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The term health communication refers to the transmission or exchange of information related to health and is often presented with the intention of influencing health-related behavior. This exchange can occur between pairs of individuals, among and between groups and organizations, and via mass media channels. Health communication is an important vehicle for change as many diseases and conditions can be prevented or managed via behavioral modifications, which can be addressed via effective health communication, in conjunction with the development of the medical and public health sectors. Effective health communicationcampaignscanbehousedwithin a larger development effort, which provides structural change, while increasing the ability of individuals to take advantage of such changes.

Major health risks in developing countries typically involve some combination or all of the following: maternal and childhood malnutrition, risky sexual behavior, sanitation and hygiene issues, lack of clean water, occupational hazards, alcohol and tobacco use, and heart disease risk factors. Targeting these risk factors can lead to reductions in the spread of/improved management of a range of diseases, from tuberculosis to HIV/AIDS or cancer. As with other efforts targeting underserved populations in developed countries, health communication programs in developing countries often face great barriers due to the target audience's lower levels of education, restricted individual agency, immediate concerns that take precedence over health, and resource constraints at the individual and community levels. Accordingly, these communication efforts often include goals linked to economic development and social mobilization. Clearly, the category of ‘developing countries’ is extremely broad and encompasses great diversity across a number of dimensions, including health communication patterns. Thus, this entry provides a broad overview of health communication in this context and provides a discussion of the range of work in this area, as well as areas for future research. Although health communication involves a wide range of information exchanges, this entry will focus on health communication campaigns, as they are a major focus for developing countries.

Health Communication Components

Health communication has informational, instrumental, social control and communal functions. The informational function refers to learning from media and other channels, such as learning how to identify safe water sources from a mass media campaign. The instrumental function is provision of information that is useful in enabling practical action, such as prompts to access reproductive services at a particular clinic. The social control function comes from defining social norms and defining the limits of what is acceptable and unacceptable in health, such as a campaign to change social norms around intimate partner violence. Lastly, the communal function can include building social support and access to social capital. These functions are balanced in a given campaign, depending on the overall goals. To develop highquality health communication campaigns, practitioners should (1) use social marketing tools to gain a deep understanding of the audience and ways to reach/convince them, (2) ground their communications in theory, and (3) use evaluation tools to understand their successes and failures in detail.

Social Marketing

Social marketing refers to use of techniques from commercial marketing to influence the behavior of a defined group, or audience, for the benefit of that group, individuals within it, or society at large. The key is that the movement refers to both internal influences, such as sociodemographic and cultural variables, and external influences, such as access to goods. Key techniques include consumer research, audience segmentation techniques, and an assessment of the marketing mix, referred to as ‘The Four P's’—product, price, place, and promotion.

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