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Using Entertainment to Improve Lives: Results from Sierra Leone World Population Growth 12,000,000,000 Actual Numbers 8,000,000,000 6,000,000,000 4,000,000,000 2,000,000,000 0 1 150 300 450 600 750 900 1050 1200 1350 1500 1650 1800 1950 2050 Population Numbers 10,000,000,000 Year (AD) “Human population reduction is not a quick fix for environmental problems.” - Corey Bradshaw and Barry Brook “Slowing population growth could provide 16-29% of the emissions reductions suggested to be necessary by 2050 to avoid dangerous climate change.” - Brian O’Neill, PNAS in 2010 “Each child adds about 9,441 metric tons of carbon dioxide to the carbon legacy of an average female, which is 5.7 times her lifetime emissions. A person’s reproductive choices must be considered along with his day-today activities when assessing his ultimate impact on the global environment.” - Paul Murtaugh and Michael Schlax “Rapid population growth exacerbates vulnerability to the negative consequences of climate change, and exposes growing numbers of people to climate risk. Population growth is also one of the drivers of the growth in greenhouse gases that contribute to climate change.” - Kathleen Mogelgaard Saving a gigaton of carbon by reducing our 2050 population by 1 billion, through education for women and family planning information and services, would cost 1,000 times less than any of the other technical options nuclear power, renewables, or increased car efficiency. Use of Family Planning • Since 1960, the contraceptive use rate increased from 10% to 56% • Total World Population: 7.0 billion • Total Reproductive Age Population Married or in Union: 2.3 billion • Total Users of Modern Contraceptives: 1.3 billion • Total Non-Users of Modern Contraceptives: 1.0 billion • Total Unmet Need for Modern Family Planning Methods: 0.4 billion • Net Non-Users Who Don’t Want to Space or Limit Childbearing: 600 million • Top Reason for Non-Use: Want More Children Why are women pregnant if they don’t want to be? • Gender Inequality • Lack of education • Lack of control/male or family opposition • Fear of side effects of birth control • Fatalism • Religious Opposition PMC Overview • Population Media Center (PMC) uses entertainment-education • Works globally with broadcast media (radio, TV, online, print) • Non-profit, non-governmental organization, 501(c)(3) Some of the Issues We Address Human Health • Family Planning • HIV/AIDS/STIs • Reproductive Health • Maternal & Child Health • Nutrition • Female Genital Mutilation Human Rights • Gender Equality • Access to Education • Domestic & Other Violence • Child Marriage Environment • Climate Change • Reforestation Proven To Work Around World Impacted more than 50 countries worldwide. PMC Entertains! Character-Driven: 3 Types Positive Characters Negative Characters Transitional Characters • Guided by remarkable morality and embody the positive values in the “values grid” • Are icons (an ideal to which the audience can aspire) • Are constantly rewarded for their positive deeds • Embody the negative values in the values grid • Negative behavior is slightly exaggerated • Are regularly punished for their bad behavior • Occasionally suffer internally and regret their actions but DO NOT CHANGE • Most similar to target audience • Faced with real-life dilemmas • Are rewarded or punished for good or bad actions (oscillate) •Struggle to change their behavior • Eventually move toward positive behaviors and are rewarded Photo by Tom Getting Photo by Ellen Morgan Photo by Mark Pelleiter Soap Operas for Social Good PMC Rules: Entertaining & Dramatic • Keep the audience wanting more • Focus on emotion because it influences behavior more than cognitive • Aim to be the top-rated show on the air Soap Operas for Social Good PMC Rules: All Local • Hire all local writers, producers, and actors • Choose best language for that area/audience • Test pilot episodes with local audiences Soap Operas for Social Good PMC Rules: Long Running • 208 episodes over two years is ideal • Characters to evolve at believable pace • Time for audience to evolve • Time for emotional bonding with characters Soap Operas for Social Good PMC Rules: Research, Research, Research • Formative research • Monitoring and evaluation during broadcast • Post-broadcast evaluation Soap Operas for Social Good PMC Rules: Theory-Based • Communication Theory (Shannon & Weaver) • Dramatic Theory (Bentley) • Theory of the Collective Unconscious: Archetypes Stereotypes (Jung) • Social Learning/Social Cognitive Theory (Bandura) • Triune Brain Theory (MacLean) • Tonal Theory (Sabido) Entertaining, but… does it work? Saliwansai (“Puppet On A String”) Saliwansai in Sierra Leone • Radio serial drama • 208 episodes • Broadcast for 2 years (April 2012 -- April 2014) • Produced in Krio, a language that 95% of the country speaks or can understand 3 million listeners In the nationally representative survey at the end of the drama, 50% of the respondents said they listened to the drama one or more times per week while 40% said listening made them think about their own behavior and 42% discussed the drama with someone else. Clinic monitoring at the mid-point found 50% of clients cited Saliwansai as their primary motivation for seeking family planning and reproductive health services. Saliwansai Family Planning Listeners compared to nonlisteners were: • 3.9 times more likely to have heard about obstetric fistula • 2.4 times more likely to know that having more than four children can put the health of the mother at risk • 2.2 times more likely to believe that access to contraception would not encourage infidelity Saliwansai Family Planning Listeners compared to nonlisteners were: • 1.8 times more likely to say that they intend to use a family planning method to delay or avoid pregnancy in the future • 1.6 times more likely to say they talked to their family, friends, or neighbors about family planning in the last three months Saliwansai Sexual Health Listeners compared to nonlisteners were: • 4.1 times more likely to think it is acceptable to provide information on condoms on the radio • 3.7 times more likely to know that it is possible for a healthy looking person to have AIDS • 3.1 times more likely to know that consistent use of condom can reduce risk of getting AIDS Saliwansai Sexual Health Listeners compared to non-listeners were: • 2.9 times more likely to say they could get a male condom if wanted • 2.8 times more likely to say they could get a female condom if wanted • 2.2 times more likely to know that AIDS can be transmitted from to mother to baby during pregnancy • 1.7 times more likely to indicate that it was 2 years or less when they were last tested for AIDS Yeken Kignit (“Looking Over One’s Daily Life”) Ethiopian radio serial drama in Amharic, the national language. 257 episodes, 2.5 years 46% of Ethiopians listened to the drama. Yeken Kignit Results 18% of new clients seeking RH services named one of PMC’s programs by name as the reason for seeking services. 63% of new clients seeking reproductive health services said they were listening to one of PMC dramas. Photo by Monique Jansen Yeken Kignit Results Listeners were more likely to have used family planning than non-listeners. Yeken Kignit Ever Use of FP (Any Method): Differences between Baseline and Post-Intervention for Listeners and Non-Listeners 79 Percent 80.0 69.6 60.0 40.0 47.4 44.4 28.3 23.9 20.0 0.0 Married Women Baseline Married Men Non-Listeners Listeners Yeken Kignit Results Listeners were more likely to have been tested for HIV. Y e k e n Kignit R e s po nde nt s Who H a d B lo o d T e s t f o r H IV / A ID S 35 28.8 30 28.4 Percent 25 20 15 9.1 10 7.1 6.6 7.4 5 0 Wo m e n B asel i ne M en N o n- Li st ener s Li st ener s Real Results: Girls’ Education In Cote d’Ivoire and Mali, listeners of PMC dramas were half as likely as non-listeners to prioritize educating boys over girls. In Ethiopia, Dhimbiba (“Getting the Best Out of Life”) and Yeken Kignit (“Looking Over One’s Daily Life”) contributed to a 51.7 percentage point increase among men and 20.8 percentage point increase among women who recognized the importance of girls’ education. Real Results: Child Marriage In Senegal, Ngelawu Nawet (“Winds of Hope”), listeners were 6.3 times more likely to state that women should be 18 years old or older before marriage. In Nigeria, Ruwan Dare (“Midnight Rain”) resulted in listeners being twice as likely as non-listeners to say that a woman should delay getting married for the first time until she is aged 19 or older. A Few Other PMC Projects Gugar Goge (“Tell It To Me Straight”) Radio Serial Drama – Nigeria • 33% of reproductive health clients cited Gugar Goge as their main motivation for seeking services • 54% of fistula clients cited Gugar Goge as their main motivation for seeking services East Los High: United States • Research revealed that more than 50% of Latinas give birth before 18 • Research showed that finishing high school very difficult East Los High: Results • In the first month, East Los High rose to be one of the top five shows on Hulu, and also the top show for Hulu’s Latino viewers. • In the first month, more than 27,000 people used Planned Parenthood’s “The Check” widget available on eastloshigh.com to explore their risk and need to get tested for STDs, HIV, or pregnancy. • Of the more than 27,000 people, 55% were new visits to Planned Parenthood Additional PMC Projects Brazil Eastern Caribbean Haiti Harlem, NY Jamaica Mexico and Latin America Botswana Burkina Faso Burundi D.R. Congo Niger Rwanda South Africa Sudan Swaziland Zimbabwe Kyrgyzstan Nepal Papua New Guinea Philippines Vietnam PMC Projects in Development D.R. Congo Ethiopia Nigeria Rwanda USA Burkina Faso India Mexico Niger Philippines Senegal Sierra Leone Kenya Pakistan Uganda Zambia Population Media Center [email protected] www.populationmedia.org +1-802-985-8156 [email protected]