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Articles 811 - 840 of 846
Full-Text Articles in Health Communication
Women's Health And Fitness Magazines: An Accurate Portrayal?, Jennifer M. Shymansky
Women's Health And Fitness Magazines: An Accurate Portrayal?, Jennifer M. Shymansky
UNLV Theses, Dissertations, Professional Papers, and Capstones
This study is a content analysis examining the representation of health information, particularly the leading causes of death, in cover story headlines of one year of the top women's health and fitness magazines: Prevention , Shape , Fitness , Self , Health and Women's Health. The study is grounded in social responsibility theory, a normative media theory. The findings show that women's health and fitness magazines' cover story headlines predominately discuss diet and exercise for weight loss, rather than the leading causes of death facing women. This under representation of actual societal health concerns can limit the vast readerships' health …
The Afford Health Marketing Initiative In Uganda: Mid-Term Evaluation, Oleksandr Rohozynsky, Christie Billingsley, Annette Bongiovanni
The Afford Health Marketing Initiative In Uganda: Mid-Term Evaluation, Oleksandr Rohozynsky, Christie Billingsley, Annette Bongiovanni
HIV and AIDS
AFFORD is a five-year (2005–10) social marketing initiative financed by the United States Agency for International Development (USAID)/Uganda. It supports the Uganda Ministry of Health’s strategic plan to promote positive health-care-seeking behavior and reduce the shortage of health products and services related to family planning and reproductive health; child health; malaria prevention and treatment; and HIV prevention, care, and treatment. AFFORD seeks to achieve the sustainable marketing of products and services that prevent transmission of HIV, malaria, and diarrheal diseases; to help couples plan their families; and to help people living with HIV enjoy improved quality of life. Target groups …
Examining Conversational Constraints In Vietnamese Patient-Doctor Communication: A Case Study, Kimberly Tran
Examining Conversational Constraints In Vietnamese Patient-Doctor Communication: A Case Study, Kimberly Tran
XULAneXUS
The purpose of this study was to determine the use of conversational constraints among older members of the New Orleans Vietnamese community within the primary healthcare context. A purposive sample of seven Vietnamese male and five Vietnamese female immigrants between the ages of 47 and 80 was interviewed. Conversational constraints were evident in the responses relating to communication with physicians. The respondents emphasized relational conversational constraints such as minimal imposition on the physician’s autonomy, prevention of hurting the physician’s feelings, and prevention of negative evaluation by the physician. Conversely, task-oriented conversational constraints such as concern for clarity and effectiveness were …
Health Communication Theories: Implications For Hiv Reporting In Asia And The Pacific, Trevor Cullen
Health Communication Theories: Implications For Hiv Reporting In Asia And The Pacific, Trevor Cullen
Research outputs pre 2011
This paper focuses on the expanding HIV (Human Immunodeficiency Virus) epidemic in parts of Asia and the Pacific region and recommends the adoption of insights from particular health communication theories. The author argues that these paradigms can assist in broadening the current scope and content of HIV reporting. One theory in particular - Social Change Communication (SCC) - challenges the media to extend the framing of HIV from primarily a health story to one that is linked to more macro socio-economic, cultural and political factors. Asian and Pacific countries that have an emerging or expanding HIV epidemic need to realise …
The Rhetorical Strategies Of Pregnancy Support Centers Including The Visual Rhetoric Of Fetal Ultrasound Technology, Raymond Kyle Jones
The Rhetorical Strategies Of Pregnancy Support Centers Including The Visual Rhetoric Of Fetal Ultrasound Technology, Raymond Kyle Jones
Dissertations
This study examined the rhetorical strategies, including verbal and visual rhetoric, of pregnancy support centers that provide clients with fetal ultrasounds to persuade those who may be considering abortion as a means of resolving their unplanned pregnancy to carry to term. Qualitative data were gathered from 12 interviews of directors and ultrasound personnel from 7 states as well as from television advertisements and printed material. Eighteen research questions investigating the rhetorical transactions between centers and clients were answered. Rhetorical analyses were performed on the verbal and visual messages used in client interactions.
The grounded theory approach of inquiry resulted in …
Art Therapy With Native American Cancer Survivors: An Observation Of Nonverbal Communication Styles, Kathryn Dengler
Art Therapy With Native American Cancer Survivors: An Observation Of Nonverbal Communication Styles, Kathryn Dengler
EVMS School of Health Professions Theses & Dissertations
There is a high morbidity rate among Native American women with breast cancer. Research suggests that traditional beliefs in addition to miscommunication within the healthcare setting may affect the treatment Natives receive. This study observed the nonverbal communication patterns of ten Native American cancer survivors participating in an art psychoeducational workshop. Mapping techniques and situational analysis were used to observe nonverbal communication patterns during the workshop. It was hypothesized that Native Americans would use nonverbal cues more readily than verbal communication.
The results of the study supported the hypothesis. Nonverbal cues were the primary means of communication throughout the workshop. …
Catalyzing Personal And Social Change Around Gender, Sexuality, And Hiv: Impact Evaluation Of Puntos De Encuentro´S Communication Strategy In Nicaragua, Irela Solorzano, Amy Bank, Rodolfo Pena, Henry Espinoza, Mary Ellsberg, Julie Pulerwitz
Catalyzing Personal And Social Change Around Gender, Sexuality, And Hiv: Impact Evaluation Of Puntos De Encuentro´S Communication Strategy In Nicaragua, Irela Solorzano, Amy Bank, Rodolfo Pena, Henry Espinoza, Mary Ellsberg, Julie Pulerwitz
HIV and AIDS
Somos Diferentes, Somos Iguales (SDSI) is a communication for social change strategy whose objective is to prevent future HIV infections in Nicaragua, through mass communication actions that include educational entertainment programs, strengthening of local capacity, and the development of alliances within the communities. This report presents the results of an interinstitutional evaluation to explore the impact of SDSI on gender equity, stigma reduction, personalization of risk perception, knowledge and use of services, interpersonal communication, HIV prevention practices, and individual and collective effectiveness for HIV prevention. The impact evaluation showed that the SDSI strategy made a great contribution in key aspects …
Propiciando Cambio Personal Y Social Alrededor Del Género, Sexualidad Y Vih: Evaluación De Impacto De La Estrategia De Comunicación De Puntos De Encuentro En Nicaragua, Irela Solorzano, Amy Bank, Rodolfo Pena, Henry Espinoza, Mary Ellsberg, Julie Pulerwitz
Propiciando Cambio Personal Y Social Alrededor Del Género, Sexualidad Y Vih: Evaluación De Impacto De La Estrategia De Comunicación De Puntos De Encuentro En Nicaragua, Irela Solorzano, Amy Bank, Rodolfo Pena, Henry Espinoza, Mary Ellsberg, Julie Pulerwitz
HIV and AIDS
Somos Diferentes, Somos Iguales (SDSI) is a communication for social change strategy whose objective is to prevent future HIV infections in Nicaragua, through mass communication actions that include educational entertainment programs, strengthening of local capacity, and the development of alliances within the communities. This report presents the results of an interinstitutional evaluation to explore the impact of SDSI on gender equity, stigma reduction, personalization of risk perception, knowledge and use of services, interpersonal communication, HIV prevention practices, and individual and collective effectiveness for HIV prevention. The impact evaluation showed that the SDSI strategy made a great contribution in key aspects …
Tuko Pamoja: A Guide For Peer Educators, Program For Appropriate Technology In Health (Path)
Tuko Pamoja: A Guide For Peer Educators, Program For Appropriate Technology In Health (Path)
Reproductive Health
This guide was developed by Program for Appropriate Technology in Health (PATH) and is part of the Kenya Adolescent Reproductive Health Project’s Tuko Pamoja (We Are Together) series. Based on KARHP’s Adolescent Reproductive Health and Life Skills Curriculum, the guide is designed to help facilitate dialogue between adults and young people on issues related to adolescent reproductive health. It can be used to help peer educators share information and lead discussions with their peers on physical and emotional changes during adolescence, staying healthy, planning for the future, making good decisions, and preventing pregnancy and HIV and AIDS. The information can …
Grandir En Harmonie: Document De Références, Population Council
Grandir En Harmonie: Document De Références, Population Council
Reproductive Health
Ce document de référence fournit des informations pour accompagner les animateurs du curriculum « Grandir en harmonie » en santé de la reproduction. Il s’adresse principalement aux pairs éducateurs et aux assistants d’adolescent(e)s pour les aider à préparer les adolescents(e) à aborder la sexualité en connaissance de cause, de manière responsable et dans le respect des valeurs de leur communauté. Son contenu peut également être adapté pour les jeunes de 20 à 24 ans. Le document couvre des sujets tels que : lʼadolescence; les valeurs; le genre; les mutilations génitales féminines; comprendre son corps; le tabagisme, l’alcoolisme et la toxicomanie; …
Grandir En Harmonie: Guide De L'Utilisateur, Population Council
Grandir En Harmonie: Guide De L'Utilisateur, Population Council
Reproductive Health
Ce guide de l’utilisateur fournit des informations pour aider les animateurs du programme « Grandir en harmonie » à jouer efficacement leur rôle d’éducateur pair. Le guide décrit la mission, les tâches et la cible des activités à faire avec les adolescent(e)s/jeunes. Ces activités leur permettent de renforcer leurs capacités à prendre des décisions afin de mieux se réaliser maintenant et dans le futur. Le guide aide les animateurs avec l’organisation, la méthodologie et le matériel de soutien pour les sessions.
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This user’s guide provides information to help “Growing in Harmony” curriculum facilitators effectively carry out their role of …
Grandir En Harmonie: Curriculum D'Animation Des Pairs-Éducateurs Et Des Aides-Ados Ou Jeunes Écoutant, Population Council
Grandir En Harmonie: Curriculum D'Animation Des Pairs-Éducateurs Et Des Aides-Ados Ou Jeunes Écoutant, Population Council
Reproductive Health
« Grandir en harmonie » est un curriculum d’animation en santé de la reproduction a l’intention des pair éducateurs et des aides-adolescent(e)s, principalement, pour préparer les adolescent(e)s à aborder la sexualité en connaisance de cause, de manière responsable et dans le respect des valeurs de leur milieu. Son contenu peut aussi être utilisé par les jeunes de 20 à 24 ans, mais avec des méthodes appropriées (panel, thé-débat, etc.). D’autre types d’utilisateurs l’ont expérimenté et ont trouvé que c’était une ressource utile pour la conduite de leurs activités: aides-adolescent(e)s, enseignants, prestataires de santé et autres encadreurs de jeunes. Leurs remarques …
Grandir En Harmonie: Les Questions/Réponses Les Plus Fréquentes Posées Par Les Adolescent(E)S, Population Council
Grandir En Harmonie: Les Questions/Réponses Les Plus Fréquentes Posées Par Les Adolescent(E)S, Population Council
Reproductive Health
Ce guide compile les questions les plus fréquemment posées par les adolescent(e)s au cours du curriculum « Grandir en harmonie » en santé de la reproduction. Il s’adresse principalement aux pairs éducateurs et aux assistants d’adolescent(e)s pour les aider à répondre aux adolescent(e)s au sujet de la sexualité en connaissance de cause, de manière responsable et dans le respect des valeurs de leur communauté. Le document couvre des sujets tels que : l’adolescence, la puberté et les changements des corps; la culture et la sexualité; la santé sexuelle et la sexualité à moindre risque; la contraception et les grossesses indésirées; …
Guías De Referencia: Para Instituciones Y Establecimientos De Salud Que Buscan Acreditar La Calidad Y Enfoque De Género De Sus Servicios, Patricia Riveros Hamel, Erica Palenque, Ricardo Vernon, Ignacio Carreno
Guías De Referencia: Para Instituciones Y Establecimientos De Salud Que Buscan Acreditar La Calidad Y Enfoque De Género De Sus Servicios, Patricia Riveros Hamel, Erica Palenque, Ricardo Vernon, Ignacio Carreno
Reproductive Health
Esta guía busca presentar todos los elementos para que las organizaciones de salud reproductiva puedan implantar un sistema para mejorar la calidad de los servicios y su sensibilidad a asuntos de género a través de una estrategia de acreditación. La estrategia de acreditación comienza con una evaluación de las condiciones y servicios que ofrece la clínica, lo que permite identificar los estándares de calidad que no son cumplidos. Posteriormente, el personal de la clínica toma como insumo esta información y elabora un plan de trabajo para resolver los problemas identificados. Si la clínica demuestra cumplir cuando menos el 80 por …
Management Of Complications, Pregnancy, Childbirth And The Postpartum Period In The Presence Of Fgm/C, Kenya Ministry Of Health
Management Of Complications, Pregnancy, Childbirth And The Postpartum Period In The Presence Of Fgm/C, Kenya Ministry Of Health
Reproductive Health
This reference manual is intended for health-care providers in Kenya working among communities that have a high prevalence of female genital mutilation/cutting (FGM/C) and those who encounter women and/or girls who have undergone the practice. It was designed particularly for use by nonspecialist clinicians, including nurses/midwives, clinical officers, district medical officers, postgraduate medical officers, and medical students. It is also a resource for medical and other health-service providers at primary, secondary, and tertiary levels, particularly those working in areas with a high prevalence of FGM/C. Since the evidence base for effective clinical practice is constantly evolving, readers are encouraged to …
Internet Accessibility And Usage Among Urban Adolescents In Southern California: Implications For Web-Based Health Research, C. Anderson Johnson, Ping Sun, Jennifer B. Unger, Paula Palmer, Peggy E. Gallaher, Chih-Ping Chou, Steve Sussman, Lourdes Baezconde-Garbanati
Internet Accessibility And Usage Among Urban Adolescents In Southern California: Implications For Web-Based Health Research, C. Anderson Johnson, Ping Sun, Jennifer B. Unger, Paula Palmer, Peggy E. Gallaher, Chih-Ping Chou, Steve Sussman, Lourdes Baezconde-Garbanati
CGU Faculty Publications and Research
The World Wide Web (WWW) poses a distinct capability to offer interventions tailored to the individual’s characteristics. To fine tune the tailoring process, studies are needed to explore how Internet accessibility and usage are related to demographic, psychosocial, behavioral, and other health related characteristics. This study was based on a cross-sectional survey conducted on 2373 7th grade students of various ethnic groups in Southern California. Measures of Internet use included Internet use at school or at home, Email use, chat-room use, and Internet favoring. Logistic regressions were conducted to assess the associations between Internet uses with selected demographic, psychosocial, behavioral …
Beyond 'Hot Lips' And 'Big Nurse': Creative Writing And Nursing, Sandra Young
Beyond 'Hot Lips' And 'Big Nurse': Creative Writing And Nursing, Sandra Young
English Faculty Publications
This essay describes a special topics creative writing course designed for nursing students, and argues that creative writing strategies work to improve nurses' compositional skills. Also discussed are other potential benefits from creatively writing patients' lives, notably, the blending of arts and sciences, and the ways in which medical schools are encouraging their students to study the humanities, especially literature and creative writing. The essay includes student creative writing samples.
The essay also discusses the depiction of nurses in popular culture. M*A*S*H*, Richard Hooker’s black comedy about the antics of doctors and nurses during the Korean War, gave us “Hot …
A Body Of Her Own: Cultural Constructions Of The Female Body In A.S. Byatt's Strange Stories, Sabine Coelsch-Foisner
A Body Of Her Own: Cultural Constructions Of The Female Body In A.S. Byatt's Strange Stories, Sabine Coelsch-Foisner
Reconstruction: Studies in Contemporary Culture
[First paragraph]
Byatt's short fiction, from her first collection Sugar and Other Stories (1987) to Elementals (1998) is marked by a continuous preoccupation with the body: the body as the product of social signifying practices, the body as the site of desires, fears, and anxieties, the body as the source of experience, the body as creator and created. In brief, the body is treated as the centre of existence, consciousness and identity. Yet, these are constantly called into doubt in Byatt's stories, which depict heroines trapped between asserting their identity and submitting to cultural dictates of beauty and behavior. In …
Communicating About Aids-Changes In Understanding And Coping With Help Of Language In Urban Kagera, Tanzania, Aldin Mutembei, Maria Emmelin, Joe Lugalla, Lars Dahlgren
Communicating About Aids-Changes In Understanding And Coping With Help Of Language In Urban Kagera, Tanzania, Aldin Mutembei, Maria Emmelin, Joe Lugalla, Lars Dahlgren
Institute for Educational Development, East Africa
Faced with the problems of HIV/AIDS, people have to find ways to communicate around them. The aim of this paper is to mirror changes over time in the Kagera people's social cognition regarding HIV/AIDS, using their own language as a tracer of this process. Focus group discussions and personal and group interviews conducted during 1992 to 1995 in urban Bukoba, Kagera, constitute the basis for an analysis of metaphorical expressions in use since 1985. Pronounced uncertainty is later transformed into a deeper understanding of the pandemic and an increased disposition to cope with the situation. Knowledge about the socio-linguistic expressions …
Effect Of Seeing Tobacco Use In Films On Trying Smoking Among Adolescents: Cross Sectional Study, James D. Sargent, Michael L. Beach, Madeline A. Dalton, Leila A. Mott, Jennifer J. Tickle, M. Bridget Ahrens, Todd F. Heatherton
Effect Of Seeing Tobacco Use In Films On Trying Smoking Among Adolescents: Cross Sectional Study, James D. Sargent, Michael L. Beach, Madeline A. Dalton, Leila A. Mott, Jennifer J. Tickle, M. Bridget Ahrens, Todd F. Heatherton
Dartmouth Scholarship
Objective: To test the hypothesis that greater exposure to smoking in films is associated with trying smoking among adolescents.
Public Reaction To Mandated Language For U.S. Drinking Water Quality Reports, Branden B. Johnson
Public Reaction To Mandated Language For U.S. Drinking Water Quality Reports, Branden B. Johnson
RISK: Health, Safety & Environment (1990-2002)
The author discusses results of a survey evaluating the mandated language for United States drinking water quality reports.
Indonesia: Train Journalists To Write About Reproductive Health, Frontiers In Reproductive Health
Indonesia: Train Journalists To Write About Reproductive Health, Frontiers In Reproductive Health
Reproductive Health
After government control over the media was liberalized in 1998, Indonesian journalists had a new mandate to explore new issues and foster public debate. Several studies had found evidence that women’s health worsened from 1997–99, yet media coverage of this topic was limited. To increase press coverage of reproductive health (RH) topics, the Population Council conducted an 18-month media project in collaboration with the State Ministry for Women’s Empowerment and other key agencies. The project focused on improving RH knowledge and reporting skills among 22 print journalists. Project staff monitored RH coverage in 22 major newspapers, magazines, and tabloids. After …
Ghana: Community Workers Can Communicate Sti And Hiv/Aids Messages Effectively, Frontiers In Reproductive Health
Ghana: Community Workers Can Communicate Sti And Hiv/Aids Messages Effectively, Frontiers In Reproductive Health
Reproductive Health
To support the Government of Ghana’s plan to expand community-based distribution (CBD) programs, the Planned Parenthood Association of Ghana (PPAG) and the Population Council conducted a study in 1999 of the CBD programs of 13 nongovernmental agencies. The study also assessed in depth PPAG’s CBD program, which is the country’s largest and oldest. Data sources included interviews with 301 CBD agents, 27 supervisors, and 20 clinicians in rural and urban areas in 16 districts; observations of 51 PPAG agents interacting with 6 clients each; and 15 focus group discussions with community members, former CBD agents, and CBD clients. CBD programs …
Violence Prevention: Reaching Adolescents With The Message, James B. Tucker, James E. Barone, Julie G. Stewart, Robert J. Hogan, James A. Sarnelle, Michele M. Blackwood
Violence Prevention: Reaching Adolescents With The Message, James B. Tucker, James E. Barone, Julie G. Stewart, Robert J. Hogan, James A. Sarnelle, Michele M. Blackwood
Nursing Faculty Publications
To identify an effective medium for communicating with adolescents in a large-scale, cost-effective violence prevention program.
A set of youth violence prevention programs was established at The Stamford Hospital, a level II trauma center. The traveling version of the program was presented to middle school students in four parts: 1) a rap music video created by our violence prevention staff, 2) a facilitated discussion about dealing with anger, 3) a video of a trauma resuscitation in our emergency department, and 4) a commercial video of a teenage boy paralyzed after a gunshot wound. A written questionnaire with a five-point rating …
Getting Men Involved In Family Planning: Experiences From An Innovative Program, Directorate Of Family Planning, National Institute Of Population Research And Training, Population Council
Getting Men Involved In Family Planning: Experiences From An Innovative Program, Directorate Of Family Planning, National Institute Of Population Research And Training, Population Council
Reproductive Health
This study was designed to determine the effect of interventions on accelerated proactive male involvement in family planning (FP) and factors influencing acceptance of male contraceptive methods. It was observed that a program can be successful if management cadres can be motivated and involved in the process. Other findings suggest the importance of education and communication materials, supply of information, orientation of fieldworkers, and mobilization of resources including hands-on refresher training. Misconceptions about male contraception (particularly vasectomy) are rampant in traditional Bangladeshi society, thus ideas should be positively expressed through visual aids. Among the various communications materials, at least one …
The Effects Of Procedural Explanation In Lessening Anxiety During Dental Hygiene Care, Michelle Leigh Sensat
The Effects Of Procedural Explanation In Lessening Anxiety During Dental Hygiene Care, Michelle Leigh Sensat
Dental Hygiene Theses & Dissertations
The purpose of this investigation was to determine if procedural explanation, given during dental hygiene care, significantly reduces client anxiety. The sample consisted of 62 subjects selected randomly from the population of all current clients, with records dating from 1994 to the present, of a private general dental practice in Virginia Beach, Virginia. A randomized subjects, pretest-posttest design was used to determine ii if procedural explanation yields a significant reduction in client anxiety as opposed to no such explanation during treatment procedures, measured by the Mann-Whitney U test and Wilcoxon matched-pairs tests. The Dental Hygiene Fear Survey served as the …
Counseling The Husbands Of Postabortion Patients In Egypt: Effects On Husband Involvement, Patient Recovery And Contraceptive Use, Nahla G. Abdel-Tawab, Dale Huntington, Ezzeldin Osman Hassan, Hala Youssef, Laila Nawar
Counseling The Husbands Of Postabortion Patients In Egypt: Effects On Husband Involvement, Patient Recovery And Contraceptive Use, Nahla G. Abdel-Tawab, Dale Huntington, Ezzeldin Osman Hassan, Hala Youssef, Laila Nawar
Reproductive Health
An ANE OR/TA Project qualitative study conducted in 1995 probed into women’s perceptions of abortion in Egypt, and the stress that postabortion patients experience during recovery. That study drew attention to the important role husbands can play in their wives’ recovery and subsequent use of contraception. This study was designed to test the effects of involving husbands in the postabortion medical-care process. Overall, the study indicates that providing counseling to husbands of postabortion patients is feasible, as the majority of husbands either accompanied their wife on admission or at discharge from the hospital. However, administrative changes are needed to enhance …
Telemedicine: Discovering And Overcoming The Barriers, Dennis Mcclain-Furmanski
Telemedicine: Discovering And Overcoming The Barriers, Dennis Mcclain-Furmanski
Community & Environmental Health Theses & Dissertations
Telemedicine is the use of teleconmrunications for medical diagnosis and patient care from a distance. This multimedia computer based medium serves as an aid to decision making, a means of transmission of care-related data and as a channel for collaborative care management between a provider and a patient. It is of greatest utility in remote areas, or in other cases where transportation of either provider or patient would be problematic or economically less feasible than the telemedicine alternative.
This study examined the current capabilities of the computer hardware and software necessary to implement a telemedicine system. It found that current …
Men And Family Planning In Bangladesh: A Review Of The Literature, Debbie Donahoe
Men And Family Planning In Bangladesh: A Review Of The Literature, Debbie Donahoe
Reproductive Health
This report reviews the literature on men and family planning (FP) in Bangladesh. A variety of topics are covered: male fertility preferences, opinions about male methods of contraception, family planning (FP) decision-making, and recent efforts to involve Bangladeshi men in FP programs. Men’s desired family size in Bangladesh is small; only one-third of respondents in the most recent DHS survey wanted more than two children. The same survey revealed that knowledge of at least one modern method of FP is practically universal and that attitudes toward contraception are overwhelmingly favorable. Only superficial information on the frequency and quality of communication …
Communications Needs Assessment In Egypt: Final Report, Sahar Hegazi
Communications Needs Assessment In Egypt: Final Report, Sahar Hegazi
Reproductive Health
The recently approved dissemination strategy of the Population Council's ANE OR/TA Project aims to improve the communication process for diffusing study results, enhance their utilization, and institutionalize the operations research communications methods in each of the ANE OR/TA countries. A communications needs assessment was conducted to re-examine the target audiences, define the type of messages each responds to best, identify the most appropriate mix of media for transmitting those messages, and consolidate linkages with other communications professionals working within related fields. This exercise was conducted in Egypt between January and March 1996. The methodology was based on conducting in-depth interviews …