African development action with informed and engaged societies
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Media Million Lives Project

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Media Million Lives is an initiative launched by Development Media International (DMI) to create integrated radio, television, and mobile phone campaigns to promote key maternal and child health behaviours in ten African countries, with the objective of saving a million lives. The project is running a five-year cluster-randomised controlled trial in Burkina Faso, funded by the Wellcome Trust and Planet Wheeler Foundation, to test these predictions in a real-life setting.

Communication Strategies

According to DMI, there is strong evidence that radio and television campaigns alone can convince families to adopt behaviours that will save children’s lives. DMI worked with epidemiologists at the London School of Hygiene & Tropical Medicine to develop a mathematical model that predicts and measures how many lives can be saved by mass media campaigns. It predicts that a multi-issue campaign in a typical sub-Saharan African country will reduce child deaths by 16-23%, neonatal deaths by 5-21%, and maternal deaths by 2-20%, and that running campaigns in ten African countries for five years each will save a million lives.

To achieve this, an approach was adopted called Saturation+, covering the three essential components for success:

  • Saturation: broadcasting at very high intensity, on popular stations, in local languages.
  • Science: designs that are informed by mathematical modelling to maximise our health impact, and robust impact measurement.
  • Stories: a creative process that is informed by research and that employs the best local and global talent to develop entertaining, persuasive, culturally targeted content.

According to DMI, their evidence base suggests a strong correlation between message frequency and impact. They broadcast radio and TV spots at least three times per day. This is particularly important when the audience is not consuming media throughout the day at regular times. They also broadcast daily dramas, as well as using "concept placement" to insert key health messages into existing, popular radio and TV programmes.

Information about the campaign and progress is being shared through the Media Million Lives website.

Development Issues

Maternal health, Child Health

Key Points

In 2011, one in nine children in sub-Saharan Africa died before their fifth birthday. Almost two-thirds of these deaths could be avoided by increasing coverage of simple, existing and affordable health interventions, such as exclusive breastfeeding and hand washing. However, coverage rates for these interventions in sub-Saharan Africa remain low. Many children die simply because their parents do not take these simple steps. According to DMI, radio and TV campaigns that encourage healthy behaviours in mothers and children can reduce the number of child deaths by up to 23%.