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South-East Asia Regional Conference on Epidemiology

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158 | <str<strong>on</strong>g>South</str<strong>on</strong>g>-<str<strong>on</strong>g>East</str<strong>on</strong>g> <str<strong>on</strong>g>Asia</str<strong>on</strong>g> <str<strong>on</strong>g>Regi<strong>on</strong>al</str<strong>on</strong>g> <str<strong>on</strong>g>C<strong>on</strong>ference</str<strong>on</strong>g> <strong>on</strong> <strong>Epidemiology</strong><br />

• On planning: The plans did not fully meet their objectives and senior communicati<strong>on</strong> decisi<strong>on</strong>makers<br />

were not fully engaged in emergency communicati<strong>on</strong> planning.<br />

• On coordinati<strong>on</strong>: Not all key actors were involved in risk communicati<strong>on</strong> committees. Lack of<br />

synergy was evidenced in duplicating and overlapping efforts, and tools to ensure c<strong>on</strong>sistent<br />

messages (e.g. internal talking points and briefing notes for partners) were lacking.<br />

• On listening: Data were not fully synthesized and made available for use by communicators.<br />

• On media management: Often, basic risk communicati<strong>on</strong> principles were not applied; for<br />

instance, there were over-reassurances by health leaderships and frequent changes in the<br />

level of informati<strong>on</strong> provisi<strong>on</strong>. These practices, as well as c<strong>on</strong>flicting messages from senior<br />

spokespers<strong>on</strong>s and political overt<strong>on</strong>es in emergency communicati<strong>on</strong>, led to suspici<strong>on</strong> and<br />

mistrust am<strong>on</strong>g media.<br />

In additi<strong>on</strong>, a number of useful recommendati<strong>on</strong>s were made in the joint review report, some of<br />

which are listed below:<br />

• A media communicati<strong>on</strong> strategy for H1N1 vaccine should be developed that addresses issues<br />

of shortfall, prioritizati<strong>on</strong> and possible adverse events.<br />

• Senior spokespers<strong>on</strong>s should be trained <strong>on</strong> emergency risk communicati<strong>on</strong>.<br />

• Communicati<strong>on</strong> committees should be restructured and streamlined to reduce duplicati<strong>on</strong> and<br />

overlap. Key internal and external partners should be included and assigned resp<strong>on</strong>sibility to<br />

ensure efficiency and str<strong>on</strong>g leadership.<br />

• Existing communicati<strong>on</strong> intelligence such as media m<strong>on</strong>itoring, call-line questi<strong>on</strong>s, risk<br />

percepti<strong>on</strong> research and related informati<strong>on</strong> should be better utilized.<br />

• Intelligence data should be gathered, analysed and distilled into a succinct report with key<br />

recommendati<strong>on</strong>s to guide communicati<strong>on</strong> decisi<strong>on</strong>-making.<br />

• A short public communicati<strong>on</strong> message document (e.g. talking points) should be produced<br />

and updated regularly to guide spokespers<strong>on</strong>s and partners in their own media interviews and<br />

communicati<strong>on</strong> activities.<br />

• A policy or guideline <strong>on</strong> the public release of risk-related informati<strong>on</strong> should be developed and<br />

publicized to reassure citizens, media and stakeholders of the Government’s commitment to<br />

transparency.<br />

These findings and recommendati<strong>on</strong>s would be seriously c<strong>on</strong>sidered by the MOPH and partners to<br />

improve preparedness planning for future pandemics as well as other public health emergencies.

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