Media development action with informed and engaged societies
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Artemisinin Combination Therapy (ACTs) Malaria Treatment

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In September 2008, the Consortium on ACTs in the Private Sector Subsidy (CAPSS) launched a pilot programme through which highly subsidised pre-packaged artemisinin combination therapies (ACTs) are being distributed through the private sector. Led by the Ministry of Health and Medicines for Malaria Venture (MMV), the Consortium brings together government, civil society, and the private sector, each tasked with specific roles and responsibilities. The programme is designed to increase access to affordable and effective malaria treatment, initially in four districts in Eastern Uganda. The Programme for Accessible Health, Communication and Education (PACE), formerly PSI/Uganda, is handling overall communications for the programme.

Communication Strategies

PACE has developed and is implementing a demand creation campaign. Organisers say the goal is to not only increase uptake of the "Green Leaf" brand of ACTs (a logo developed by PSI/Uganda to signify high quality, affordable malaria treatment), but also to encourage immediate action: recognising the symptoms and treating malaria with ACTs within 24 hours. Alongside this, adherence to the treatment regimen is heavily promoted as another critical component of the communications campaign.

PACE’s remit also includes the development of packaging for the product. This involved encasing the original Novartis Coartem® blister in a locally designed and produced instructional envelope, colour-coded by age. According to organisers, in 2008, PACE printed and packed over 200,000 doses of ACTs for distribution by Surgipharm, a CAPSS partner.

With a mainly rural intended audience, PACE has adopted a communications mix for the programme borne out of lessons and experiences gained from some of their other intervention areas. Advocacy plays a critical role in the programme and not only enlists the district administration’s leadership and active participation in its implementation, but also calls upon local opinion leaders and influencers to carry the message forward to their constituents. Community mobilisation and sensitisation, including via radio, emphasise the campaign’s key messages, and some print and point-of-sale materials were also developed, primarily to familiarise the intended audience with the “Green Leaf” logo.

With other CAPSS partners working to address provider training, distribution, and pharmaco-vigilance, organisers say this collaborative effort and the results of the pilot will provide valuable lessons to inform scale-up of the initiative nationwide in the near future.

Development Issues

Malaria

Partners

Consortium on ACTs in the Private Sector Subsidy (CAPSS), Ministry of Health, Medicines for Malaria Venture (MMV), Programme for Accessible Health, Communication and Education (PACE - formerly PSI/Uganda)