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Happy Arch of the Aorta Day
In the wake of the COVID-19 pandemic, we witnessed an unprecedented surge in health communication efforts aimed at educating and mobilizing the public. While the importance of such #healthcommunication cannot be understated, there’s a growing concern of “health communication fatigue” as we risk overloading the public with information. In this article, I will explore the challenges of communication fatigue and offer strategies to ensure our messages effectively achieve public health objectives.
Much like the indiscriminate use of antibiotics can lead to unintended consequences, over-communicating health messages without a strategic approach can render our communication efforts ineffective. In the early days of the pandemic, organizations like
Indeed, it’s time to address the ever-expanding plethora of health days. We’ve come a long way from marking general health awareness days, and it seems like we’re on the brink of celebrating the “World Day of the Right Kidney” or perhaps the “Day of the Arch of the Aorta.” While raising awareness about specific diseases, organs, and behaviours is crucial, we must strike a balance. The constant barrage of dedicated days can dilute the impact and lead to a sense of exhaustion among the public. We must prioritize key health issues, combining awareness with concrete actions. Let’s not forget that meaningful change in public health is more about sustainable, well-thought-out strategies than having a day for every tiny medical detail. After all, there’s only so much room on the calendar, and we should use it wisely to ensure our messages hit home effectively.
#BehaviouralScience offers compelling insights into #MessageFatigue resulting from overcommunication. The human brain is inherently wired to adapt and filter information to efficiently process an overload of stimuli. When individuals are consistently bombarded with health messages and information, their attention span wanes, and their receptivity to new messages diminishes. This concept is known as habituation, a fundamental principle in psychology. When people encounter the same information repeatedly without novelty or a clear call to action, they become desensitized, rendering subsequent messages less effective. Additionally, cognitive load theory highlights that excessive information can overwhelm the brain’s limited mental resources, decreasing message retention and comprehension. To combat #messagefatigue, it is essential to apply behavioural science principles, such as novelty, relevance, and clarity, in health communication strategies, ensuring that messages are frequent, engaging, resonant, and actionable.
The primary challenge is balancing the need for information dissemination and the risk of communication fatigue. To do this effectively, we must prioritize and strategically choose critical health days for communication. Rather than inundating the public with continuous events and messages, we should focus on a select few that have the most significant impact in the context of each country’s morbidity and mortality data.
Similarly, before choosing the health day to mark and encourage the population to take action, check if you have created the necessary infrastructure and trained the health staff. Only talking and having no facilities supporting action will reduce the audience’s trust in you as a communicator. Let’s take a page from the Singaporean playbook, a country celebrated for its strategic approach to health campaigns. Unlike the chaotic flurry of information that can overwhelm public health communication efforts, Singapore opts for a more measured strategy. They first build the necessary infrastructure, invest in training their healthcare staff, and only then launch well-thought-out health campaigns. This method ensures that the communication aligns with the country’s capabilities and resources. For instance, their successful ‘War on Diabetes’ campaign was launched after setting up a nationwide system for diabetes prevention, care, and treatment. It’s a testament to how governments can measure health communication, focusing on sustainable actions over flashy announcements.
For low-income countries heavily reliant on foreign aid, public officials may focus excessively on marking health days prioritized by donors. This diverts their attention from core responsibilities and risks undermining domestic ownership and sustainability. Striking the right balance is essential and requires local health leadership to have a spine and be incorruptible.
#StrategicHealthCommunication is critical, especially in low-income nations with limited resources. It involves profoundly understanding the local context, target audience, and the cultural factors affecting health behaviours. Effective strategies include audience analysis, evidence-based messaging, channel selection, deliberate message distribution, and rigorous monitoring and evaluation
Navigating menopause at work: A vital conversation
The gap between the global South and the global North is widening in mainstreaming #menstruation in public discourse. Conversations about menstruation are only now emerging from the shadows of stigma and taboo in many parts of the global South. It is still difficult for people in these areas to access menstrual hygiene products, adequate sanitation facilities, and menstrual education. For example, Women and girls in sub-Saharan Africa and South Asia often resort to using inadequate materials like rags, leaves, or even cow dung to deal with their periods. Health problems, missed days of work or school, and feelings of isolation worsen when people aren’t given the tools they need to succeed.
The global North has made progress in normalizing menstruation. Many North American and European countries encourage menstruation discussions in homes, schools, and the workplace. The UK and several European countries have menstrual leave rules that allow workers to take paid absence for severe period symptoms. People in the US are fighting to end the “pink tax” on period goods, and more companies are discussing menstrual health with their staff. Development, access to resources, and cultural attitudes about menstruation contribute to this North-South gap, emphasizing the need for global menstrual health and hygiene fairness.The global North has made progress in normalizing menstruation. Many North American and European countries encourage menstruation discussions in homes, schools, and the workplace. The UK and several European countries have menstrual leave rules that allow workers to take paid absence for severe period symptoms. People in the US are fighting to end the “pink tax” on period goods, and more companies are discussing menstrual health with their staff. Development, access to resources, and cultural attitudes about menstruation contribute to this North-South gap, emphasizing the need for global menstrual health and hygiene fairness.
The global North has made progress in normalizing menstruation. Many North American and European countries encourage menstruation discussions in homes, schools, and the workplace. The UK and several European countries have menstrual leave rules that allow workers to take paid absence for severe period symptoms. People in the US are fighting to end the “pink tax” on period goods, and more companies are discussing menstrual health with their staff. Development, access to resources, and cultural attitudes about menstruation contribute to this North-South gap, emphasizing the need for global menstrual health and hygiene fairness.
The global North has made progress in normalizing menstruation. Many North American and European countries encourage menstruation discussions in homes, schools, and the workplace. The UK and several European countries have menstrual leave rules that allow workers to take paid absence for severe period symptoms. People in the US are fighting to end the “pink tax” on period goods, and more companies are discussing menstrual health with their staff. Development, access to resources, and cultural attitudes about menstruation contribute to this North-South gap, emphasizing the need for global menstrual health and hygiene fairness.
Over the last two to three years, the global South vs. global North debate has rekindled. While disagreements over trade, intellectual property and nuclear energy will continue, the least we can do is to bridge the menstruation gap between the global North and global South. The increasing number of women parliamentarians in South Asia will hopefully help address the gap in the menstruation discourse.
“You? A man?” – A conversation on menopause in Kathmandu
was, walking into the meeting hall for the ‘s “Menopause to Meno-peak” seminar, when I bumped into an acquaintance. Her greeting was as blunt as it was good-natured: “You? A man? On a menopause panel?” A fantastic start, I thought, for the lone male panelist on an all-star female team, especially considering the topic!
But any initial awkwardness melted away when I met my co-panelists. Ani Choying Drolma, the world-famous Buddhist Singing Nun, and The audience was just as inspiring—a diverse mix of activists, policymakers, politicians, lawyers, health experts, and media of all ages and genders. Their questions during the Q&A session were as sharp as they were insightful, sparking a truly dynamic exchange.
One particularly powerful moment came when Ani Choying Drolma shared her experiences with menopause. In many countries, faith and sexual and reproductive health are seen as opposing concepts. Ani’s courage in speaking openly highlighted the critical need for bridges between these areas. Her talk was a call to action, paving the way for partnerships to empower women on a deeper level.
The complexities of menopause and Nepal’s unique socio-economic context led to some interesting discussions about potential solutions. When invited to share my thoughts, here is what I offered at different levels on the way forward. Some short-term and some more long-term:
Seven troubling trends in Indian elections 2024
As India votes in the 2024 elections, seven alarming trends that transcend party lines threaten the core of its democratic values and reflect systemic problems within the political sphere.
One of the most alarming tendencies in Indian politics today is accepting corruption as a necessary transaction cost.
Campaign conversations now revolve around the ‘decent’ per cent of kickbacks, indicating a broad acceptance of corruption. Across party lines, all major political parties have benefited from the electoral bonds system’s lack of transparency, which permits unlimited and anonymous donations, creating an environment conducive to corruption. Furthermore, recent corruption scandals involving officials from several political parties demonstrate the bipartisan nature of corruption.
Another alarming trend is the widespread acceptability of violence against women, both within and outside political parties. For example, India’s decorated female wrestlers protested harassment and sexual assault by a prominent politician by sitting on the pavements of Delhi for 4 months, 4 weeks and 1 day, before any serious inquiry was set up. Similarly, the tragic episode in Manipur in which women were paraded naked, as well as the big sex and video scandal in the opposition-ruled Karnataka state, highlight this troubling tendency. Furthermore, the current example of a female parliamentarian being allegedly abused at the home of Delhi’s Chief Minister, who also leads the country’s newest political party, highlights the rot. The absent or at best lethargic response of politicians to allegations of abuse by women showcases the systemic nature of the problem. Tragically this widespread acceptance of abuse stands in stark contrast to the hyper-targeted election campaigns by all parties vying for women’s votes.
Perhaps the most depressing trend is omitting critical nation-building issues like education, healthcare, and employment from the current election discourse. These fundamental issues are overlooked mainly by divisive rhetoric and populist promises. For example, in areas such as Uttar Pradesh and Bihar, political campaigns usually centre on caste and religion rather than tackling severe deficiencies in educational facilities and healthcare services. Similarly, in Maharashtra, while political disputes frequently revolve around regional identity and linguistic issues, the state continues to face farmer suicides and rural unemployment.
Despite electoral losses, Rahul Gandhi and Priyanka Gandhi Vadra remain influential in the Indian National Congress (INC). Regional dynastic politics is seen in Uttar Pradesh’s Samajwadi Party (SP), led by Mulayam Singh Yadav’s son Akhilesh. The Karunanidhi family controls Tamil Nadu’s Dravida Munnetra Kazhagam (DMK), with M.K. Stalin ruling after his father.
Not only established parties are affected. The Maharashtra Shiv Sena is likewise a family affair, with Uddhav Thackeray succeeding his father, Balasaheb Thackeray, and now his son, Aaditya. In Andhra Pradesh, the Reddy family dominates the Yuvajana Sramika Rythu Congress Party (YSRCP), with Y.S. Jagan Mohan Reddy trying to emulate his father. While the BJP has often criticized other parties, particularly the Congress, for dynastic politics, it has not been immune to the same practices. Nepotism within the BJP can be seen as a strategic move to consolidate power and ensure loyalty within the party ranks.
Indian politicians in power and opposition, frequently seek endorsements from abroad to validate their actions and ideas. This craving for international approval is evident in their eagerness to speak at prestigious universities and their emphasis on statements by world leaders that praise their initiatives. These are then highlighted in domestic media, projecting an image of global respect and intellectual recognition. However, this pursuit of international validation can obscure pressing domestic issues. Indian politicians’ reliance on foreign endorsements can divert attention from the critical issues that require urgent and sustained focus.
MLAs’ repeated floor-crossing has caused substantial political instability and governance issues in some states. This erosion of ideological loyalty erodes public trust and threatens the integrity of democratic institutions as voters increasingly struggle to rely on their elected leaders’ professed ideals.
The Sanskrit term Ātmānaṃ viddhi, or ‘Know thyself’, highlights the significance of deep self-awareness and introspection. It encourages a journey inside to find one’s actual nature and purpose. Perhaps Ātmānaṃ viddhi should be the united minimum programme of all political parties in India.