Objective:We present first-phase results of a performing arts public health intervention,‘Singing and Dancing for Health,’aiming to promote healthier behaviors in Ghana’s impoverished Northern Region.We hypothesize...Objective:We present first-phase results of a performing arts public health intervention,‘Singing and Dancing for Health,’aiming to promote healthier behaviors in Ghana’s impoverished Northern Region.We hypothesize that live music and dance drama provide a powerful technology to overcome barriers such as illiteracy,lack of adequate media access,inadequate health resources,and entrenched sociocultural attitudes.Our research objective is to evaluate this claim.Methods:In this first phase,we evaluated the effectiveness of arts interventions in improv-ing knowledge and behaviors associated with reduced incidence of malaria and cholera,focusing on basic information and simple practices,such as proper hand washing.Working with the Youth Home Cultural Group,we codeveloped two‘dance dramas’delivering health messages through di-alog,lyrics,and drama,using music and dance to attract spectators,focus attention,infuse emotion,and socialize impact.We also designed knowledge,attitude,and behavior surveys as measurement instruments.Using purposive sampling,we selected three contrasting test villages in the vicinity,contrasting in size and demographics.With cooperation of chiefs,elders,elected officials,and Gha-na Health Service officers,we conducted a baseline survey in each village.Next,we performed the interventions,and subsequently conducted follow-up surveys.Using a more qualitative approach,we also tracked a select subgroup,conducted focus group studies,and collected testimonials.Sur-veys were coded and data were analyzed by Epi Info.Results:Both quantitative and qualitative methods indicated that those who attended the dance drama performances were likelier than those who did not attend to list the causal,preven-tive,and transmission factors of malaria and cholera.Also,the same attendees were likelier than nonattendees to list some activities they do to prevent malaria,cholera,and other sanitation-related diseases,proving that dance dramas were highly effective both in raising awareness and in trans-forming behaviors.Conclusions:As a result of this study,we suggest that where improvements in community health depend primarily on behavioral change,music and associated performing arts-dancing,singing,and drama-presented by a professional troupe offer a powerful social technology for bringing them about.This article is a status report on the results of the project so far.Future re-search will indicate whether local community-based groups are able to provide equal or better outcomes at lower cost,without outside support,thus providing the capacity for sustainable,local-ized health promotion.展开更多
Global health has changed a lot in the last two decades,starting with obscure efforts to work on problems affecting the poor,marginalized,and disadvantaged around the world by a relatively few dedicated souls and prog...Global health has changed a lot in the last two decades,starting with obscure efforts to work on problems affecting the poor,marginalized,and disadvantaged around the world by a relatively few dedicated souls and progressing to a burgeoning enterprise complete with many billions of dollars and many engaged people and organizations all over the world,including a growing number in poor countries.Furthermore,there is today a corporate-like atmosphere complete with private-public partnerships,bureaucratic multilateral organizations,engagement of academia,management consultants,including non-government organisations(N s),a growing civil society participation,and widespread recognition of global health’s importance from most all corners.展开更多
基金This project was enabled by a Killam Cornerstone Granttogether with additional contributions from the Faculty of Arts,the Office of Global Health in the Faculty of Medicine and Dentistry,the Centre for Health and Culture at the University of Alberta,as well as a subgrant from the Canadian Department of Foreign Affairs,Trade,and Development.
文摘Objective:We present first-phase results of a performing arts public health intervention,‘Singing and Dancing for Health,’aiming to promote healthier behaviors in Ghana’s impoverished Northern Region.We hypothesize that live music and dance drama provide a powerful technology to overcome barriers such as illiteracy,lack of adequate media access,inadequate health resources,and entrenched sociocultural attitudes.Our research objective is to evaluate this claim.Methods:In this first phase,we evaluated the effectiveness of arts interventions in improv-ing knowledge and behaviors associated with reduced incidence of malaria and cholera,focusing on basic information and simple practices,such as proper hand washing.Working with the Youth Home Cultural Group,we codeveloped two‘dance dramas’delivering health messages through di-alog,lyrics,and drama,using music and dance to attract spectators,focus attention,infuse emotion,and socialize impact.We also designed knowledge,attitude,and behavior surveys as measurement instruments.Using purposive sampling,we selected three contrasting test villages in the vicinity,contrasting in size and demographics.With cooperation of chiefs,elders,elected officials,and Gha-na Health Service officers,we conducted a baseline survey in each village.Next,we performed the interventions,and subsequently conducted follow-up surveys.Using a more qualitative approach,we also tracked a select subgroup,conducted focus group studies,and collected testimonials.Sur-veys were coded and data were analyzed by Epi Info.Results:Both quantitative and qualitative methods indicated that those who attended the dance drama performances were likelier than those who did not attend to list the causal,preven-tive,and transmission factors of malaria and cholera.Also,the same attendees were likelier than nonattendees to list some activities they do to prevent malaria,cholera,and other sanitation-related diseases,proving that dance dramas were highly effective both in raising awareness and in trans-forming behaviors.Conclusions:As a result of this study,we suggest that where improvements in community health depend primarily on behavioral change,music and associated performing arts-dancing,singing,and drama-presented by a professional troupe offer a powerful social technology for bringing them about.This article is a status report on the results of the project so far.Future re-search will indicate whether local community-based groups are able to provide equal or better outcomes at lower cost,without outside support,thus providing the capacity for sustainable,local-ized health promotion.
文摘Global health has changed a lot in the last two decades,starting with obscure efforts to work on problems affecting the poor,marginalized,and disadvantaged around the world by a relatively few dedicated souls and progressing to a burgeoning enterprise complete with many billions of dollars and many engaged people and organizations all over the world,including a growing number in poor countries.Furthermore,there is today a corporate-like atmosphere complete with private-public partnerships,bureaucratic multilateral organizations,engagement of academia,management consultants,including non-government organisations(N s),a growing civil society participation,and widespread recognition of global health’s importance from most all corners.
