Health 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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VISION

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VISION was a 3-year project initiated by the U.S. Agency for International Development (USAID) which aimed to maximise the use of family planning and reproductive health (FP/RH) services, HIV/AIDS services, and child survival services in Nigeria. It involved 15 local government areas (LGAs) in Bauchi, Enugu and Oyo states, and was active from September 2001 through September 2004. The project aimed to raise awareness of HIV/AIDS and increase the demand for and use of FP/RH services through behaviour change communication (BCC) activities and community mobilisation. It used radio dramas, print material, radio discussion clubs and sports outreach programmes to achieve its aim. The project also sought to develop models of high-impact, high-performing FP/RH service-delivery networks, built on public-private partnerships, to use as models for the delivery of similar interventions elsewhere.
Communication Strategies

The project undertook two activities to improve awareness of and access to FP/RH-related issues and services. It used mass media campaigns about HIV/AIDS and the repositioning of community-based health distribution centres. In addition, training curricula and capacity-building development, and the development of training sessions for clinical trainers at university-based hospitals, were pursued.

The VISION project worked with local non-governmental organisations (NGOs) active in the selected LGAs to develop “informed clients.” BCC activities aimed to increase knowledge and to empower individuals and communities to demand quality family planning, sexually transmitted infection(STI)/HIV/AIDS, and reproductive health information and services. The project developed information and education print materials and radio public service announcements (PSAs) for women with an unmet need for family planning, as well as messages designed to reach men and youth that focused on male involvement and responsibility in reproductive decision-making.

In collaboration with local sports clubs, the VISION project developed an outreach strategy aimed at youth called Sports for Life to promote healthy lifestyles and spread information on family planning and HIV/AIDS prevention during football competitions.

The project’s media campaign included a set of weekly radio programmes to disseminate family planning, HIV/AIDS, and other RH information to the general public. VISION, with its partner NGOs, organised radio discussion clubs in the areas being addressed by the initiative, and provided these clubs with radios.

The project partners also conducted several complementary mass media activities (including radio, TV, and print). For example, the Society for Family Health (SFH) implemented several radio dramas aimed at increasing awareness of HIV/AIDS, and its causes and consequences. These radio dramas included One Thing at a Time, Garin Muna Fata (Town of Hope), Odenjiji, and Abule Oloke Merin. SFH also produced a television advertisement to promote safe sex that featured Nigerian soccer superstar Sunday Oliseh. A billboard campaign to increase awareness that someone who is HIV positive may not have symptoms supplemented the radio and television campaign.

Development Issues

Health, HIV/AIDS, Reproductive Health, Family Planning.

Key Points

VISION had two primary objectives. The first was to assist USAID/Nigeria in developing a strategic framework for the future of its FP/RH programme. The second was to establish models of high-impact, high-performing FP/RH service delivery networks across 3 states - Bauchi, Enuguand, and Oyo. The programme models in these states were tested by the 15 LGA, 5 per state. The plan was to eventually implement these programmes on a larger, state-wide scale. Ultimately, the lessons learned from the experience will be used to inform the development of USAID's framework for its long-term strategy for Nigeria.

Partners

EngenderHealth, IntraHealth, Johns Hopkins University Center for Communication Programs, Population Services International, USAID.