Online Program

291305
Reach and recall of the tuko wangapi? tulizana concurrent sexual partnerships campaign in Tanzania


Wednesday, November 6, 2013

Benjamin Kamala, MPH, MD, Center for Communication Programs, Johns Hopkins University, Dar es Salaam, Tanzania
Gloria David, Center for Communication Programs Tanzania, Johns Hopkins University, Dar es Salaam, Tanzania
Susan Mlangwa, PhD, Center for Communication Programs, Johns Hopkins University, Dar es Salaam, Tanzania
Jennifer Orkis, MHS, Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Dar es Salaam, Tanzania
Deo Ng'wanansabi, Center for Communication Programs Tanzania, Johns Hopkins University, Dar es Salaam, Tanzania
Robert Karam, MA, Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Dar es Salaam, Tanzania
Abu Msemo, Center for Communication Programs Tanzania, Johns Hopkins University, Dar es Salaam, Tanzania
Robert Ainslie, MA International Affairs, Johns Hopkins Bloomberg School of Public Health Center for Communication Programs, Dar es Salaam, Tanzania
Concurrent sexual partnerships are believed to be a major driver of new HIV infections in Tanzania. In June 2012, Tanzania launched Tuko wangapi? Tulizana (How many are we? Settle down), a national campaign designed to reduce concurrency. A cross-sectional survey was fielded in all regions of Tanzania in December 2012 with 2,000 respondents aged 18 years and above. Fifty-eight percent (n=1153) of respondents were able to correctly complete the campaign phrase, and 68.5% (n=1370) reported having heard or seen a message on the campaign when prompted. Exposure was higher in urban areas (81%) than rural (63%, p<0.001), and increased significantly with increasing education level (None=39%, Primary=63%, Secondary=85%, Post-Secondary=94%; p<0.001). Exposure decreased significantly with increasing age (18-24=81%, 25-34=72%, 35-44=63%, 45+=55%, p<0.001). There was no significant difference by gender (males=70%, females=67%; p=0.142). Radio (61%) and TV (33%) were the most frequent sources of information. Respondents reported that the campaign encouraged them to stop having concurrent partnerships (54.6%), not get involved in the sexual network (37.4%), reduce the number of sexual partners (39.1%), practice safe sex (22.8%) and communicate with others about concurrent partnerships (9.1%). Forty-one percent (n=567) of those exposed reported to have discussed the campaign with someone else, with sexual partner (62.8%) and friends (58.9%) most frequently cited. The campaign has been successful in reaching a younger, urban audience with higher levels of education and stimulating conversation. While the data suggests that understanding of campaign messages is as intended, further research is needed to determine impact on behavior.

Learning Areas:

Communication and informatics
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the reach and recall of the Tuko wangapi? Tulizana concurrent sexual partnerships campaign in Tanzania.

Keyword(s): HLA Typing, Media Campaigns

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in behavior change communication and public health for the last 20 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.