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.
 
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One Love. Kwasila!

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Launched in June 2009, the One Love. Kwasila! campaign is a Zambian national multimedia campaign designed to prevent HIV transmission caused by having multiple concurrent partnerships (MCP). The campaign is a partnership between the National AIDS Council, the Ministry of Health, Health Communications Partnership Zambia, Zambia Centre for Communications Programmes, and Society for Family Health. The campaign consists of a television mini drama series called Club Risky Business and other multimedia elements involving radio, television talk shows, a feature-length film, print materials, a website, and bus campaigns. One Love. Kwasila! is also conducting advocacy, training, and events with parliamentarians, musicians, and faith-based organisations. The One Love. Kwasila! campaign is tied to a regional One Love campaign being implemented across Eastern and Southern Africa. The overall goal of the campaign is to get men to reduce their number of partners, ideally to one. The primary audience of the campaign is married men aged 25 to 50 years, and the secondary audience is women aged 15 to 45 years (the wives and girlfriends of the primary audience). The campaign initially has an urban and peri-urban focus, as HIV prevalence in these areas tends to be much higher than in rural areas.
Communication Strategies

The One Love. Kwasila! campaign uses a variety of media in order to provide basic information about the risks posed by MCP, provoke thought and dialogue, and increase self-risk perception.

The centrepiece of the campaign is a Zambian-produced, 10-part television edutainment miniseries called Club Risky Business, produced by Media 365, a local Zambian media house. It looks at how MCP is a major factor in spreading HIV in Zambia, with each story showing the audience a different side of what drives MCP. David, the central character, uses his wealth to attract women and frequently exchanges gifts in exchange for favours. Sachi thinks he is safe because he only has one other partner besides his wife, and Charlie Lucky has multiple sexual partners but maintains that he is safe because he always uses condoms. The story is anchored around the local bar (Risky Business), which all 3 frequent. Through their conversations there, the series explores the various social, cultural, and gender dynamics surrounding MCP, the riskiness of the sexual network, and the idea that a lifelong relationship can be happy and fulfilling. Club Risky Business is broadcast on the Zambia National Broadcasting Corporation (ZNBC) and MUVI TV. Three animated adverts ("animerts"), based on the 3 lead characters are aired alongside the series and independently.

A discussion guide has been produced to accompany a DVD of the series. One thousand DVDs and discussion guides have been distributed to partners, and DVDs are also being made available at video rental stores. Screenings of Club Risky Business and facilitated discussions have also been organised at workplaces.

One Love Kwasila! produced a 10-week live talk show segment on ZNBC's Mid Morning Show. This provided a platform for well-known Zambians and public health professionals to discuss the campaign's message in the context of HIV prevention.

In addition to airing radio spots on a variety of local stations, One Love Kwasila! produced a 12-week interactive radio talk show called Club Risky Business on Radio Phoenix, where listeners could text message (using short messaging service, or SMS) or call in with questions and comments. A 26-part radio drama series for national and community radio stations is in production. The show will incorporate an SMS competition, and facilitated discussions with community leaders on MCP will be produced for radio to complement the drama series.

A number of print materials for various audiences have been developed. The Men's Health Kit, a counselling tool for health providers, includes detailed illustrations of sexual concurrency versus serial monogamy and consistent condom use, explaining how the former results in increased risk of HIV. Community Health Information Cards designed for neighbourhood health committees include simple information about MCP. You and Your Relationship (part of the Kwatu - Knowledge for Life series) is a magazine designed to inform the general public about the risks of MCP and how to improve relationships with primary partners. A brief newsletter for policymakers has been developed and distributed to political and religious leaders for advocacy purposes. Banners publicising the TV series and website have been placed strategically at intercity bus stops and public buildings across the country. Posters carrying key health messages have also been developed and distributed.

The One Love Kwasila! campaign has worked closely with Zambian press and received extensive coverage in local papers.

The campaign also has a One Love. Kwasila! website, which offers, amongst other things, information about the Club Risky Business series, an HIV Risk Calculator, a list of voluntary counselling and testing (VCT) centres, and information, blogs, and articles related to HIV prevention. The campaign's Facebook page serves as an active platform for fans to discuss key issues related to the campaign.

The Club Risky Business television show has a weekly SMS competition. By partnering with AfriConnect, One Love Kwasila! has also sent SMS messages publicising various interventions and calls to action to 10,000 individuals across Zambia.

The campaign also involves advocacy and awareness-raising events. The Cabinet Committee on HIV in the Zambian Parliament received a briefing on MCP and the One Love Kwasila! campaign during their annual retreat. In April 2009, 34 of Zambia's top musicians were oriented to MCP during a training for Health Ambassadors, leading up to a free music and arts festival and health fair called "Rhythm of Life: Move to a Healthy Beat!" Artists emphasised the benefits of partner reduction during the event, which attracted over 12,000 people and was broadcast live on ZNBC and MUVI TV. In August 2009, 40 religious leaders representing various faiths from across the country were oriented to MCP as part of a workshop organised by the Zambia Network of Religious Leaders Living with or Affected by HIV.

One Love. Kwasila! has partnered with the Ministry of Communication and Transport, the Road Traffic and Safety Agency, Zambeef, and private bus operators to brand 600 inter- and intra-city buses across the country and to distribute 5,000 branded road tax discs and 5,000 bumper stickers. Buses with televisions will also carry the Club Risky Business DVDs for onboard entertainment-education.

An official song and music video was also produced for the campaign, which features popular Zambian musicians Slap Dee, Ruff Kid, P Jay, and Chaklet. Click here to view the music video on Youtube.

In March 2010, OneLove. Kwasila! started broadcasting a 26-part radio drama series in English and Bemba on national and community radio stations. The drama series explored the issues of love, lies, peer pressure, and sexual networks in the time of HIV and AIDS with the aim of reducing MCP. The radio series incorporated an MCP SMS radio quiz competition where winners could win mobile phones and T-shirts, caps, and pens branded with OneLove messages.

The first phase of OneLove Zambia social mobilisation activities involved consulting the traditional leadership in both Solwezi and Chongwe districts prior to involving broader stakeholders in the mobilisation process. The second phase involved the engagement of district and community stakeholders through community dialogues around issues of HIV in general and multiple concurrent partnerships in particular.

"Love Stories in a Time of HIV and AIDS", a series of 10 films from 10 countries under the Onelove Campaign, was launched in Zambia in March 2010. The series includes the Zambian produced film called "When the Music Stops". Click here for more information on "When the Music Stops".

OneLove. Kwasila! plans to place 13 OneLove campaign billboards across major towns in the country. The billboards will be displayed for a period of 3 months.

OneLove. Kwasila! also plans to hold a media briefing with media houses in order to enhance media coverage of the MCP-related issues.

Development Issues

HIV/AIDS

Key Points

In Zambia, the national HIV prevalence amongst 15 to 49 year old Zambian adults is 14.3%, and MCP has been found to be a principal driver of HIV infection in Zambia. As a social phenomenon, MCP relates to having more than one recurrent sexual partner at a time. If a number of individuals in a community are involved in MCP relationships, a web is created. This network allows for the easy spread of the disease, fuelling the epidemic. When someone is initially infected with HIV, a surge of the virus is experienced in the infected individual for between 3 to 6 weeks, yet current testing methods will find no traces of the disease during this "window period". The rapid growth and intensity of the HIV viral load makes it easy at this time to pass the virus from one individual to another through the exchange of bodily fluids such as blood or semen. If this individual is involved in a network of sexually active, unprotected people, the disease can then spread like wildfire.

The Health Communication Partnership Zambia's Endline Survey (conducted in July 2009) found impressive exposure to the campaign during its first 4 weeks. Forty-nine percent of urban television viewers recalled the campaign slogan (One Love Kwasila!), while 32% had seen or heard of the Club Risky Business television show. This survey did not include Lusaka. Quantitative and qualitative evaluations of the One Love Kwasila! campaign are planned for 2010.

The OneLove campaign in Malawi has requested the use of the OneLove. Kwasila! 10-part television edutainment mini series, Club Risky Business, which will be broadcast on the local television station in Malawi.

Partners

Ministry of Health, the National AIDS Council (NAC), Society for Family Health (SFH), the Zambian Centre for Communications Programmes (ZCCP) and Health Communication Partnership Zambia (HCP). Funded by the United Kingdom (UK) Department of International Development (DFID), United Nations Population Fund (UNFPA), Soul City Institute for Health and Development, and United States Agency for International Development (USAID).

Sources

Emails from John Nyirenda of Zambian Centre for Communications Programmes (ZCCP) and Faraz Naqvi on June 23 2009 and October 26 2009, respectively; and One Love. Kwasila! website May 7 2010 and email from John Nyirenda on May 17 2010.

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