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Risk Communication and Community
Engagement
Clinicians
By the end of this unit, you will be able to…
1. Explain what is risk communication
2. Understand the importance of perception and trust
when communicating
3. Describe compassionate communication and
learning
4. understand how adults learn
What is risk communication?
Information
& Engagement
Decision Action
(risk
reduction)
 Risk Communication(s) refers to the
real-time exchange of information,
advice and opinions between experts
or officials and people who face a
threat (hazard) to their survival, health
or economic or social well-being.
 Its ultimate purpose is that everyone
at risk is able to take informed
decisions to mitigate the effects of
the threat (hazard) such as a disease
outbreak and take protective and
preventive action.
Characteristics of information during an emergency
High demand for
information
Urgent time frame
Requires rapid and
effective
dissemination
Use preferred
channels of key
audiences
Existing
information
sharing networks
Political
influences
Misinformation “resistance” Rumors
Adapted to
cultural,
educational aspects
New Media
Non traditional
Media
Information handled well can strengthen TRUST
Unique features of Information during
emergencies
• There is incomplete or
limited information
• Information and advice may
change as the emergency
evolves
• Depending on the nature of
the emergency, affected
populations may have heightened
levels of anxiety and fear causing
reactive emotional states
Reactive States
States of negative emotions – Closed State
• Anger, Hurt, pain, frustration
• Flee , Fight, Freeze
• These are closed states – Hardly connect with other people
• What would happen if approached in this state ?
03/03/2020
Risk communication building blocks
Technical
information
3
Values
4
Expression
of care
5
Trust
2
Credibility
1
Trust is made of audience perceptions
Expertise
Good
character
Identification
Good
will
You know what you are talking about
 You know how to fix problem
 You agree with other known experts
 You are telling me
the truth
 You are not omitting
information
 You are reliable
You share my values, experience
and my fate
You care about me
You know and address
my concerns
Compassionate Communication
• Communication
• Compassion
10 |
What is compassionate communication
 Communication
– To make known; impart.
– To have an interchange, of ideas.
– To express oneself in such a way that one is readily and clearly understood.
– To be connected.
– [Lat. communicare, to make common.]
 Compassion
Feeling or showing empathy and concern for others
11 |
Are the words here Compassionate ?
 You Drink too much
 You are responsible for your sickness
 Your house is very dirty
Emphasize that sick people or their families are likely to have intense
emotions such as fear and anger with such words
03/03/2020
12 |
Main Skills In Compassionate Communication
 Prioritise connections - Relationship first / Friendliness
 Avoid Blaming for their situation
 Request,do not demand
 Understand underlying needs
03/03/2020
13 |
Conclusion:
 We Need to realise that health is highly personal matter influenced by
many determinants some beyond the scope of the affected person or
community
 Compassionate communication is important because people need to
feel listened to, understood and cared about, in other to trust health
collaboration with frontline staff.
03/03/2020
14 |
Areas of Communication
Communication is broken down into 3 areas;
The words you speak
Your facial expression and body language (non verbal)
Tone of voice
Note: Match your Words with your Body Language
15 |
Tip 4: Respect the Seven C’s of
Public Health Communication
 1. Command Attention
 2. Clarify / Simplify message
 3. Communicate a benefit / The why of what they do
 4. Consistency counts
 5. Cater to the HEART and HEAD
 6. Create trust
 7. Call to Action / Tell what to do / procedure
16 |
Visualizing your target audience
Understanding your audiences
and their needs
We tend to concentrate on what
we know and don’t always think
about the audience:
– who they are, what their
perspectives / views are
17 |
Perception
 Not Logical
 influenced by culture
 not always expressed verbally
 shows in behavior
Perception Exercise
• Check the Figure and tell How many Lines it posses..
• Note : They way we perceive things determines how we behave, what
effects that behavior may have on our health, what communication
messages and method is required to modify that behavior
Perception
Perceived
• Self Efficacy – whether we have the knowledge and skills
• Positive Consequences – what advantages will arise from action
• Negative Consequences – what negative results
• Social norm – Who will support the action e.g family
• Action Efficacy – Does the action worth any benefit
• Severity – How severe will it be if it happens
 That Corona does not affect black very much
HEALTH
programme
EMERGENCIES
• Telling people what to do,
however scientific, does not
always work. Engaging them is
more effective.
• People live in unique social-cultural
contexts, with relationship
dynamics, and their own perception
of risks, and trusted sources of
advice, that influence if they accept
health advice or not.
Two challenges to changing behaviour
HEALTH
programme
EMERGENCIES
Adult learning principles
AUDITORY - listening to
explanations
VISUAL - seeing pictures,
words, diagrams
KINESTHETIC - actually
doing the activity
HEALTH
programme
EMERGENCIES
It’s not what you (the clinician) know
that counts, it’s what they (the patients)
will remember.
A
d
u
l
t
L
e
a
r
n
i
n
g
P
r
i
n
c
i
p
l
e
s
23 |
The patient is always thinking…
WIIFM ?
24 |
Stigma
• Effects
• Patients and family
• Service provider and institution
The impact of stigma
Stigma can….
• drive people to hide the illness to avoid
discrimination.
• stop people from seeking health care
immediately and
• prevent people from adopting healthy
behaviors.
25/02/2020
“This is the time for facts, not fear.
This is the time for science, not rumors.
This is the time for solidarity, not stigma.
𝑾𝒆 𝒂𝒓𝒆 𝒂𝒍𝒍 𝒊𝒏 𝒕𝒉𝒊𝒔 𝒕𝒐𝒈𝒆𝒕𝒉𝒆𝒓."
Dr. Tedros
Reduce risk of coronavirus infection
1 2 3
Frequently clean hands by using
alcohol-based hand rub or soap
and water
When coughing and sneezing
cover mouth and nose with flexed
elbow or tissue – throw tissue
away immediately and wash
hands
Avoid close contact with anyone
that has fever and cough
What can I do to prevent the spread of COVID-19?
03/03/2020
If you feel unwell, stay home
Do not go to work, to school or
to public spaces to avoid
transmission of COVID-19 to
others in the community.
If you are unwell, you should self-isolate and self-monitor to avoid
possible transmission to people in your community and family.
Thank you for your attention!
Receptive States
Positive intense emotions – Open State
Celebration, happiness, Success
People in this state are easy to connect and communicate, they
are receptive and act on messages easily
03/03/2020

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Module 16_Communicationllllllll EDITTED.ppt

  • 1. Risk Communication and Community Engagement Clinicians
  • 2. By the end of this unit, you will be able to… 1. Explain what is risk communication 2. Understand the importance of perception and trust when communicating 3. Describe compassionate communication and learning 4. understand how adults learn
  • 3. What is risk communication? Information & Engagement Decision Action (risk reduction)  Risk Communication(s) refers to the real-time exchange of information, advice and opinions between experts or officials and people who face a threat (hazard) to their survival, health or economic or social well-being.  Its ultimate purpose is that everyone at risk is able to take informed decisions to mitigate the effects of the threat (hazard) such as a disease outbreak and take protective and preventive action.
  • 4. Characteristics of information during an emergency High demand for information Urgent time frame Requires rapid and effective dissemination Use preferred channels of key audiences Existing information sharing networks Political influences Misinformation “resistance” Rumors Adapted to cultural, educational aspects New Media Non traditional Media Information handled well can strengthen TRUST
  • 5. Unique features of Information during emergencies • There is incomplete or limited information • Information and advice may change as the emergency evolves • Depending on the nature of the emergency, affected populations may have heightened levels of anxiety and fear causing reactive emotional states
  • 6. Reactive States States of negative emotions – Closed State • Anger, Hurt, pain, frustration • Flee , Fight, Freeze • These are closed states – Hardly connect with other people • What would happen if approached in this state ? 03/03/2020
  • 7. Risk communication building blocks Technical information 3 Values 4 Expression of care 5 Trust 2 Credibility 1
  • 8. Trust is made of audience perceptions Expertise Good character Identification Good will You know what you are talking about  You know how to fix problem  You agree with other known experts  You are telling me the truth  You are not omitting information  You are reliable You share my values, experience and my fate You care about me You know and address my concerns
  • 10. 10 | What is compassionate communication  Communication – To make known; impart. – To have an interchange, of ideas. – To express oneself in such a way that one is readily and clearly understood. – To be connected. – [Lat. communicare, to make common.]  Compassion Feeling or showing empathy and concern for others
  • 11. 11 | Are the words here Compassionate ?  You Drink too much  You are responsible for your sickness  Your house is very dirty Emphasize that sick people or their families are likely to have intense emotions such as fear and anger with such words 03/03/2020
  • 12. 12 | Main Skills In Compassionate Communication  Prioritise connections - Relationship first / Friendliness  Avoid Blaming for their situation  Request,do not demand  Understand underlying needs 03/03/2020
  • 13. 13 | Conclusion:  We Need to realise that health is highly personal matter influenced by many determinants some beyond the scope of the affected person or community  Compassionate communication is important because people need to feel listened to, understood and cared about, in other to trust health collaboration with frontline staff. 03/03/2020
  • 14. 14 | Areas of Communication Communication is broken down into 3 areas; The words you speak Your facial expression and body language (non verbal) Tone of voice Note: Match your Words with your Body Language
  • 15. 15 | Tip 4: Respect the Seven C’s of Public Health Communication  1. Command Attention  2. Clarify / Simplify message  3. Communicate a benefit / The why of what they do  4. Consistency counts  5. Cater to the HEART and HEAD  6. Create trust  7. Call to Action / Tell what to do / procedure
  • 16. 16 | Visualizing your target audience Understanding your audiences and their needs We tend to concentrate on what we know and don’t always think about the audience: – who they are, what their perspectives / views are
  • 17. 17 | Perception  Not Logical  influenced by culture  not always expressed verbally  shows in behavior
  • 18. Perception Exercise • Check the Figure and tell How many Lines it posses.. • Note : They way we perceive things determines how we behave, what effects that behavior may have on our health, what communication messages and method is required to modify that behavior
  • 19. Perception Perceived • Self Efficacy – whether we have the knowledge and skills • Positive Consequences – what advantages will arise from action • Negative Consequences – what negative results • Social norm – Who will support the action e.g family • Action Efficacy – Does the action worth any benefit • Severity – How severe will it be if it happens  That Corona does not affect black very much
  • 20. HEALTH programme EMERGENCIES • Telling people what to do, however scientific, does not always work. Engaging them is more effective. • People live in unique social-cultural contexts, with relationship dynamics, and their own perception of risks, and trusted sources of advice, that influence if they accept health advice or not. Two challenges to changing behaviour
  • 21. HEALTH programme EMERGENCIES Adult learning principles AUDITORY - listening to explanations VISUAL - seeing pictures, words, diagrams KINESTHETIC - actually doing the activity
  • 22. HEALTH programme EMERGENCIES It’s not what you (the clinician) know that counts, it’s what they (the patients) will remember. A d u l t L e a r n i n g P r i n c i p l e s
  • 23. 23 | The patient is always thinking… WIIFM ?
  • 24. 24 |
  • 25. Stigma • Effects • Patients and family • Service provider and institution
  • 26. The impact of stigma Stigma can…. • drive people to hide the illness to avoid discrimination. • stop people from seeking health care immediately and • prevent people from adopting healthy behaviors. 25/02/2020 “This is the time for facts, not fear. This is the time for science, not rumors. This is the time for solidarity, not stigma. 𝑾𝒆 𝒂𝒓𝒆 𝒂𝒍𝒍 𝒊𝒏 𝒕𝒉𝒊𝒔 𝒕𝒐𝒈𝒆𝒕𝒉𝒆𝒓." Dr. Tedros
  • 27. Reduce risk of coronavirus infection 1 2 3 Frequently clean hands by using alcohol-based hand rub or soap and water When coughing and sneezing cover mouth and nose with flexed elbow or tissue – throw tissue away immediately and wash hands Avoid close contact with anyone that has fever and cough
  • 28. What can I do to prevent the spread of COVID-19? 03/03/2020 If you feel unwell, stay home Do not go to work, to school or to public spaces to avoid transmission of COVID-19 to others in the community. If you are unwell, you should self-isolate and self-monitor to avoid possible transmission to people in your community and family.
  • 29. Thank you for your attention!
  • 30. Receptive States Positive intense emotions – Open State Celebration, happiness, Success People in this state are easy to connect and communicate, they are receptive and act on messages easily 03/03/2020