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Risk communication for “One
         Health”
            Thomas Abraham
       The University of Hong Kong


Presented at FAO Risk Communication for One Health Seminar
                  14 April 2011, Rome Italy
Man




           New
          Disease


                        The
Animals             environment
Outline
• Based on experience of H5N1
  communication, a two pronged approach
  using community level risk
  communication and participatory
  development communication
• Some principles of participatory
  communication
Building on the experience of H5N1
communication

1. Differing perceptions of risk between
communities living with the disease
and outside experts.

2. H5N1 was a livelihood issue, as
much as a human and animal health
issue. Communication messages
tended to treat it as a health issue.
Differing Perceptions of Risk
                   We’re
                protecting
               global health
                  security
No big deal,
chicken die all
   the time
Crazy guys,
I don’t think they’ve ever   but love the
seen a live chicken before      suits
Differences in perceptions of risk between
experts and the public is a feature of
modern society
Differences in perception of risks
• Technical experts judge the risk to be very
  low
• Those against nuclear energy ( and
  increasingly the public) judge the risk to
  be high
All risks have benefits
• Modern industrial society needs power
• Other sources of power such as fossil fuels
  also have risks associated with them
Risk Communication
• Acting as a bridge between expert
  assessments and public assessments of risk
• Outcome is a shared understanding of risk,
  and a consensus on what needs to be done
• Risk communication is not about putting out
  messages and persuading the public to accept
  them but a process of reaching consensus
• Different from emergency communication,
  where people need to know quickly what to
  do
Why consensus and common
         understanding?
• Risks are uncertain: they may or may not
  happen
• Every “risky” action, or behaviour, has a
  benefit attached to it. Changing behaviour
  and practices have costs attached to them
• People on the ground need to balance the
  costs and benefits, not experts
• Local communities have their own knowledge
  which needs to be used to solve problems
Community level risk communication is an
essential strategy to bridge the gap between
public and expert perceptions and should be
a foundation for communication on animal-
human health
A livelihood issue
                      If you kill my
                     ducks, what am I
                     going to feed my
                          family?
• More poultry have probably died in culling
  operations during H5N1 than from the
  disease itself
• For farmers and rural communities, the risk
  to livelihood of preventive measures, can be
  greater than the health risks from the disease
  itself
• We need to start looking at livestock and
  animal disease as a livelihood issue, rather
  than a purely health issue
This is a development issue
• Aim of strategy is to help people protect
  and improve their livelihoods through
  keeping livestock and themselves healthy
Because this is a development issue, we need
to use the tools of participatory
development communication to empower
communities to solve this problem
Two models of development
         communication
• Top down model: originally based on
  Rogers’ diffusion of innovations approach
• Uses tools like social marketing,
  education-entertainment, media messages
  to promote certain goals and objectives
• Participatory model: a more radical model,
  in which communities decide their
  priorities, and design programmes to meet
  these needs
• Role of communicators and outside
  experts is to assist communities in this
  process
Why is participation better than a
        top down approach
• Top down programmes are driven by
  funding from outside.
• They often have little meaning for the
  community
• When the funding ends, so does the
  programme
• Participatory programmes are things the
  community actually wants and is asking
  for
• With help, communities can raise and find
  funding to do the things they need to do
• Benefits are long lasting, organic
"Communication      for development is about people, who
are the drivers of their own development; It contributes
to sustainable change for the benefit of the poorest; It is
a two way process [and] is about people coming
together to identify problems, create solutions and
empower the poorest; It respects indigenous
knowledge and culture and that local context is key; It
is critical to the success of the Millennium
Development Goals." Declaration of 9th UN
Communication for Development Round
Table, 2004.
Let’s get real…
• In the real world, pure, participatory
  development communication is hard to
  come be
• Goals do not come from the community:
  set by donors, governments, and
  international community.
• But communities still need to play a role
  by discussing, understanding, and
  deciding on how best to implement
Principles of participatory risk
          communication
• Communication should be a dialogue on risk
  rather than a monologic delivery of messages.
• Communities have their own knowledge and
  experience, and communication should be a
  process by which this local knowledge is
  assimilated with information from outside in
  order to define problems and arrive at
  solutions.
• The aim of the communication exercise
  should be to help communities find ways to
  protect and improve their livelihood
• Guidelines and measures to reduce risk
  produced by outside experts should be
  flexible and indicative rather than
  prescriptive; allowing communities to decide
  priorities and design programmes
• Communicators have a role not only as
  messengers, but as act as change agents,
  helping communities to organize and get
  access to resources.
Some next steps
• Substantial community level development
  communication capacity has been built up
  over several decades
• New efforts needs to build on existing
  capacity
• Determining the key technical issues on
  which community level dialogue can begin
• Training programmes for communicators to
  act as change agents and not messengers
FAO Risk Communication seminar

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FAO Risk Communication seminar

  • 1. Risk communication for “One Health” Thomas Abraham The University of Hong Kong Presented at FAO Risk Communication for One Health Seminar 14 April 2011, Rome Italy
  • 2. Man New Disease The Animals environment
  • 3. Outline • Based on experience of H5N1 communication, a two pronged approach using community level risk communication and participatory development communication • Some principles of participatory communication
  • 4. Building on the experience of H5N1 communication 1. Differing perceptions of risk between communities living with the disease and outside experts. 2. H5N1 was a livelihood issue, as much as a human and animal health issue. Communication messages tended to treat it as a health issue.
  • 5. Differing Perceptions of Risk We’re protecting global health security
  • 6. No big deal, chicken die all the time
  • 7. Crazy guys, I don’t think they’ve ever but love the seen a live chicken before suits
  • 8. Differences in perceptions of risk between experts and the public is a feature of modern society
  • 9. Differences in perception of risks • Technical experts judge the risk to be very low • Those against nuclear energy ( and increasingly the public) judge the risk to be high
  • 10. All risks have benefits • Modern industrial society needs power • Other sources of power such as fossil fuels also have risks associated with them
  • 11. Risk Communication • Acting as a bridge between expert assessments and public assessments of risk • Outcome is a shared understanding of risk, and a consensus on what needs to be done • Risk communication is not about putting out messages and persuading the public to accept them but a process of reaching consensus • Different from emergency communication, where people need to know quickly what to do
  • 12. Why consensus and common understanding? • Risks are uncertain: they may or may not happen • Every “risky” action, or behaviour, has a benefit attached to it. Changing behaviour and practices have costs attached to them • People on the ground need to balance the costs and benefits, not experts • Local communities have their own knowledge which needs to be used to solve problems
  • 13. Community level risk communication is an essential strategy to bridge the gap between public and expert perceptions and should be a foundation for communication on animal- human health
  • 14. A livelihood issue If you kill my ducks, what am I going to feed my family?
  • 15. • More poultry have probably died in culling operations during H5N1 than from the disease itself • For farmers and rural communities, the risk to livelihood of preventive measures, can be greater than the health risks from the disease itself • We need to start looking at livestock and animal disease as a livelihood issue, rather than a purely health issue
  • 16. This is a development issue • Aim of strategy is to help people protect and improve their livelihoods through keeping livestock and themselves healthy
  • 17. Because this is a development issue, we need to use the tools of participatory development communication to empower communities to solve this problem
  • 18. Two models of development communication • Top down model: originally based on Rogers’ diffusion of innovations approach • Uses tools like social marketing, education-entertainment, media messages to promote certain goals and objectives
  • 19. • Participatory model: a more radical model, in which communities decide their priorities, and design programmes to meet these needs • Role of communicators and outside experts is to assist communities in this process
  • 20. Why is participation better than a top down approach • Top down programmes are driven by funding from outside. • They often have little meaning for the community • When the funding ends, so does the programme
  • 21. • Participatory programmes are things the community actually wants and is asking for • With help, communities can raise and find funding to do the things they need to do • Benefits are long lasting, organic
  • 22. "Communication for development is about people, who are the drivers of their own development; It contributes to sustainable change for the benefit of the poorest; It is a two way process [and] is about people coming together to identify problems, create solutions and empower the poorest; It respects indigenous knowledge and culture and that local context is key; It is critical to the success of the Millennium Development Goals." Declaration of 9th UN Communication for Development Round Table, 2004.
  • 23. Let’s get real… • In the real world, pure, participatory development communication is hard to come be • Goals do not come from the community: set by donors, governments, and international community. • But communities still need to play a role by discussing, understanding, and deciding on how best to implement
  • 24. Principles of participatory risk communication • Communication should be a dialogue on risk rather than a monologic delivery of messages. • Communities have their own knowledge and experience, and communication should be a process by which this local knowledge is assimilated with information from outside in order to define problems and arrive at solutions. • The aim of the communication exercise should be to help communities find ways to protect and improve their livelihood
  • 25. • Guidelines and measures to reduce risk produced by outside experts should be flexible and indicative rather than prescriptive; allowing communities to decide priorities and design programmes • Communicators have a role not only as messengers, but as act as change agents, helping communities to organize and get access to resources.
  • 26. Some next steps • Substantial community level development communication capacity has been built up over several decades • New efforts needs to build on existing capacity • Determining the key technical issues on which community level dialogue can begin • Training programmes for communicators to act as change agents and not messengers