confidence in measures suggested
Confidence in ability to complete measures
Risk information source and credibility
Social norms and pressures – cost of
behaviour change
14
Common Errors 1
15
Common Errors 2: Literacy
Performance
Sophisticated information
processing skills
5
Higher order information
processing skills
4
Minimum skills for everyday
life, adequate to complete
3
high school
Limited reading skills, trouble
2
with a job application
Objective
Difficulty reading text,
understanding medicine
directions
1
16
Common Errors 3
Common Knowledge Effect
• Tendency to exaggerate how much of THEIR
knowledge is shared by others
• Can’t assume public’s knowledge base
• Best practice: real time citizen driven Q/A
17
Marburg Haemorrhagic Fever, Angola 2005
18
Perceptions
Beliefs
Family and society
Sources of information
Socio-economic status
Politics
Culture
Education
Discussion
• Ms Fernanda FALERO, Health Promotion and
Anthropology Advisor, MSF Spain
• Mr Daniel SCHMIDT, Adviser, Department of
International Public Health, Norwegian Institute of
Public Health
Workgroup Task 1:
Identifying Barriers to
Success
In terms of Dialogue with those affected and involved,
rank the most significant barriers to success
A.
Lack of guidelines and formal
listening procedures
B. Inadequate budget and
human resources support
C. Weak levels of leadership
engagement and
endorsement
D. Lack of emergency
engagement exercises and
training
E. Practical tools and templates
to support dialogue
F. Other
21%
19%
17%
15%
16%
12%
A.
B.
C.
D.
E.
F.
Workgroup Task 2:
Recommendations
In terms of dialogue with those affected and involved, rank
these abilities in terms of international best practice?
A.
B.
C.
D.
E.
F.
Gathering and processing the views
and perceptions of individuals,
partners and communities affected
Adapting communication strategies
based on dialogue findings
Monitoring media and social media,
tracking: questions, information
needs, points of confusion, rumours.
Effective and efficient tools and
templates to support the listening
process
Reflecting community perspectives
back into emergency management
decision making.
Other
21%
19%
18%
16%
16%
10%
A.
B.
C.
D.
E.
F.