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Sexual Health Exchange 2003-2

Audiotape entertainment for long-distance truck drivers in West Africa

Salifou Compaoré

It has been known for a long time that people whose jobs require them to travel a lot, such as truckers, traders, seafarers, army personnel etc. are extremely vulnerable to HIV and STIs. In the case of truck drivers, overnight stays away from home, less social control, long waiting periods in ports and border stations, the availability of commercial sex, and other factors work together in creating this vulnerability. In various countries of the world, mainly in South Asia, South Africa and Western Africa, projects have been set up to increase HIV/AIDS awareness among truckers and their occasional sexual partners, and teach them about the importance of consistent condom use. In Burkina Faso, West Africa, a local union of road freight personnel took up the challenge. One of its activities was the development of an "infotaining" audiocassette.

In 1998, the Family Health and AIDS (FHA) project developed a programme that mainly focused on the reinforcement of condom distribution and promotion along the axes of migration (i.e., the main roads) in the area. This programme, Prévention du SIDA sur les Axes Migratoires de l'Afrique de l'Ouest (PSAMAO), developed activities targeting long-distance truck drivers, sex workers, seasonal workers and other mobile populations in Benin, Burkina Faso, Côte d'Ivoire, Mali, Niger and Togo. PSAMAO's main goal is to increase HIV awareness through the development of communication campaigns and creation of communication tools. One tool developed to educate truck drivers was an informational audiocassette entitled Radio PSAMAO.

Why use an audiocassette?

In 2000, discussion groups with truckers in Burkina Faso evaluated existing and potential communication materials. The truckers favoured the concept of an audiocassette combining entertainment and information on HIV/AIDS, which they could listen to while on the road. They recommended combining music, sketches and spots adapted to their taste and needs. Based on this information, PSAMAO decided to produce a cassette that would simulate a radio transmission with several sections and two radio presenters. The cassette was then to be distributed to long-distance truck drivers in the six countries involved in the project.

During previous communication campaigns targeting truck drivers, the focus was on condom use. Radio PSAMAO aimed to encourage the truckers to also recognise STI symptoms, seek treatment and use condoms consistently. Specific objectives were to:

  • increase the truckers' risk perceptions concerning STIs and their severity (symptoms, complications)
  • alert them to the fact that STIs favour the transmission of HIV
  • emphasize the necessity of protecting oneself
  • raise awareness on the importance of seeking professional treatment instead of self-medication
  • encourage voluntary counselling and testing for HIV.

Careful selection of messages

A communications agency was hired to produce the cassette in French and local languages (Moré, Dioula, Mina, Fon, Haoussa and Bambara). The production process lasted more than six months because the selection of appropriate messages had to be done carefully for this largely illiterate and less educated target group. The social marketing programme Population Services International assisted with this.

The project communicated the gist of the messages to the agency, which in turn called upon scriptwriters for the sketches. The sketches were sent to the project partners in the different countries for their opinions and contributions, so as to take into account specific cultural sensitivities. Two "radio presenters" were selected on the basis of their voice qualities to serve as cassette disc jockeys. The cassette also featured three sketches played by professional actors well-known in Côte d'Ivoire and seven songs on AIDS sung by famous African artists, including Meiwey and Tiken Jah Facoly from Côte d'Ivoire, Black So Man from Burkina Faso, King Mensah from Togo, Madou from Benin and Le Groupe Rage from Mali. All these artists gave up their copyrights so that the project could use the songs for free.

The cassette was pre-tested with a group of 200 truckers in Côte d'Ivoire of different nationalities; this led to an adaptation of the messages. Radio PSAMAO was then finalised and produced in French. The second step consisted of translating the cassette into local languages, so that all the versions had the same content. Local versions are currently being produced in Cameroon under the PSAMAC project.

In September 2001, 15,000 copies of the cassette were distributed to truck drivers at main truck stops in the six countries involved in the PSAMAO project. In Niger, the cassette is also being used by rural radio stations, as it is seen as a meaningful addition to their low-budget programming. Given the good quality of the production, the cassette has even been duplicated illegally by street vendors and sold to the local population.

Evaluation

The efficiency of the communication material was measured in Côte d'Ivoire in August 2002 with the help of 385 truckers who regularly drive on major roads leading to bordering countries. The goal of the evaluation study was to determine the intervention's success, as measured by the penetration of the messages among the target population and their level of retention of the gist of the messages. The study showed that 21% of the interviewed truck drivers had listened to the cassette and 9% owned the cassette. Almost all the respondents had memorised the prevention messages regarding STIs and the importance of testing.

The interviewed truckers mentioned that there were not enough cassettes available. In fact, most of them had not received a copy and expressed the wish of greater distribution of Radio PASAMO. The cassette will most likely be re-released during the next project period after September 2003.

Salifou Compaoré, Technical Advisor PSAMAO, Population Services International (PSI) and FHA; 15 B.P. 95 Abidjan 15, Cote D'Ivoire; tel.: +225-22-40.50.16, fax: +225-22-40.50.11, e-mail: sdfrancis@fhi.ci, web: www.psi.org

Family Health and AIDS

Radio PSAMAO is part of a sexual health promotion campaign aimed at long-distance truck drivers and sex workers in West Africa, which has been carried out in the framework of Family Health and AIDS (FHA), a regional initiative funded by USAID. This programme is jointly planned and executed by five institutions. Population Services International (PSI) is also involved in the PSAMAO project; PSI is an American NGO specialised in behaviour change communication and social marketing of condoms and health services. PSI executes programmes in more than 60 countries.

Some of the products of the PSAMAO project include:

  • a logo and regional slogan, "Roulez Protégé" (Drive Protected) , both widely promoted and well-known
  • Radio PSAMAO educational cassettes
  • the video films Roulez Protégé for truck drivers and Amah Djah-foule for sex workers for use in group meetings
  • a network of 68 road-side advertisement-boards to sensitize truckers on the road
  • a network of more than 550 peer educators in 6 countries.

Other activities implemented by PSAMAO include research, media campaigns (radio and television spots), peer education training, social marketing of condoms, printing and distribution of educational materials (posters, leaflets) and promotional gadgets (T shirts, caps, key rings, stickers, etc.)

In Central Africa, similar activities are being carried out through PSAMAC, a migration project comparable to PSAMAO, in Cameroon, Chad and the Central African Republic.

More information: http://www.fha-sfps.org


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Burkina Faso

Union des Routiers Burkinabé de Lutte contre le Sida (URBLS) is an association for truck drivers and related personnel in Burkina Faso who are concerned about HIV/AIDS. The NGO has been active in the field of HIV/AIDS for more than 10 years. In the framework of PSAMAO, URBLS has conducted a peer education programme for truck drivers, their helpers, mechanics, truck owners etc. Some 700 road freight workers were trained through June 2003 in the two major cities of Burkina Faso. Forty of them received additional training on counselling their colleagues and 10 were trained to support HIV-infected colleagues through home and hospital visits.

In 2002, the peer educators sold about 200,000 condoms. After following the three-to six-day training, they were able to conduct two kinds of education. First, they educate workers mobilised by URBLS during group education sessions; second, they chat with colleagues about HIV/STIs and condom use during personal encounters, for example, at harbours or borders, where truck drivers wait long hours before receiving cargo or are allowed to pass.

Since 1997 the programme has taken up the issue of HIV treatment and care. With the support of a French NGO, Ensemble Contre le Sida (ECS), several drivers, helpers and their families receive antiretroviral treatment. A new programme element will be the training of AIDS orphans to become truck drivers or car mechanics.

Tiza Dembele, URBLS, 01 BP 1437, Bobo-Dioulasso, Burkina Faso. Tel.: +226-970661, Fax: +226-970177, E-mail: urbls.b@fasonet.bf

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