“This Is Not Our Disease”: A Qualitative Study of Influencers of COVID-19 Preventive Behaviours in Nguenyyiel Refugee Camp (Gambella, Ethiopia)

The COVID-19 pandemic has infected more than 263 million people and claimed the lives of over 5 million people worldwide. Refugees living in camp settings are particularly vulnerable to infection because of the difficulty implementing preventive measures and lack of medical resources. However, very little is known about the factors that influence the behavioural response of refugees towards COVID-19. There is an urgent need for field evidence to inform the design and implementation of a robust social and behaviour change communication strategy to respond to the threat posed by COVID-19 in humanitarian settings. This study examines factors influencing COVID-19-related behavioural decisions in the Nguenyyiel refugee camp located in Gambella, Ethiopia using data collected from focus group discussions and key informant interviews in September 2020. The evidence suggests that while a number of factors have been facilitating the adoption of COVID-19 prevention measures, including good general knowledge about the virus and the necessary preventive strategies and the active engagement by community leaders and non-governmental organisations, important structural and cultural factors have hindered the uptake of COVID-19 prevention measures. These include: difficultly staying at home to minimise physical contact; overcrowding in the camp and within home dwellings; a lack of hand sanitizers and masks and of funds to purchase these; inconsistent use of facemasks when available; COVID-19 denial and misconceptions about the disease, and other cultural beliefs and habits. Overall, the study found that refugees perceived COVID-19 to pose a low threat (susceptibility and severity) and had mixed beliefs about the efficacy of preventive behaviours. This study identified gaps in the existing information education and communication strategy, including a lack of consistency, inadequate messaging, and a limited use of communication channels. While awareness of COVID-19 is a necessary first step, it is not sufficient to increase adoption of prevention measures in this setting. The current communication strategy should move beyond awareness raising and emphasise the threat posed by COVID-19 especially among the most vulnerable members of the camp population. This should be accompanied by increased community support and attention to other barriers and incentives to preventive behaviours.

Climate Change and Sustainability Issues in Indian Newspapers

Climate change conferences had wide media coverage – be it on newspaper, radio, television or the internet. The terms such as ‘climate change', ‘global warming', and ‘El Nino' are gaining popularity among the public. This study examines the news coverage of climate change issues in the major daily newspapers—The Times of India, The Hindu in English, and the Dina Thanthi, Dinamalar, and Dinamani in regional language (Tamil)—for the calendar years 2014 and 2015. This chapter describes how climate change influences nature and human life, and it is the basis for social and economic development. The news coverage of climate change and sustainability issues helps the reader better understand the concepts and perspectives of environment. Climate change communication in regional newspapers and local news stories may increase the public's interest and knowledge level regarding climate change and sustainability issues.

Newspaper Framing of Climate Change and Sustainability Issues in India

This article describes how climate change influences nature and human life and it is the basis for social and economic development. News reporting on climate change must address the challenges in the deeper social and economic dimensions of sustainable development. The news coverage of climate change and sustainability issues helps people to better understand the concepts and perspectives of environment. This article aims to examine how dominant newspapers in Tamil Nadu have framed climate change and sustainability issues. This is done by analyzing climate change articles (N = 120) in two mainstream newspapers – The Hindu in English and the Daily Thanthi in Tamil. Climate change communication in regional newspapers and local news stories may increase the public's interest and knowledge level regarding climate change and sustainability issues.

COVID-19 Testing: Perceived Barriers Among the Urban Slum Dwellers of Dhaka, Bangladesh

Background: Urban slum dwellers are unduly affected by COVID-19, and low testing rates among them are worsening their situation. This study aimed to explore the perceived barriers to COVID-19 testing in the slums, which is crucial to its surveillance, tracking, and allocating resources to combat the pandemic. Methods: A quantitative study with a cross-sectional design was conducted among 149 urban slum dwellers (≥11 years of age), who had previously experienced COVID-19 like symptoms. They were identified from an existing slum cohort at Bauniabadh, Dhaka. Information related to their testing status and perceived barriers was acquired by a telephone survey from October to November 2020. Results: The mean age of the respondents was 34.4±15.6 years, and 58.4% of them were female. Fever (79.2%) and cough (74.5%) were the most common symptoms mentioned. Only 6.7% of the respondents had undergone COVID-19 testing. Fast relief (within 1-3 days) from symptoms (87.6%) was the most prevailing barrier to testing, seen across all age and education groups. Negative advocacy regarding the testing from family and friends (46.7%), participants uncertainty about the guidelines, site, cost, and schedule of testing (15.3%), and a general belief that ‘COVID-19 is not a disease of slum people instead, it is an affliction of the rich folk’ (20.4%), were the other cited barriers. Conclusions: The COVID-19 testing rate remained very low among the urban slum dwellers. To remove the barriers to testing, tailored behavioral change communication and augmenting the resources for testing are necessary to curb the spread in the slums.

STRATEGI KOMUNIKASI PERUBAHAN PERILAKU DALAM PENDIDIKAN KESEHATAN DI TK‘AISYIYAH BUSTANUL ATHFAL KOTA BENGKULU

Health education is the main element in early childhood education. Several government policies have also integrate health education into Early Childhood curriculum Education, however, its implementation has not been realized in all early childhood institutions. TK ‘Aisyiyah Bustanul Athfal (TK ABA), is the oldest PAUD institution in Indonesia. Along the way, he continues to improve to improve the quality of learning both from the curriculum and the quality of educators (teachers). This article is an evaluation of education and training activities carried out by DIKDASMEN PP Aisyiyah in collaboration with UHAMKA in Bengkulu city which is a series of training in eight provinces throughout Indonesia. This evaluation is to assess health education materials through a behavior change communication approach. The method used is conducting pretest and posttest as well as in-depth interviews with 3 training participants. The results of the posttest showed an increase in knowledge of early childhood teachers after the training was carried out. All informants said the importance of health education in the Early Childhood Education curriculum.

Coverage evaluation surveys following soil-transmitted helminthiasis and schistosomiasis mass drug administration in Wolaita Zone of Ethiopia—The Geshiyaro project

Introduction The Geshiyaro project aims to break transmission of soil-transmitted helminths and schistosomiasis in the Wolaita Zone of Ethiopia through a combination of two interventions: behavior change communication (BCC) for increased water, sanitation and hygiene (WaSH) infrastructure use alongside preventive chemotherapy (PC) using albendazole (ALB) and praziquantel (PZQ), targeted to reach 90% treatment coverage. Coverage evaluation surveys (CES) were conducted post-treatment, and the resultant survey coverage was compared to reported administrative coverage. This provided a secondary confirmation of the Geshiyaro project coverages, and is used to monitor the success of each Mass Drug Administration (MDA) round. Methods A community-based cross-sectional study was conducted in 13 woredas (districts) of the Wolaita Zone. All eligible individuals from the selected households were invited for an interview. The study design, sample size, analysis and report writing were conducted according to the World Health Organization (WHO) CES guidelines for PC. Results The study interviewed a total of 3,568 households and 18,875 individuals across 13 woredas in the Wolaita Zone. Overall, the survey coverage across all studied woredas was 81.5% (95% CI; 80.9–82.0%) for both ALB and PZQ. Reported administrative coverage across all studied woredas was higher than survey coverage, 92.7% and 91.2% for ALB and PZQ, respectively. A significant portion of individuals (17.6%) were not offered PC. The predominant reason for not achieving the target coverage of 90% was beneficiary absenteeism during MDA (6.6% ALB, 6.8% PZQ), followed by drug distributors failing to reach all households (4.7% ALB, 4.8% PZQ), and beneficiaries not informed of the program (1.3% ALB, 1.7% PZQ). Conclusion Programmatic actions will need to be taken during the next MDA campaign to achieve the targeted Geshiyaro project coverage threshold across data collection and program engagement. Adequate training and supervision on recording and reporting administrative coverage should be provided, alongside improved social mobilization of treated communities to increase participation, and strengthened institutional partnerships and communication.

Nutritional Status of Married Tribal Women in Jharkhand, India

The article explores the socio-economic and nutritional status of tribal married women in East Singhbum district, Jharkhand, by using mixed methods of enquiry. Dietary and anthropometric methods of nutritional assessment were supported by qualitative data. It was found that the most potent reason for undernourishment among tribal women is household food insecurity and low calorific intake. To enhance the nutritional status of tribal women, it is suggested that the issue of malnutrition be addressed with a life cycle approach, along with sustained behaviour change communication with the help of public–private partnerships and the efficient implementation of existing and new programmes to increase purchasing power and food security.

Flood Sensitivity, Risk Perception, and Support for Climate Action in the United States

Despite increasing evidence of the effects of climate change and scientific consensus about its threat, significant political barriers to climate action remain in the US. American public opinion about climate change is generally perceived as stable and sharply divided along partisan lines. However, less is known about the relationship between flood sensitivity and public opinion about climate change. Combining the ND-GAIN Urban Adaptation Assessment data of American cities with public opinion data from the Yale Program on Climate Change Communication, this paper demonstrates the positive association between flood sensitivity and beliefs about climate change, risk perceptions, and support for climate action. These results have important implications for the understanding of public opinion about climate change, suggesting that flood sensitivity shapes perceptions of climate change. The results also have important implications for advocates of political action, suggesting that making flood sensitivity salient could help mobilize public support for climate action.

COVID-19 vaccine hesitancy among the adult population in Bangladesh: A nationwide cross-sectional survey

Introduction Studies related to the COVID-19 vaccine hesitancy are scanty in Bangladesh, despite the growing necessity of understanding the population behavior related to vaccination. Thus, the present study was conducted to assess the prevalence of the COVID-19 vaccine hesitancy and its associated factors in Bangladesh to fill the knowledge gap. Methods and materials This study adopted a cross-sectional design to collect data from 1497 respondents using online (Google forms) and face-to-face interviews from eight administrative divisions of Bangladesh between 1–7 February 2021. We employed descriptive statistics and multiple logistic regression analysis. Results The prevalence of vaccine hesitancy was 46.2%. The Muslims (aOR = 1.80, p ≤ 0.01) and the respondents living in the city corporation areas (aOR = 2.14, p ≤0.001) had more hesitancy. There was significant variation in vaccine hesitancy by administrative divisions (geographic regions). Compared to the Sylhet division, the participants from Khulna (aOR = 1.31, p ≤0.001) had higher hesitancy. The vaccine hesitancy tended to decrease with increasing knowledge about the vaccine (aOR = 0.88, p≤0.001) and the vaccination process (aOR = 0.91, p ≤ 0.01). On the other hand, hesitancy increased with the increased negative attitudes towards the vaccine (aOR = 1.17, p≤0.001) and conspiracy beliefs towards the COVID-19 vaccine (aOR = 1.04, p≤0.01). The perceived benefits of COVID-19 vaccination (aOR = 0.85, p≤0.001) were negatively associated with hesitancy, while perceived barriers (aOR = 1.16, p ≤0.001) were positively associated. The participants were more hesitant to accept the vaccine from a specific country of origin (India, USA, Europe). Conclusions Our findings warrant that a vigorous behavior change communication campaign should be designed and implemented to demystify negative public attitudes and conspiracy beliefs regarding the COVID-19 Vaccine in Bangladesh. The policymakers should also think about revisiting the policy of the online registration process to receive the COVID-19 vaccine, as online registration is a key structural barrier for many due to the persistent digital divide in the country. Finally, the government should consider the population’s preference regarding vaccines’ country of manufacture to reduce the COVID-19 vaccine hesitancy.