Definition IEC can be defined as an approach which attempts to change or reinforce a set of behaviors in a target audience regarding specific problem in a predefined period of time. Reproductive health and research, WHO
IEC concept
Aims To change the health behavior of individuals, family and community. To prepare background or basis for change in health behavior. To change the norms of the community. To facilitate education for audience about public health and to create awareness in public opinion. To obtain social, political support for health activities.
Scope or Fields of IEC in relation to health
Approaches of IEC The approaches of IEC are based upon following fields or subjects Diffusion theory Social marketing Behavioural analysis Instructive design Anthropolog y
INFORMATION This consists of providing scientific knowledge to the people about the health problems and how to prevent them and promote and maintain health.
Definition Health education can be defined as a process aimed at encouraging people to want to be healthy, to know how to stay healthy, to do what they can individually and collectively to maintain health and to seek help when needed. The Declaration of Alma Ata(1978)
Aims and objectives To encourage people to adopt and sustain health promoting life style and practices. To promote the proper use of health services available to them. To arouse interest, provide new knowledge, improve skills and change attitudes in making rational decisions to solve their own problems. To stimulate individual and community self reliance and participation to achieve health development through individual and community involvement at every step from identifying problems to solve them.
Approaches to health education Regulatory Service approach Health education approach Primary health care approach
Models of health education Medical model Motivation model Social intervention model
Principles of health education Credibility Interest Participation Motivation Comprehension Reinforcement
Principles of health education 7. Learning by doing 8. Known to unknown 9.Setting an example 10. Good human relations 11. Feed back 12. Leaders
COMMUNICATION The word communication is derived from latin word , communicare which means to participate, to inform, or impart. Communication can be regarded as a two way process of exchanging or shaping ideas, feelings and information.
The process of communication
Types of communication One way communication Two way communication Verbal communication Non verbal communication Formal and Informal communication Visual communication Tele communication and internet
Barriers of communication Physiological Linguistic barriers Psychological Organizational barriers Environmental Cultural
Functions of Health communication Information Education Motivation Persuasion Counseling Raising morale Health development Health organization
AUDIOVISUAL AIDS Auditory aids Visual aids Not requiring projection Requiring projection Combined AV aids
METHODS IN HEALTH COMMUNICATION Individual approach Group approach Mass approach
Measures for successful Communication Clarity of thought with simple and understandable language. Use two way communication Usefulness of health message Proper use of audio visual aids, gestures, words and pictures. Credibility and genuiness of communication. Topics for health education according to requirement, feelings, beliefs and experiences of people. Latest and reliable information. Correct medium or method of communication. Appropriate attention to verbal as well as non verbal messages.
Measures for successful Communication Increase communication skill by Be confident in your ability to relate people. Be honest with your feelings. Be sensitive to the needs of others. Be consistent and know yourself. Recognize symptoms of anxiety. Recognize differences. Use words carefully. Recognize and evaluate your actions and responses. Be careful in non verbal communication.
STEPS FOR HEALTH EDUCATION PROGRAMME
Process of health education Giving information/questioning Contracting Demonstration and return demonstration Environmental cuing Group norms System change.
IEC STRATEGY
BEHAVIOUR CHANGE COMMUNICATION (BCC) BCC can be defined as a process that motivates people to adopt and sustain healthy behavior and life styles
Steps for BCC Programme . Analysis Strategic design Development and pretesting Implementation and monitoring Evaluation
HEALTH EDUCATION AGENCIES
International level International union for health education Health Education and Health Promotion HEHP(WHO) Division of Public information and Public relation(WHO)
National level Central Health Education Bureau (CHEB) Under the Ministry and Broad casting, different division or units are playing important part in providing health education to community.
Central Health Education Bureau (CHEB) Objectives To make available facilities of communication for health education. To carry out training and research in health education. To exchange latest information about the development and programmes . To publish and distribute various health bulletins, magazines and information. To provide technical support to central and state health services and various health organizations.
Central Health Education Bureau (CHEB) Divisions Training division Publicity division Editorial division Health education division Regional study division Exhibition center division Professional syllabus division Research and evaluation division
Under the Ministry and Broad casting, different division or units Press information Bureau(PIB) Directorate of field publicity Directorate of advertising and Visual publicity Prasar Bharti Songs and Drama division National medical Library
State level State Health Education Bureau IEC bureau under their health ministry. Besides the state agencies, the divisions/wings/units of central health education agencies
District level All district level health officers family planning officers RCH wings . District information centres District Collector
Local level In cities; Municipalities, municipal corporation, development authorities etc In villages panchayats, Block development officers Beside these various NGOS and voluntary organizations, health and nursing professional associations
NURSES RESPONSIBILITY IN IEC
NURSES RESPONSIBILITY IN IEC The nurse should consider the following points in health education To gain confidence of people. To arouse the interest in people about good health. To motivate them to bring about changes in habits for healthy life. To prepare them for utilization of available health services. To develop a sense of responsibility among people towards good health of the whole community.
NURSES RESPONSIBILITY IN IEC A friendly and cooperative feeling should be kept for health education. The opportunities for health education should be widely used. It is necessary to select the subject matter cautiously. The nurse should be proficient in the art of incidental and timely health education. It is necessary to use appropriate audio visual aids to enhance the effect of health education.
NURSES RESPONSIBILITY IN IEC The sufficient preparation and cooperation of the government and voluntary agencies, central health education bureau, state health education bureau, directorate of audio visual publicity, local leaders, teachers, health workers etc. It is necessary to remove various obstacles in communication. Health education should be planned and continuous. Periodical evaluation and expected correction of health education programmes with the help of various tools and observation are also the responsibilities of a nurse.