Acceptability, Comprehensibility and Reported Influence - BRAC ...

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“They (SS and SK) did enough. Still they should come and teach frequently. They can call a meeting, gather people and then talk and give advice”. In the eyes of local people, the presence of higher officials coming from head office in the group meetings brought more credibility to local workers. It was the common demand of most of them. A typical comment, during semi-structured interview of a husband of a pregnant woman, “The group meeting should take place once in a month and will be better if higher officers come and conduct these meetings other than Shebika or Kormi.” A few respondents were of the opinion that higher class people question about SSs’ capacity to detect health problems. According to them, the community people believed that due to their lower level of education and social status the SS was less well accepted in their society. It was reported that these higher status people such as economically solvent villagers felt that the SS training was not sufficient to enable them to adequately support the pregnant mother. Therefore, some people felt that they could not depend on them for pregnancy management. As noted in the case of Rokeya (Box 3), she claimed they (SS/SK) could not identify the problem of the baby during her pregnancy. A husband of a pregnant woman said, “Rich and higher educated person (in the village) think that SSs/SKs do not know anything. They do not have faith in their training. So they ignored them.” Another male respondent who was a VD also pointed out that, Box 3. “They (BRAC) should hire educated SS like at least HSC or SSC completed…..” Rokeya (32) has no education. She was pregnant for three times and has two living children. Her last delivery was at home with the help of a dai (TBA). During this pregnancy she had an ultrasonography and found the baby in reverse position (malpresentation). According to her, SK came each month for check-up but she (SK) could not find the abnormality. She reported that her water (amniotic fluid) broke 3 days before delivery. During delivery the baby’s leg came out first and then they called the SS. It took time to get baby’s head out, but the baby was dead by then. A village doctor was also called but it was too late. Baby had died before he came. 12 RED Working Paper No. 21
Entertainment education as powerful channels to disseminate the messages The majority of the respondents were aware of folksong and street theatre, but few had the opportunity to actually listen to or watch those. People liked to listen to folksong and watch street theatre as those were both entertaining and informative. According to the community people, folksong and street theatre were mostly listened to or watched by children and women of all ages. They felt that the medium of folksong could get people’s attention very quickly; it could disseminate many messages in a short time and in an amusing way which was reported to be attractive to community members. Most of the pregnant and lactating mothers felt that the messages conveyed through folksong could easily reach the community people of different ages. They also reported that when a SS or SK visited their home, most of the time their children either teenager or adult, household head and other family members were not present. Therefore, because this show was arranged in open place, these family members could enjoy and learn without any restriction. A pregnant woman cited that, “…..different types of people including young, adult, and married, unmarried like jaarigan. Shebika visits and talk only with pregnant women. But jaarigan is understandable to all whether men and women”. Most of the respondents recognized the value of watching street theatre because it not only have the voice but also the visualization. They found it was both spellbinding and captivating and watching along with others offers the opportunity of mutual support and learning. A lactating woman mentioned, “Drama is performed in front of us. It is understandable. It is performed so nicely. Many people come and watch together, and if I forget any point of the drama other people could help me to remember. That is why I like drama than other media.” Most memorable part of the drama Women who had watched the drama had good memorization of the messages. Some of the pregnant and lactating women concentrated only on those messages commonly refuted by mothers-in-law such as, taking rest, ANC and giving extra food during the pregnancy. Mothers reported that often the mothers-in-law forced pregnant women to do heavy work. They do not allow SS and SK to give advice to their daughters-in-law about ANC. As a result the women had given birth to a stillborn baby. Most of the pregnant and lactating women showed good comprehension of the messages. They urged that more attention should be paid to communicating with elderly people. Because they felt that, elderly people did not give importance to these matters rather they followed traditional views. Behaviour change communication tools: experience from MNCH programme 13
Page 1 and 2: Working Paper No. 21 Acceptability,
Page 3 and 4: Abbreviations AIDS ANC BCC BHP E-E
Page 5 and 6: Acknowledgements We are indebted to
Page 7 and 8: Introduction In Bangladesh the mate
Page 9 and 10: and support for behaviour change th
Page 11 and 12: Methods Study design The study was
Page 13 and 14: epeatedly and were coded by various
Page 15 and 16: Findings Source of information abou
Page 17: Table 4. Local term used by communi
Page 21 and 22: Therefore, when the folksong or dra
Page 23 and 24: Box 4. Muslema (19) lives in the ce
Page 25 and 26: irth asphyxia. They indicated that
Page 27 and 28: But other male respondents mentione
Page 29 and 30: Discussion This research found that
Page 31 and 32: It was revealed that village doctor
Page 33 and 34: community to behaviour change. As w
Page 35 and 36: References 1. NIPORT, ORC Macro, Jo
Page 37 and 38: 32. Tanjanias elderly coming out fr
Page 39 and 40: Annex 2. Name of Flipchart: Care of
Page 41 and 42: (cont…….. Annex 3) Danger sign
Page 43: (cont…….. Annex 4) October Nove

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