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Int. J. Environ. Res. Public Health 2018, 15(1), 11; https://doi.org/10.3390/ijerph15010011

Evaluation of Behavior Change Communication Campaigns to Promote Modern Cookstove Purchase and Use in Lower Middle Income Countries

1
Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA
2
Berkeley Air Monitoring Group, Berkeley, CA 94704, USA
3
Micro Industries Development Assistance and Services (MIDAS), Dhaka 1209, Bangladesh
4
Eco Consultancy, Nairobi, Kenya
5
The Global Alliance for Clean Cookstoves, Washington, DC 20006, USA
*
Author to whom correspondence should be addressed.
Received: 31 October 2017 / Revised: 18 December 2017 / Accepted: 19 December 2017 / Published: 22 December 2017
(This article belongs to the Special Issue Environmental Hygiene)
Full-Text   |   PDF [316 KB, uploaded 11 January 2018]

Abstract

Nearly three billion people worldwide burn solid fuels and kerosene in open fires and inefficient stoves to cook, light, and heat their homes. Cleaner-burning stoves reduce emissions and can have positive health, climate, and women’s empowerment benefits. This article reports on the protocol and baseline data from the evaluation of four behavior change communication (BCC) campaigns carried out in lower to middle income countries aimed at promoting the sale and use of cleaner-burning stoves. Interventions implemented in Bangladesh, Kenya, and Nigeria are using a range of BCC methods including mass media, digital media, outdoor advertising, and inter-personal communication. The mixed methods evaluation comprises three large-scale surveys: one pre-BCC and two follow-ups, along with smaller scale assessments of stove uptake and patterns of use. Baseline results revealed varying levels of awareness of previous promotions and positive attitudes and beliefs about modern (i.e., relatively clean-burning) cookstoves. Differences in cookstove preferences and behaviors by gender, socio-demographics, media use, and country/region were observed that may affect outcomes. Across all three countries, cost (lack of funds) a key perceived barrier to buying a cleaner-burning stove. Future multivariate analyses will examine potential dose-response effects of BCC on cookstove uptake and patterns of use. BCC campaigns have the potential to promote modern cookstoves at scale. More research on campaign effectiveness is needed, and on how to optimize messages and channels. This evaluation builds on a limited evidence base in the field. View Full-Text
Keywords: modern cookstoves; behavior change communication; social marketing; outcome evaluation; low and middle income countries; Bangladesh; Kenya; Nigeria; public health modern cookstoves; behavior change communication; social marketing; outcome evaluation; low and middle income countries; Bangladesh; Kenya; Nigeria; public health
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Evans, W.D.; Johnson, M.; Jagoe, K.; Charron, D.; Young, B.N.; Rahman, A.S.M.M.; Omolloh, D.; Ipe, J. Evaluation of Behavior Change Communication Campaigns to Promote Modern Cookstove Purchase and Use in Lower Middle Income Countries. Int. J. Environ. Res. Public Health 2018, 15, 11.

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