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Zambia Health + Design Summit

IDEO.org planned and facilitated a Health + Design Summit introducing human-centered design to behavior change professionals in Zambia.

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Designing a successful communication campaign

IDEO.org/" target="_blank">IDEO.org kicks off a new project in Zambia conducting research in advance of a potential summit that aims to introduce human-centered design to the process of developing communications products and social change campaigns for public health stakeholders.

IDEO.org" target="_blank">IDEO.org" target="_blank">IDEO.org" target="_blank">IDEO.org" target="_blank">IDEO.org" target="_blank">IDEO.org/" target="_blank">IDEO.org kicked off a new project in Zambia as part of a project with Chemonics on the USAID-Funded Communications Support for Health Project (CSH). The team will be conducting design research in advance of a potential summit to bring together a community of social and behavior change communications practitioners and other relevant stakeholders. The goal of the potential summit is two-fold: to introduce human-centered design to the process of developing communications products and campaigns for social change and to create a supportive and sustainable community for these practitioners. A goal for the conference would be that participants cut across all major health sectors in Zambia including malaria, nutrition, maternal health, reproductive health, and HIV/AIDS.

The IDEO.org team is looking for ways to avoid "workshop fatigue" for potential conference attendees by engaging participants in a hands-on interactive way with a series of design challenges. The hope is to help practitioners and decision makers connect more directly to the end user, beneficiary and the Zambian population across demographics that they are trying to reach. The end result will hopefully be an inspired network of public health stakeholders who will be able to more effectively engage Zambians with public health messages that are more than informational posters and booklets. 

Prior to departing for Zambia, the IDEO.org team spoke with Karen Greiner, an expert in communication for social change. Greiner explained that previous public health campaigns have often focused on the individual. -- Abstain. Be faithful. Use a condom. -- Use a mosquito net to avoid malaria. -- Recently, scholars like Greiner have begun thinking about social interactions within the community as a whole, hypothesizing that people make decisions based upon the environments they live in and the people that they know. The IDEO.org team also spoke with Amy Lockwood, Deputy Director of the Center for Innovation in Public Health at Stanford. Lockwood, with a background in marketing, advised the team to review basic marketing practices that look to uncover a person’s aspirations, values, attitudes and beliefs. She also encouraged the team to really look for the people on the ground in Zambia who know how to design and execute effective behavior change messaging, and then connect these individuals and their expertise more intimately to the project.

IDEO.org Fellows Emily Friedberg and Sarah Lidgus arrived in Zambia last week and are already off to a great start. They were briefed by the project team and their primary contact at the Ministry of Health, the Chief Health Promotion Officer. The team also spent time on the outskirts of Lusaka in a neighborhood called Linda Compound where they met with community health volunteers at Light of Hope. IDEO.org Fellow Jess Vechakul had worked previously with Light of Hope to design a bike ambulance and introduced the team to the group. It was an amazing day of interviews and time spent with the community. The team interviewed an HIV/AIDS counselor, two volunteer caregivers, and the director of Light of Hope, John Shawa. Everyone had a vivid and inspiring story to tell including what it is like to find out that you are HIV positive and how hard it is to continue your education when you become pregnant at a very young age.

A few key insights are already emerging:

  • People trust information coming from people they know on a person-to-person level.
  • There is too big a gap between the planners / decision makers and the people they are trying to reach in the public health community. This gap impairs the effectiveness of existing communications campaigns
  • Health is an issue that needs to be addressed both on a community level as well as an individual level.

The team is hoping to explore these insights in the coming week and is already thinking about a design challenge for the potential summit that would encourage participants to go out into communities to gather information. The community versus individual problem insight is also prompting the question: “How might we create a holistic health campaign that encompasses all sectors and identified health practices as a collective problem?”

Check back soon for another update…

Discuss this Story

Julia Sevilla

This is a fantastic initiative. It is great that Jess Vechakul previously worked with Light of Hope. The community must already know her and trust her in some way. Would you be able to share how the interviews were conducted and what kind of questions were asked?

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Sure thing, Julia. We had a few leads of potential interviewees going into Zambia, but mostly we relied on the people we met to suggest other people we might want to interview. Light of Hope was an inspiring place to start, and our client also had some great ideas about who we might speak with. As it happens so often in the field, you figure it out as you go along!

Here's an sample of the kinds of questions we asked different kinds of people:


Zambian Public

What do you think are the most appealing products in the market? Why?
What is your favorite advertising campaign and why?
Which billboards do you like?
How do you receive information?
How do you communicate to your friends? Family? Co-workers? Other people?
What’s the next thing that you are going to buy that’s necessary?
What’s the next thing you’d like to have that isn’t necessary?
Who are the most important influences to you?
Who is the most popular celebrity?
Who do you admire and why?
Do you have any new habits? How did those come about?
What do you do to stay healthy?
How did your mom teach you to stay healthy?
What are health “old wives tales” or myths that you’ve heard as part of your upbringing? “apple a day “ or “wind or wet hair gives you a cold” etc..
Can you show us what’s in your purse? Show us around your house?
What are the TV shows you watch? Magazines/newspapers you read?
What was the last surprising or interesting thing you learned about health?
What do people say about Malaria? HIV/AIDS? Nutrition? Reproductive Health/Family Planning? Child and Maternal Health?


BCC Practitioners (all questions above too)

What kinds of behavior are they trying to promote?
Who are the most vulnerable or at risk segments of the population?
What techniques do you currently use for communication? And why?
What do you think are the strengths and weaknesses of the BCC community?
What is your relationship with others doing similar work?
Do you think it is important to have a community of practitioners? Why?
What are your strengths and weaknesses in communication for social change? What would you like to be better at? What do you think you do well?
What’s hardest thing about your job?
Are there any messages from your childhood that you still remember around health? Things your mom told you growing up?
Why do you think your issue is important?
Who else do you think your messaging affects beyond the target audience?
Who are the influencers of your audience?
What is the single most important health issue of our time in your view and why?

Health Clinics\Workers \Pharma

What are the most common health problems and health behaviors that lead to them?
Where do you find the greatest discrepancy between what people say and what people do?
What methods do you have of communicating to patients?
What are they most receptive to?
What are they advertising in health clinics and what services do they actually offer?

Advertising/PR/Marketing

What are your most successful products/services?
What has been your most successful advertising campaign? Which channels?
Who were you trying to reach?
Was anything surprising when you were doing your market research?

Vicki Fu

It is a well organized intro for your project. I totally agree about the "workshop fatigue" you mentioned in the text. Hands on interactive method will be a effective way to melt the barriers between planners and end users, but I'd like to know more about what kind of method that your team will use to engage stakeholders into design challenges? Would you like to share with us within your next update?

1 Comment

Hi Vicki. Yes! As soon as we land on a design challenge, we will report back on that and other updates!

Ellis Kalengo

I liked your story. let me comment on the gap between planners and the service receipients, its true this is one issue that makes it difficult in the utilization of services because so often planners use what i would call "push kind of deliverying services instead of a pull by the community". by that people are given a service that they dont really need or want. Let us engage our communities at an early stage of our projects, and never should we cheat on our donors on community perceiption on whatever donations they give us for our own benefits.

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