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1 Introduction
Background
BBC World Service Trust (BBCWST) established in 1999, is an independent NGO
with in the BBC World Service. The trust uses the creative power of media to
promote development.
A national level survey conducted by the BBC WST gave an idea about the role of
TV in spread of the HIV/AIDS message. The study showed the difference in the
awareness levels about HIV/AIDS, higher among those having access to television
vis-à-vis those without television access.
The research study “Media Dark Project”, identified the states - Bihar, Jharkand,
Madhaya Pradesh and Uttar Pradesh as the media dark states, wherein the people
had limited or no access to television.
BBC WST in partnership with States AIDS Control Societies (SACS) Non-
Governmental Organizations (NGOs) and Community Based Organizations (CBOs)
has developed a toolkit to reach the unreached population in these states.
The Tool kit
The toolkit is a reworked copy of the BBCWST’s programmes on HIV/AIDS-Jasoos
Vijay and Haath se Haath Milaa. The kit includes 1) Audio-Visual and 2) a
User Manual.
1. The Audio Visual
The audio-visual consists of 10 stories in DVD formats on varying themes of
HIV/AIDS – i.e. a) Basics; b) Condom promotion c) RTIs/STIs d) Stigma and
Discrimination e) VCTC f) Care and Support g) PPTCT h) Opportunistic Infections i)
TB and HIV j) Sensitization CD. The first 9 DVDs are on the various issues of
HIV/AIDS an edited version of Jasoos Vijay stories of 80 minutes duration. In
each theme Jasoos Vijay, a detective conveys the HIV/AIDS message while
unraveling the mystery. The 10th
DVD is for sensitizing the Opinion leaders, and is
essentially a collection of Haath se Haath Milla and Jasoos Vijay.
2.The User Manual
The manual consists of various modules each one developed specifically for a
particular theme around HIV/AIDS. Each module has participatory exercises such
2
as history taking flip charts, posters etc. The exercises develop on and around the
characters including the lead role in the story.
Purpose of the Research
The BBC-WST undertook the test of the toolkit (Audiovisual story and User
Manual) through series of screening across the state of Madhya Pradesh, with
intent to improve both Audio-Visual and the User Manual.
1. Feed back by the facilitator on the toolkit (AV and User Manual)
 To explore the effectiveness of the AV toolkit w.r.t:
i. Audio Visual Communication aspect of the AV toolkit story and
HIV/AIDS messaging.
ii. Extent to which AV component facilitates the BCC process
initiates the group after the screening by the facilitator.
iii. To explore the effectiveness of the user manual:
iv. To assess the methodologies used in the user manual and
effectiveness of the participatory process.
2. Feed back by the audience on the toolkit
i. To explore the level of comprehension of the AV toolkit i.e.
storyline and HIV/AIDS messaging.
ii. Level of interest during post screening BCC process initiated by
the facilitator
iii. To what extent BCC process meets the communication
objectives- through use of participatory exercises and tools
such as Flip charts, posters etc.
3
2Methodology
To achieve the objectives of the research as outlined. The following qualitative
techniques were adopted.
2.1 Qualitative Techniques
i. The participants observations
ii. In-depth Interviews
2.1.1.The participants’1
observation technique:
Through this technique the study participants and the facilitators were observed
before screening, during and post screening. This was done to assess the below –
mentioned.
 Ice breaking: How the facilitator begins the session.
 Audience reactions to the advertisements, story and messaging and most
importantly to what extent is the audio- visual able to hold them till the end.
 Post screening to what extent does the audio-visual lends itself to arouse
curiosity and communicate HIV/AIDS and other social messages.
 Participation in exercises and its usefulness in messaging.
2.1.2 In –Depth Interviews
Post screening in-depth interviews was held with the facilitators to get their
opinion on both the audio-visual and the user manual. Their insights were key to
the pre-test, and the interview was specifically designed to get information w.r.t.
:
 Understanding of HIV/ AIDS messaging
 Language in the audio-visual
 Views on the interactive sessions especially exercises and games.
 Usefulness of the user manual
1
Participants herein refer to the audience.
4
2.2 Sample frame
In a state a total of 8 screenings of the select stories were organized by the
BBCWST. The stories screened included:
A. Basics
B. Condom use
C. VCTC
D. HIV and TB
The stories were screened to the general populace by the identified and selected
NGOs.
2.3 Selection of NGOs
The screening in the community were organized by NGOs identified and selected by
BBC-WST on the below-mentioned criteria:
 Level of involvement and commitment
 Diverse constituencies
 Socio-Cultural breadth
2.4 Allocation of the stories
BBC WST, NGOs and the Consultant allocated the stories. Round robin method to
ensure the 2 screenings of each story across the target audience. (Table 1)
2.5 Target Audience
Males
 Above 18
 Below 18
Females
 Below 20
 21-35
 Above 35
2.6 Selection of the Screening Sites
The screening sites were identified and selected by the NGO on the ensuing
factors
 Distance from the District headquarters (NGO office)
 Villages accessible route – by foot or own conveyance and non existence or
limited public transport
 Non-existence or limited ownership of television.
 NGO presence in the village
5
Table 1: Villages and Distance from the NGO office
State NGO Village Story Group Distance
Bihar
DORD
Daudnagar Basics Male above 18 -
Daudanagar Condom use 21-35 years -
Poor Urban Rural
Women Association
Patna HIV-TB Above 35 years
Female
-
Resha
Bhagwanpur
VCTC Male 18 years -
Resha
Bhagwanpur
Basics Female 21-35
years
-
Azad India Foundation
KishanganjTown Condom Use Females below 20 -
Satbolia HIV-TB Male above 18
years
-
KishanganjTown Basics 21-35 years -
Jharkhand
Srijan
Foundation,Hazaribagh
Kanjigi Basics Above 18 males 65 kms
Bhadwa VCTC 21-35 females 60 kms
Network for
Enterprise
Enhancement and
Development
Pahariya HIV-TB Above 20 male 60 kms
Pindra VCTC 21-35 females 40
Ratura VCTC Above 35 60
Tata Steel Family
Initiatives Foundation
Pagda Basics Below 18 males 20
Tirilidh Condom Use Below 20 years
Female
25
MadhayaPradesh
SOPAN, Seoni
Badal par HIV/TB > 20 females 45 kms
Simariya VCTC > 20 males 55 km
Ranbaxy Dewas
Singawada
Basics >20 females
12 Km
VCTC 21-35 females
Sambhav, Khajharaho
lalpurva HIV/TB 21-35 females 45 km
Dalpurva Condom Use
age
< 20 Males 42 km
Lakhanpurva Condom Use
age
> 20 Males 40km
Bhilanpurva Basics > 20 females 5km
Samvad Churahi VCTC Below 20 -
Kazipur Condom Use Above 35 years -
Ampur Gdaoli HIV-TB Male Below 18
years
MSS Kallipur Basics Below 20 years
male
Sabla Dighora Basics Below 20 years -
Angoori Condom Use Female21-35 years
Harchandpur HIV-TB Above 35 years
6
2.7 Tools Used
The tools used for the pre test included:
 Audio-visual
 Interactive session with the help of user manual and games.
 Pre-designed and approved format for recording observation on pre-
determined set of indicators.
2.8 Data Analysis
The data was analyzed using a pre-designed and approved format on the set of
indicators as finalized in consultation with BBCWST.
2.9 Limitations of the study
Overall :
1. The language in some of the states was a problem as it was not proper Hindi
2. heartland, especially in Madhya Pradesh and Jharkhand.
3. Facilitator’s experience in taking forward the interaction process had
influence on the outcome of the findings, as all the facilitators were not so
experienced in conducting the groups and also lacked familiarity with the
subject- HIV/AIDS.
4. Involvement of the NGO in organizing such exercises varied with in the
states and from state to state, which also has bearing on the outcome of the
findings.
5. Geographic locations of the screening sites have had influence on the
outcome of the findings. The state of the Madhya Prdesh, borders more
than one state. The screenings sites bordered - Uttar Pradesh in North,
Maharashtra in the South- East and Gujarat in the West.
6. The language and culture in each of these locations is influenced by the
neighbouring state. In North of Madhya Pradesh, a dialect of Hindi –
Bundelkhandi is spoken, whereas in district bordering Maharashtra, local
language is interspersed with Marathi terms. In Indore and Dewas, districts
bordering Gujarat, Malawi a dialect, which is a mixture of Hindi and Gujarati
is spoken.
7. Gender of the facilitator did hider the process of interaction and affects
the findings.
8. Timing of the screening and compatibility issues of the screening ate also
had impact on the out come the study.
9. Lack of coordination at all levels especially with SAMBHAV NGO resulted in
loss of resources and affected the screenings
7
3 Findings Story A: Basics
The consultant’s observations
As mentioned earlier, consultant observed the participants and the facilitators at
three stages i.e. pre-screening ice breaking, during screening and post screening.
The findings in this section are presented along these lines.
3.1 Pre-screening Ice- Breaking
Bihar
Due to technical problems the screening was delayed, the facilitator apologized for
it. Audience and facilitator were well known to each other, so there was no problem,
BBC WST representative, the consultant and participant were introduced.
Jharkhand
The facilitator first introduced himself and the other members of the organization
and also the introduced team members of BBC. Explained the audience on the
objective of the AV screening and requested the audience to patiently watch the
film and to participate in the interactive session after the screening of the movie
Madhaya Pradesh
The pre-screening ice- breaking session at all places for each story was limited to
introduction of the consultant and the purpose of assembling. The reason perhaps
for limiting to such a short ice breaking can be attributed to the compatibility
problems eating into the screening and interactive session time.
Uttar Pradesh
The facilitator introduced the AV as a story giving out HIV-AIDS messages.
Almost all the participants had TV sets at their homes. However, they do not have
regular electricity therefore they claimed to be mostly watching films using
generators. A couple of them had seen a few episode of Jasoos Vijay.
8
3.2 During Screening
The audiences’ reactions to the audio-visual are an indictor of their involvement and
internalizing the messaging. The reactions to the advertisement, story -drama and
action and messaging across the target audience varied.
3.2.1 Stimulus Reaction: Advertisement, Story and Messaging
Bihar
They were watching with lot interest and very seriously.
Jharkhand
The audiences observed the advertisements very seriously. They liked the action
scenes Jasos Vijay’s blow to Tausha (Gajendra) made the audience laugh. Audience
enjoyed Jasoos Vijay tastes tobacco (Khaini) and spits it immediately on disliking
the taste.
Madhaya Pradesh
The group was very attentive and relaxed. Watched the story with lot interest and
anticipating the next scene. Enjoyed advertisement especially, women telling lady
doctor about HIV/AIDS messaging. The groups at such (HIV messaging) times
reacted by whispering and giggling; and eyes glued to the TV.
Uttar Pradesh
It was a very attentive audience. Two younger siblings and two mothers had
accompanied the group. Disturbance none. Found advertisements amusing.
However, were involved with the story and its characters. Kept discussing among
themselves who the possible killer could be. The suspense element was thrilling.
Tara's position appeared to be a little awkward as she goes out at night to meet a
man without informing the elders. HIV messaging was heard with all seriousness and
full concentration and only when Dr. Sanjay Chugh came there was some lack of
interest.
9
3.3 Post Screening
3.3.1. On Audio –Visual.
Bihar
On the oppressed, position of woman. It was relevant to their life and they want
to change the situation. Audience related to the content of the story easily.
Jharkhand
From the AV the characters recalled by the audiences were Vijay, Gauri, Pratap and
Gajendra Tuasha. While former were liked, the latter was disliked by the
audiences.
Jasoos Vijay’s role in integrating Pratap with the villagers was very much liked by
the audiences. “Jasoos Vijay ek achha kam kiya pratap ko gaon walon se
milakar” Jasoos Vijay’s role in protecting the women from the husband’s (Chacha)
beating was also liked by the audiences.“Aurat Ke upper haat uthana paap he,
Jasoos vijay ka ye role achha laga”.Gauri’s role in helping a stranger like Jasoos
Vijay in tracing the culprit of Tara’s murder was also liked.“Gauri ek ajnabi ko
apne behen ka katil ko khoj n eke liye vijay ko saath diya achha laga”Gauri
apne behen ko bahut pyar karta tatha”.
There was no dislike among the audiences on social messages. However the
audiences were excited to know how Pratap got infected with HIV and could not
believe that a very handsome and self respecting person like Pratap could be
infected with HIV. “Pratap ko kese HIV hua, chehera aur gun dekh ke nahin
lagta he ki usko HIV ho sakta he”
The audiences appreciated Jasos Vijay’s role in protecting Chachi from the outrage
behaviour of Gajendra chacha. They Perceived that a women in a family should be
respected. “Gaon mein kabhi kabar mard log nasa kar ke apni biwi ko marte
hein, ea sab galat he, ham log aese nahin karenge”.
The audience appreciated the role of the Village panchayat in solving different
problems of the villagers. “Har gaon me aise panchayat ko baitha ke kishi bhi
masla ko hal nikalna chaiye”
Madhaya Pradesh
Post screening the interactive session, begun after 5-10 minutes gap. The break was
essential to allow loosen the stiff limbs and also to bring the audiences in to
interactive mood. All the post screenings began with the questions how did you
find the story? Did you learn some thing? What did you learn? What all can you
recall?
10
Liking to the story was replied in unison by audiences at all the centres. The
learnings from the story began with the recall of characters liked by the
audience. Jasoos Vijay was liked by all, the reason “ Woh sach bolta hai”, Acchi
Janakari deta hai” , Apradhi ko pakad ta hai.”
The audience on the whole were able to get the jist of the story and some of the
HIV/AIDS messages, as the dialogues runs fast and also the language is not very
easy to follow. The language was issue with above 20 years females and males than
with the younger lot, this could because of difference in the levels of education and
exposure to the terminologies such “ grast”, “delivery” “test”.
Uttar Pradesh
Chanda was not disliked, in fact everyone had sympathy for her but it was felt by
the group that her going out at night to meet a man without telling the elders made
them question her intentions. They felt, if found out, in such cases the girl is likely
to face violence, though death, they felt was not justified. “Raat ko paraye mard se
milna galat hai, pitaayee tau hogi hee”. Social messages were not taken up in the
following discussion. Could be that domestic violence is such a disturbing fact that
the audience was in denial. At the end, the consultant brought it up, there was total
agreement that it is not justified, it happens all the time and people must intervene
and stop it.
Social messages for the audiences had direct relevance to them and a part of their
reality. Used the terms used in the film and AV to discuss HIV /AIDS messaging.
But not everyone knew the meaning of the terms, vishanu (virus), yaun sambandh
(sexual intercourse), pratirodhak shakti (immunity) or sankramit khoon (infected
blood).
Relevance of HIV/AIDS messages for the audiences: Though none of them knew of
anyone with HIV-AIDS a lot of the men from their villages had migrated to the
cities, as also getting affected through injections and blood transfusion seemed
relevant.
Got the overall message but term like vishanu (virus), yaun sambandh (sexual
intercourse), pratirodhak shakti (immunity) or sankramit khoon (infected blood)
were not understood by quite a few of them.
3.3.2 On user Manual
Bihar
The number of games should be increased as they help in understanding the
HIV/AIDS messages.
11
Jharkhand
It was observed during the interaction that the supplementary materials are very
useful for conducting the interactive sessions. However there are few gaps were
identified as shown below.
There is use of white blood cell (page 6), which may not be easily understood by the
facilitator. Therefore it was felt that Instead of WBC , Khoon ke Safed Kan may
be appropriate or both.
Under routes of transmission it is written that HIV transmits through Khun
Chadhane se. (page 6). The word Dushit may be added before Khun to make more
meaningful.
In page 7 of the user manual it is written that it takes 8 to 10 years for a HIV
positive person to be affected by AIDS. The experiences says that if a HIV
positive person continues to practice unsafe behavior then he may get affected
with AIDS within a year or two. It needs to be rephrased and elaborate so as to
make the facilitator more comfortable to explain.
It was felt from the audiences feed back and the experience of the facilitator that
few more pictures need to be added as given below:
A picture that HIV spreads through unprotected sex (vaginal intercourse) may be
added.
Picture on coughing and sneezing need to be added
Madhaya Pradesh
The user manual lends help in carrying forward the discussion based on the story.
However, the language especially the grammar and the spellings needs a look in. At
many places, the manual is literal translation from English to Hindi. The manual was
not helpful in clarifying many doubts of the audiences principally on HIV and TB.
The focus of the manual is more on conducting / taking the interactive process
forward.
The user manual provides games/ exercise for only two stories-the exercise on
condom usage (flash Cards) and myths and misconceptions. Arranging the condom
flash cards was a bit confusing as the pictures are not so clear. The myths and
misconceptions were interpreted as thus.
12
The full-blown condom was part of the myths and misconceptions exercise, the aim
was to convey it as a protective gear i.e. through use of condoms HIV/AIDS could
be checked. However, some misinterpreted the picture as FEEDING BOTTLE
NIPPLE. At another place the below 20 years females were reluctant to hold the
picture and kept passing it on when asked to participate in the exercise.
This picture of the toilet sharing with HIV+ positive person, does not spread
HIV/AIDS was mistaken as UTERUS.
The needle-sharing picture was mistaken for men playing with BANDOOK (toy
gun).
Uttar Pradesh
Suggestions from the audiences: It was suggested that one could also include
tattoo (gudna) and shaving pictures in the list of pictures.
3.4. Facilitators Performance
Bihar
The facilitator was well versed in conducting exercises and comfortable with the
subject.
i. Known to the exercise
ii. Two way communication
iii. Live relation with audience
iv. Used black board and pen/flip chart
v. Well communicated and patient
vi. Explained HIV/AIDS very simply and spell it well in very interesting way and
simple words
Madhaya Pradesh
In Madhya Pradesh, with exception of Ranbaxy Community Health Care Centre,
other two NGOs namely SOPAN and Sambhav and no prior experience in HIV/AIDS
or Reproductive and Child Health exposure. The capacitates of the NGOs needs to
be build in the area of HIV/AIDS, so that the following mistakes are minimized:
i. HIV/AIDS are interchanged
ii. HIV – is virus “ Vishanu” and not insect “ Kitanu”
iii. Symptoms of HIV+ positive not immediately visible. Weight loss can happen
due other factor as well.
iv. Anti Retro Viral Therapy (ART) is medicine for AIDS.
.
13
Of the three NGOs, SOPAN was the best and showed lot of commitment and
involvement in conducting the interactive sessions. SOPAN facilitator was very
innovative.
Overall the facilitators were able to manage and engage the audience before,
during and after the screening. However, the games and exercises were not
conducted well.
Uttar Pradesh
Facilitator was comfortable with the subject: and had good understanding of the
issue Conducted the games very well although the facilitator did not use innovate
for discussion.
3.5 Facilitators feed back
3.5.1. On audio-visual
Bihar
Entertaining and very informative. Terms not easily understood.
Jharkhand
i. Audio visual is a very attractive medium for any IEC strategies. This was also
felt with this group. The AV according to the facilitator was very useful in
attracting the audiences for watching a movie. The audience will see it as there
is some kind of entertainment along with important information.
ii. The story was liked by the group as there were less or no disturbances.
However, according to the facilitator, the AV was not having a proper link
between the HIV messaging and the story. The HIV messages in the AV shown
very late i.e after 40 minutes which need to come early. The story was also very
long.
iii. The term and languages used in the AV was seen as acceptable and
understandable. No one from the group made any remarks on the terms and
languages.
iv. The story and the messages were well accepted with the group.
v. There was no evidence of any difficulties faced by the facilitator in conducting
the exercises.
14
Madhaya Pradesh
i. The costumes and the language are very urbane.
ii. The names in the HIV/ TB story are not easy to remember and therefore,
relating to the story is difficult.
iii. The story is lengthy and the HIV messages get lost in the story.
iv. There is no pause or break for while HIV message is being aired, for people to
understand its importance.
v. In the end main characters from the story instead of doctor should
recapitulate the HIV messages for better impact.
vi. Females to anchor the story VCTC in particular.
vii. Words like condom to be replaced with NIRODH, “Grast” should be Rogi/ Pidit,
Bulgum as “ Thuk”. TB as” Tapedik”.
viii. Audio-Visual to begin with songs.
Uttar pradesh
i. Usefulness of the AV tool in facilitating interactive sessions: Very interesting
pictures easily understood by all and aid discussion.
ii. Feed back on the story: All paid attention to the story and messages. However
social issues like domestic violence did not come up on their own it may be useful to
include a short discussion on this in the user manual.
iii. Feedback on the terms, language used: May use easier terms like ability to fight
diseases instead of immunity.
iv. Cultural acceptance of the story and the messages: Yes. Tara's going at night to
meet the man was objectionable.
v. How successfully the audiences related the content of the story and are there any
constraints in this: Other than Tara's going out at night, everything as was taken in
the right spirit and went down well with the audience.
15
3.5.2 On user manual
Bihar
Very useful to begin interactive session.
Jharkhand
1. Supplementary material was very useful in making the audience understand the
objective of the story i.e HIV/AIDS. However the audiences were interested to
know more about RTI and STI, therefore few lessons on RTI and STI may be
added so as to help the facilitator.
2. It was felt from the audiences feed back and the experience of the facilitator
that few more pictures need to be added as given below:
A kissing photograph needs to add in the game.
Cough and sneezing, Playing together, etc.
Madhaya Pradesh
i. The user manual focuses on the process of taking forward the interactive
session.
ii. The manual does not provide answer to many of the questions on TB and
Symptoms of HIV, no information about VCTC.
iii. Games are limited. Games help in clearing myths and misconceptions and also help
in recapitulating.
iv. The user manual should be pictorial.
v. The manual should have songs composed on HIV/AIDS.
vi. Manual should provide A-Z about HIV/AIDS and story related information.
Uttar Pradesh
i. The supplementary materials are quite good. The user manual was used and all
understood it well. The pictures were in conjunction with the HIV-AIDS
messages in the AV and were easily understood by all. The pictures were read
easily.
ii. Easier terms may be better understood but it is also essential for the
participants to be familiar with the technical terms, therefore both should be
used.
iii. Include pictures of shaving and tattooing.
16
3 Findings Story B: Condom Use
The consultant’s observations
As mentioned earlier, consultant observed the participants and the facilitators at
three stages i.e. pre-screening ice breaking, during screening and post screening.
The findings in this section are presented along these lines.
3.1 Pre-screening Ice- Breaking
Bihar
Due to technical problems the screening was delayed, the facilitator apologized for
it. Audience and facilitator were well known to each other, so there was no problem,
BBC WST representative; the consultant and participant were introduced.
Jharkhand
The facilitator first introduced himself and the other members of the organization
and also the introduced team members of BBC. Explained the audience on the
objective of the AV screening and requested the audience to patiently watch the
film and to participate in the interactive session after the screening of the movie
Madhaya Pradesh
The pre-screening ice- breaking session at all places for each story was limited to
introduction of the consultant and the purpose of assembling. The reason perhaps
for limiting to such a short ice breaking can be attributed to the compatibility
problems eating into the screening and interactive session time.
Uttar Pradesh
The facilitator introduced the AV as a story giving out HIV-AIDS messages.
Almost all the participants had TV sets at their homes. However, they do not have
regular electricity therefore they claimed to be mostly watching films using
generators. A couple of them had seen a few episode of Jasoos Vijay.
17
3.3 During Screening
The audiences’ reactions to the audio-visual are an indictor of their involvement and
internalizing the messaging. The reactions to the advertisement, story -drama and
action and messaging across the target audience varied.
3.2.1 Stimulus Reaction: Advertisement, Story and Messaging
Bihar
They were watching with lot interest and very seriously.
Jharkhand
On chunilal cartoon every one giglled but during the message they settle down and
observed it seriously. on the actions there was no perceived reaction from the
audiences. But on the drama few giggles among the group was reflected. The two
instances were When Akal admitted of having 3 girl friends the audiences
giggled. Hanubhai’s reaction after Vijay’s revelation of his “Jasos” identity
evoked giggle among the group. The audiences listened carefully the HIV
Messaging.
Madhaya Pradesh
The group was very attentive and relaxed. Watched the story with lot interest and
anticipating the next scene. Enjoyed advertisement especially, of the weightlifters
(phelwan).
Uttar Pradesh
Were involved with the story and were responding to the characters. End of
Sharmi’s murder sequence, a couple said, “sapna dekh raha tha”. (“He was dreaming),
another said “nahin, yaad kar raha hai”. (No he is thinking about her murder”). The
suspense element was thrilling. When Gauri gets captured, most went, “tuch-tuch”,
they were full of sympathy for her and found her character quite endearing. When
Kalu asked the kids to leave his home, in the presence of JV and Chanda, everyone
laughed, this bit about kids being scolded for no particular reason, everyone
immediately identified with.
18
3.3 Post Screening
3.3.1. On Audio –Visual.
Bihar
It was relevant to their life and they want to change the situation. Audience
related to the content of the story easily.
Jharkhand
From the AV the characters recalled and liked by the audiences were: Jasos Vijay,
Gauri, Cahnda, Akal. Chanda’s responsibility for her future married life was well
appreciated.“Chanda apne sadi suda jeevan ko achhi karni karni chthi thi wo
bahut achha laga”.The support of Gauri in educating Chanda, a village girl was well
appreciated. “Gauri bahut achhi he, ek sahei ladki ho kar wo bahut achhi se
Chaanda ko sahyog diya”.Jasoos Vijay was appreciated every where.
“Sabko Jassos vijay jesa hona chaie”.They liked Akals responsible behavior of
using condoms every time with all his three girl friends.“Akal ne akalmandi ka
kaam karta tha hamesa condom byabahar karke”Chanda buying the condoms was
appreciated. Also the knowledge on the benefits of condom was also liked.“Condom
apna ke hum log bahut sare rog se bacch sakte hein”.
Madhaya Pradesh
Post screening the interactive session, begun after 5-10 minutes gap. The break was
essential to allow loosen the stiff limbs and also to bring the audiences in to
interactive mood. All the post screenings began with the questions how did you
find the story? Did you learn some thing? What did you learn? What all can you
recall?
Characters such as Chanda , Akal were not liked. Chanda was not liked by the
audiences, it is important to mention, that Condom Usage was exposed only to the
male audiences in Madhya Pradesh, and women discussing and buying condoms, did
not go well with the men. One of the male audience remarked “ Yeh Istemal toh
aadmi karta hai gyan aurat baant rahi hain.”
19
Uttar Pradesh
They did not dislike Chanda, were a little taken aback by her buying condoms. They
also claimed that she is not wrong in buying them. Some said that they also get
them from ANM behanji so there is nothing wrong in it. They just felt that her
buying it from a shop, before she is married was a very bold, bordering on
impudence act.
Relevance of HIV/AIDS messages for the audiences: Condoms (Nirodh) is being
promoted through the AV. “Beemari se bachaav aur bachchon se bhi”
3.3.2 On user Manual
Bihar
The number of games should be increased as they help in understanding the
HIV/AIDS messages.
Jharkhand
It was observed during the interaction that the supplementary materials are very
useful for conducting the interactive sessions. All the topics related to theme were
covered in the user manual.
While doing the exercise with the help of pictures it was felt few problems are
there. The first picture may be redesigned. The picture exposed the condom while
tearing which need to be avoided.
The third picture, which is showing the removal of air from the condom, should be
shown slightly pressed.
The fourth picture only showing that condom is rolled partly on the erect penis
rather it should be shown that the condom is rolled on the entire length.
The fifth picture is not clear and it is difficult to make out whether it is being
rolled on or out. If it is rolling out then the presence of semen must be indicated.
The card game was very effective. However two more cards may be designed and
added — one should depict the expiry date of the condom and one showing the use
(intercourse).
20
Madhaya Pradesh
The user manual lends help in carrying forward the discussion based on the story.
However, the language especially the grammar and the spellings needs a look in. At
many places, the manual is literal translation from English to Hindi. The manual was
not helpful in clarifying many doubts of the audiences principally on HIV and TB.
The focus of the manual is more on conducting / taking the interactive process
forward.
The user manual provides games/ exercise for only two stories-the exercise on
condom usage (flash Cards). Arranging the condom flash cards was a bit confusing
as the pictures are not so clear.
Uttar Pradesh
The user manual was used and all understood it well. Interesting pictures, many
were embarrassed by the graphic details but got over the embarrassment by the
end of it. Facilitator distributed the condoms and everyone got to open one and
actually handle the condom. Initially only a few opened them, later the rest
followed
3.4. Facilitators Performance
Bihar
The facilitator was well versed in conducting exercises and comfortable with the
subject.
vii. Known to the exercise
viii. Two way communication
ix. Live relation with audience
x. Used black board and pen/flip chart
xi. Well communicated and patient
xii. Explained HIV/AIDS very simply and spell it well in very interesting way and
simple words
Jharkhand
Facilitator was comfortable with the material but it was observed that she has not
properly gone through it. It is essential that the facilitator should thoroughly go
through the supplementary materials before taking any session. The experience of
the facilitator and the user manual could make facilitator understand the
exercises. It was observed that the facilitator having the well articulated patience
21
to address the audience. On communication it was observed that she was little low
in her voice, which needs to be taken care of. It was a average performance by the
facilitator. The facilitator need to be bold and should have good
commanding/audible voice, which was less reflected. She could relate the content
well to explain the audiences.
Madhaya Pradesh
In Madhya Pradesh, with exception of Ranbaxy Community Health Care Centre,
other two NGOs namely SOPAN and Sambhav and no prior experience in HIV/AIDS
As the Condom exercise was with male groups, they enjoyed dong the exercise and
had fun pulling each others leg.
Uttar Pradesh
Facilitator was comfortable with the subject: and had good understanding of the
issue Conducted the games very well although the facilitator did not use innovate
for discussion.
22
3 Findings Story C: VCTC
The consultant’s observations
As mentioned earlier, consultant observed the participants and the facilitators at
three stages i.e. pre-screening ice breaking, during screening and post screening.
The findings in this section are presented along these lines.
3.1 Pre-screening Ice- Breaking
Bihar
Not needed as the group knew the organization and the facilitator
Jharkhand
The facilitator first introduced himself and the other members of the organization
and also the introduced team members of BBC. Explained the audience on the
objective of the AV screening and requested the audience to patiently watch the
film and to participate in the interactive session after the screening of the movie
Madhaya Pradesh
The pre-screening ice- breaking session was limited to introduction of the
consultant and the purpose of assembling. The reason perhaps for limiting to such a
short ice breaking can be attributed to the compatibility problems eating into the
screening and interactive session time.
Uttar Pradesh
The group had been watching Lage Raho Munnabhai before we came. They first sang
a welcome song before we began the screening. The facilitator introduced the AV
as a story giving out HIV-AIDS related messages. We had a fairly large group of
young girls in the group and all of them stayed till the very end. The length of the
session however, appeared to be an issue primarily because the screening got
delayed and several of them had come from nearby village. Some of the girls had
seen JV.
23
3.2 During Screening
The audiences’ reactions to the audio-visual are an indictor of their involvement and
internalizing the messaging. The reactions to the advertisement, story -drama and
action and messaging across the target audience varied.
3.2.1 Stimulus Reaction: Advertisement, Story and Messaging
Bihar
They were watching with lot interest and very seriously.
Jharkhand
There was no evidence of any stimulus re action to any scene, action or drama
exhibited by the audiences. Everything was watched seriously and attentively.
Madhaya Pradesh
The group was very attentive and relaxed. Watched the story with lot interest and
anticipating the next scene. Enjoyed advertisement especially, of the weightlifters
(phelwan).
Uttar Pradesh
Were involved with the story and were responding to the characters. Jeet’s entry
was appreciated. Since this AV has a lot of physical violence, many went “uff uff”
each time there was some action. Mother in law’s taunts were not appreciated and
many went, “Oho”. The girls seemed to enjoy Gauri and Jeet’s relationship. Also
they responded with laughter on hearing the new language, “Nikdi jao” “Theo che”
etc. Looked sad and concerned for the pregnant woman when she slips and falls on
the stairs.
24
3.3 Post Screening
3.3.1. On Audio –Visual.
Bihar
It was relevant to their life and they want to change the situation. Audience
related to the content of the story easily.
Jharkhand
The user manual was used to go over the messages in the AV. Mother-in-law “Pure
cinema mein sabse Ganda wohi tha”
Madhaya Pradesh
In the film social messages overshadowed the HIV messages. Everyone could relate
to te film as such scenes were part of the life, especially, mother-in-law’s desire
for a male child.
Uttar Pradesh
Very helpful as the message was not fully understood and it was good to go over
them again. Generally liked the story and Gauri . May use easier terms like ability to
fight diseases instead of immunity as almost all the women found it difficult to
understand the terms including words like grast (inflicted). Yes. The messages on
condom usage made them a little restless but they continued to pay attention
3.3.2 On user Manual
Bihar
The number of games should be increased as they help in understanding the
HIV/AIDS messages.
Jharkhand
It was very useful but on breast feeding it was little confused. It was felt that
before exposing the audiences to the VCTC, the facilitator should be allowed to
talk about the basics on HIV / AIDS to the group.
The module on Basic explains that an infected mother can provide Breast-feeding if
she is unable to top feed the child properly. The same statement is contradicted in
VCTC AV when the infected mother (Vaishali)is counseled that not to breast feed
the child. The VCTC module is not addressing this in detail.
25
The AV showed that the HIV test report can be provided after 2 hours where as
the module shows that it will be available after 2 to three days. It need be
clarified.
It was written to use flip charts but no supportive flip charts were provided. The
module needs more editing on spellings, sentence formations.
Madhaya Pradesh
The user manual lends help in carrying forward the discussion based on the story.
However, the language especially the grammar and the spellings needs a look in. At
many places, the manual is literal translation from English to Hindi.
Uttar Pradesh
The user manual was used and all understood it well. Here there were no exercises.
In fact they were missed, as after a short discussion there was nothing left to talk
about
26
3.4. Facilitators Performance
Bihar
The facilitator was well versed in conducting exercises and comfortable with the
subject.
xiii. Known to the exercise
xiv. Two way communication
xv. Live relation with audience
xvi. Used black board and pen/flip chart
xvii. Well communicated and patient
xviii. Explained HIV/AIDS very simply and spell it well in very interesting way and
simple words
Jharkhand
Facilitator was comfortable with the material but it was observed that she has not
properly gone through it. It is essential that the facilitator should thoroughly go
through the supplementary materials before taking any session. The experience of
the facilitator and the user manual could make facilitator understand the
exercises. It was observed that the facilitator having the well articulated patience
to address the audience. On communication it was observed that she was little low
in her voice, which needs to be taken care of. It was a average performance by the
facilitator. The facilitator need to be bold and should have good
commanding/audible voice, which was less reflected. She could relate the content
well to explain the audiences.
Madhaya Pradesh
In Madhya Pradesh, with exception of Ranbaxy Community Health Care Centre,
other two NGOs namely SOPAN and Sambhav and no prior experience in HIV/AIDS
SOPAN facilitator Mr. Toetia, linked up the interactive session by using
advertisements in the AV( Why people shower flowers on Patla Dubla Pehlwan and
not on others) and also how general behavior is in a village when one is hurt i.e. to
press the wound hard to stop blood. Though this was humane and correct to help,
but kindly wash hands smeared with blood ensure the blood does not enter your
system, as one may not know the other person HIV+ or HIV-. He also clarified on
breast-feeding with the audience about what Angan Wadi Workers tells and what is
being shown in the Audio Visual.
27
Uttar Pradesh
Facilitator was comfortable with the subject: and had good understanding of the
issue Conducted the games very well although the facilitator did not use innovate
for discussion.
3 Findings Story D: HIV/TB
The consultant’s observations
As mentioned earlier, consultant observed the participants and the facilitators at
three stages i.e. pre-screening ice breaking, during screening and post screening.
The findings in this section are presented along these lines.
3.1 Pre-screening Ice- Breaking
Bihar
Not needed as the group knew the organization and the facilitator
Jharkhand
The facilitator first introduced himself and the other members of the organization
and also the introduced team members of BBC. Explained the audience on the
objective of the AV screening and requested the audience to patiently watch the
film and to participate in the interactive session after the screening of the movie
Madhaya Pradesh
The pre-screening ice- breaking session was limited to introduction of the
consultant and the purpose of assembling. The reason perhaps for limiting to such a
short ice breaking can be attributed to the compatibility problems eating into the
screening and interactive session time.
Uttar Pradesh
The facilitator introduced the AV as a story giving out HIV-AIDS related
messages. We had a fairly large group of young girls in the group and all of them
stayed till the very end. The length of the session however, appeared to be an issue
primarily because the screening got delayed and several of them had come from
nearby village. Some of the girls had seen JV.
28
3.2 During Screening
The audiences’ reactions to the audio-visual are an indictor of their involvement and
internalizing the messaging. The reactions to the advertisement, story -drama and
action and messaging across the target audience varied.
3.2.1 Stimulus Reaction: Advertisement, Story and Messaging
Bihar
They were watching with lot interest and very seriously.
Jharkhand
There was no evidence of any stimulus re action to any scene, action or drama
exhibited by the audiences. Everything was watched seriously and attentively.
Madhaya Pradesh
The group was very attentive and relaxed. Watched the story with lot interest and
anticipating the next scene. Enjoyed advertisement especially, of the weightlifters
(phelwan).
Uttar Pradesh
Were involved with the story and were responding to the characters. Jeet’s entry
was appreciated. Since this AV has a lot of physical violence, many went “uff uff”
each time there was some action. Mother in law’s taunts were not appreciated and
many went, “Oho”. The girls seemed to enjoy Gauri and Jeet’s relationship. Also
they responded with laughter on hearing the new language, “Nikdi jao” “Theo che”
etc. Looked sad and concerned for the pregnant woman when she slips and falls on
the stairs.
29
3.3 Post Screening
3.3.1. On Audio –Visual.
Bihar
It was relevant to their life and they want to change the situation. Audience
related to the content of the story easily.
Jharkhand
Kikri Chachi’s reaction to the destruction of her Dhaba created a humor among the
group. The driver Phool Singh’s running away after seeing Jassos vijay and Jeet and
further felling down and his comments after seeing parvati also created a humorous
scene during the screening.
Madhaya Pradesh
Did not understand the technical terms and could not realte much to the story as
they found picture very urban.
Uttar Pradesh
Generally liked the story but did not remember names. How HIV becomes AIDS, it
is a virus and severely affects immunity system, in this film they showed how it
leads to TB. Liked the relationship between JV and his wife. Felt that she keeps
him happy and he takes precaution, even while coughing.
3.3.2 On user Manual
Bihar
The number of games should be increased as they help in understanding the
HIV/AIDS messages.
30
Jharkhand
The reference material stated that a HIV infected person is vulnerable to TB 10 times
than a normal man. What is the reference point.TB is written as a disease that spreads
through touching (chuachoot bemari), It need to be looked into.
The module should also include that a TB patient should use a clean handkerchief every
time when he coughs. There is no discussion in the reference material how to destroy the
sputum of a TB patient.
The OI in Hindi is a problem it should be clearly written in English and all the short forms
used need to be explain fully. In the module two types of TB is explained. Nishkriya and
sakriya TB. It needs to be explain more.
The explanation BCG needs to be re written. In the module it is explained that BCG has
become redundant and is not effective. But people used to know that BCG vaccination is
given to children to protect from TB. Again it is also explained in the module that BCG is a
disease which is wrong information. The pointer iozoni acid medicine need to be clarified
more.
Madhaya Pradesh
The user manual lends help in carrying forward the discussion based on the story.
However, the language especially the grammar and the spellings needs a look in. At
many places, the manual is literal translation from English to Hindi. The manual was
not helpful in clarifying many doubts of the audiences principally on HIV and TB.
The focus of the manual is more on conducting / taking the interactive process
forward.
Through the characters messages were recalled. The message recall reveals the
comprehending HIV/AIDS messages. Majority of the respondents were able to
tell routes of transmission after watching basics and relate to the myths and
misconceptions. After screening of HIV/TB the audiences were able to inform
do’s and do not for a HIV/TB person. The message - HIV/TB person should take
proper and complete treatment from a qualified doctor was loud and clear. Most of
the respondents were able to recall this message as “ HIV/TB grast vyakati ko
niyamti aur poori dawa lena chhahiye aur doctor se ilaja karwana chhahi ye.”
The material needs to provide information on Symptoms HIV/AIDS. When and
where to go for checkup? How can HIV+ person lead normal healthy life? No input
on diet of HIV+ person.
31
Uttar Pradesh
The user manual was used and all understood it well. Here there were no exercises.
In fact they were missed, as after a short discussion there was nothing left to talk
about
3.4. Facilitators Performance
Bihar
The facilitator was well versed in conducting exercises and comfortable with the
subject.
xix. Known to the exercise
xx. Two way communication
xxi. Live relation with audience
xxii. Used black board and pen/flip chart
xxiii. Well communicated and patient
xxiv. Explained HIV/AIDS very simply and spell it well in very interesting way and
simple words
Jharkhand
Facilitator was comfortable with the material but it was observed that she has not
properly gone through it. It is essential that the facilitator should thoroughly go
through the supplementary materials before taking any session. The experience of
the facilitator and the user manual could make facilitator understand the
exercises. It was observed that the facilitator having the well articulated patience
to address the audience. On communication it was observed that she was little low
in her voice, which needs to be taken care of. It was a average performance by the
facilitator. The facilitator need to be bold and should have good
commanding/audible voice, which was less reflected. She could relate the content
well to explain the audiences.
Madhaya Pradesh
In Madhya Pradesh, with exception of Ranbaxy Community Health Care Centre,
other two NGOs namely SOPAN and Sambhav and no prior experience in HIV/AIDS
SOPAN facilitator Mr. Toetia, linked up the interactive session by using
advertisements in the AV( Why people shower flowers on Patla Dubla Pehlwan and
not on others) and also how general behavior is in a village when one is hurt i.e. to
32
press the wound hard to stop blood. Though this was humane and correct to help,
but kindly wash hands smeared with blood ensure not to enter the blood into your
system, as one may not know the other person HIV+ or HIV-. He also clarified on
breast-feeding with the audience about what Angan Wadi Workers tells and what is
being shown in the Audio Visual.
Uttar Pradesh
Facilitator was comfortable with the subject: and had good understanding of the
issue Conducted the games very well although the facilitator did not use innovate
for discussion.
33
4 Conclusion and Suggestions-
Overall
The useful ness of the audio-visual and the user manual cannot be overlooked in
spread of knowledge of HIV/AIDS. The tool kit can become a powerful medium of
communicating about HIV/AIDS if the following are taken into considerations.
4.1 Suggestions
For Facilitators
 Training of the facilitators to build knowledge about HIV/AIDS.
 Training on conducting the sessions.
 Training on installation and trouble shooting of devices.
On the user manual
The user manual should include:
 More pictures relating to story and disease. So that it can be used during
the session.
 Topics on TV/DVD/Generator installation- on the lines of electronic gadgets
manual.
 Topics on trouble shooting of the devices and checks to handle the troubles.
 Glossary of terminologies
 Addresses and List of VCTC in state.
 Folk Songs based on story themes.
 More games /exercises.- Advertisements can be picked as games or
advertisements can be used as innovation during sessions.
34
Additonal Report
The tough and unfamiliar words used in film:
TB/HIV
Poorak
Ardhangini
Hav bhav basha
Kunhiye
Kshamta
Anubhuti
Sankramanh
The speed of delivering the messages are very fast.
VCCTC
Pathav naee ave
Mard log bagan me chhe
Anubhuti
Vishanhu
Shabdakosh
Kave sako chhe
Basics
Pushtaini
Correspondence course
Thane Ko
Baisha
Tausha
Sunha Nehin
Ye jagah khanhi chahiye
Mahara
Tharilanhki
Bhaisha
Kahe houn
Jhuthe bole hai yee
Fitrat
Peechhe panhya tha
Jaanhon
Tha ki izzat kare hain
35
Note: The scene where police inspector tells to J.V. ‘….Jasooson Ki Roti Chalti
Rahe.....” destroys the ideal image of J.V.
36
User Manual Story
Suggestions A
Page No. Line No. Tough Word Propose simpler Word
1 4 tahkeekat jaanch partal
1 9 sanvedansheel bhavuk
1 10 abhav na hona
3 18 moulik Khas
4 4 mithakon galat phahmiyon
7 6 pratirodhak beemariyon se ladne ki takat
8 15 gyatavya maloom
8 16 grasit lapet me
Suggestions B
1 condom use nirodh ka istemal
1 under pressure pareshani me
1 7 mask mukhouta
1 11 sutron admiyon
1 12 sanyogvash Itfakan
1 15 rahasya raj
1 15 udghatan patachala
2 6 condom nirodh
2 7 dayitwa zimmedari
2 11 prakriya Tareeke
3 1 vidhi tareeke
3 2 audio vedio show Film
3 6 prastavana bhumika
3 7 sahbhagiyon Shamil logon
5 8 sankramanh failne or hone
6 13 margdarshan madad
8 8 dushprabhav bura asar
Suggestions C
1 7 nakaratmak dirshtikhonh purnai ghisipiti soch
3 1 prakriya tareeka
4 1 feedback rai jaane
4 9 margdarshan madadgar
4 11 garbhawastha jab uske pet me beccha pal rah
tha
5 6 suchanaon jankariyon
6 2 dhyan rakhne dekhbhal karne
Suggestions D
2 5 pratirodhak kshamata beemariyon se ladne ki takat
37
2 5 grasit lapet me
2 12 upchar ilaz
3 8 sahaj samanya aaram se
4 16 feedback rai jane
5 1 margdarshak madadgar
Supplementary material should be added.
Nirodh
o nakhoon ki kharonch se bachayen
o kisi gandagi wali jagah par na rakhen
o rasoe men jahan garmi aur dhuan hota hai na rakhen
o anganwadi men bhi nirodh milta hai (muft me)
o A N M ke pass bhi nirodh milta hai (muft me)
o Swasthya par kaam karne wale NGOs ke office me bhi nirodh milta hai (muft
me)
o Nirodh ke istemal se yown sukh me koyee kami nehin aati
Note: Some sentences are not complete and some does not serve the purpose.

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Consolidated Final_BBCWST

  • 1. 1 1 Introduction Background BBC World Service Trust (BBCWST) established in 1999, is an independent NGO with in the BBC World Service. The trust uses the creative power of media to promote development. A national level survey conducted by the BBC WST gave an idea about the role of TV in spread of the HIV/AIDS message. The study showed the difference in the awareness levels about HIV/AIDS, higher among those having access to television vis-à-vis those without television access. The research study “Media Dark Project”, identified the states - Bihar, Jharkand, Madhaya Pradesh and Uttar Pradesh as the media dark states, wherein the people had limited or no access to television. BBC WST in partnership with States AIDS Control Societies (SACS) Non- Governmental Organizations (NGOs) and Community Based Organizations (CBOs) has developed a toolkit to reach the unreached population in these states. The Tool kit The toolkit is a reworked copy of the BBCWST’s programmes on HIV/AIDS-Jasoos Vijay and Haath se Haath Milaa. The kit includes 1) Audio-Visual and 2) a User Manual. 1. The Audio Visual The audio-visual consists of 10 stories in DVD formats on varying themes of HIV/AIDS – i.e. a) Basics; b) Condom promotion c) RTIs/STIs d) Stigma and Discrimination e) VCTC f) Care and Support g) PPTCT h) Opportunistic Infections i) TB and HIV j) Sensitization CD. The first 9 DVDs are on the various issues of HIV/AIDS an edited version of Jasoos Vijay stories of 80 minutes duration. In each theme Jasoos Vijay, a detective conveys the HIV/AIDS message while unraveling the mystery. The 10th DVD is for sensitizing the Opinion leaders, and is essentially a collection of Haath se Haath Milla and Jasoos Vijay. 2.The User Manual The manual consists of various modules each one developed specifically for a particular theme around HIV/AIDS. Each module has participatory exercises such
  • 2. 2 as history taking flip charts, posters etc. The exercises develop on and around the characters including the lead role in the story. Purpose of the Research The BBC-WST undertook the test of the toolkit (Audiovisual story and User Manual) through series of screening across the state of Madhya Pradesh, with intent to improve both Audio-Visual and the User Manual. 1. Feed back by the facilitator on the toolkit (AV and User Manual)  To explore the effectiveness of the AV toolkit w.r.t: i. Audio Visual Communication aspect of the AV toolkit story and HIV/AIDS messaging. ii. Extent to which AV component facilitates the BCC process initiates the group after the screening by the facilitator. iii. To explore the effectiveness of the user manual: iv. To assess the methodologies used in the user manual and effectiveness of the participatory process. 2. Feed back by the audience on the toolkit i. To explore the level of comprehension of the AV toolkit i.e. storyline and HIV/AIDS messaging. ii. Level of interest during post screening BCC process initiated by the facilitator iii. To what extent BCC process meets the communication objectives- through use of participatory exercises and tools such as Flip charts, posters etc.
  • 3. 3 2Methodology To achieve the objectives of the research as outlined. The following qualitative techniques were adopted. 2.1 Qualitative Techniques i. The participants observations ii. In-depth Interviews 2.1.1.The participants’1 observation technique: Through this technique the study participants and the facilitators were observed before screening, during and post screening. This was done to assess the below – mentioned.  Ice breaking: How the facilitator begins the session.  Audience reactions to the advertisements, story and messaging and most importantly to what extent is the audio- visual able to hold them till the end.  Post screening to what extent does the audio-visual lends itself to arouse curiosity and communicate HIV/AIDS and other social messages.  Participation in exercises and its usefulness in messaging. 2.1.2 In –Depth Interviews Post screening in-depth interviews was held with the facilitators to get their opinion on both the audio-visual and the user manual. Their insights were key to the pre-test, and the interview was specifically designed to get information w.r.t. :  Understanding of HIV/ AIDS messaging  Language in the audio-visual  Views on the interactive sessions especially exercises and games.  Usefulness of the user manual 1 Participants herein refer to the audience.
  • 4. 4 2.2 Sample frame In a state a total of 8 screenings of the select stories were organized by the BBCWST. The stories screened included: A. Basics B. Condom use C. VCTC D. HIV and TB The stories were screened to the general populace by the identified and selected NGOs. 2.3 Selection of NGOs The screening in the community were organized by NGOs identified and selected by BBC-WST on the below-mentioned criteria:  Level of involvement and commitment  Diverse constituencies  Socio-Cultural breadth 2.4 Allocation of the stories BBC WST, NGOs and the Consultant allocated the stories. Round robin method to ensure the 2 screenings of each story across the target audience. (Table 1) 2.5 Target Audience Males  Above 18  Below 18 Females  Below 20  21-35  Above 35 2.6 Selection of the Screening Sites The screening sites were identified and selected by the NGO on the ensuing factors  Distance from the District headquarters (NGO office)  Villages accessible route – by foot or own conveyance and non existence or limited public transport  Non-existence or limited ownership of television.  NGO presence in the village
  • 5. 5 Table 1: Villages and Distance from the NGO office State NGO Village Story Group Distance Bihar DORD Daudnagar Basics Male above 18 - Daudanagar Condom use 21-35 years - Poor Urban Rural Women Association Patna HIV-TB Above 35 years Female - Resha Bhagwanpur VCTC Male 18 years - Resha Bhagwanpur Basics Female 21-35 years - Azad India Foundation KishanganjTown Condom Use Females below 20 - Satbolia HIV-TB Male above 18 years - KishanganjTown Basics 21-35 years - Jharkhand Srijan Foundation,Hazaribagh Kanjigi Basics Above 18 males 65 kms Bhadwa VCTC 21-35 females 60 kms Network for Enterprise Enhancement and Development Pahariya HIV-TB Above 20 male 60 kms Pindra VCTC 21-35 females 40 Ratura VCTC Above 35 60 Tata Steel Family Initiatives Foundation Pagda Basics Below 18 males 20 Tirilidh Condom Use Below 20 years Female 25 MadhayaPradesh SOPAN, Seoni Badal par HIV/TB > 20 females 45 kms Simariya VCTC > 20 males 55 km Ranbaxy Dewas Singawada Basics >20 females 12 Km VCTC 21-35 females Sambhav, Khajharaho lalpurva HIV/TB 21-35 females 45 km Dalpurva Condom Use age < 20 Males 42 km Lakhanpurva Condom Use age > 20 Males 40km Bhilanpurva Basics > 20 females 5km Samvad Churahi VCTC Below 20 - Kazipur Condom Use Above 35 years - Ampur Gdaoli HIV-TB Male Below 18 years MSS Kallipur Basics Below 20 years male Sabla Dighora Basics Below 20 years - Angoori Condom Use Female21-35 years Harchandpur HIV-TB Above 35 years
  • 6. 6 2.7 Tools Used The tools used for the pre test included:  Audio-visual  Interactive session with the help of user manual and games.  Pre-designed and approved format for recording observation on pre- determined set of indicators. 2.8 Data Analysis The data was analyzed using a pre-designed and approved format on the set of indicators as finalized in consultation with BBCWST. 2.9 Limitations of the study Overall : 1. The language in some of the states was a problem as it was not proper Hindi 2. heartland, especially in Madhya Pradesh and Jharkhand. 3. Facilitator’s experience in taking forward the interaction process had influence on the outcome of the findings, as all the facilitators were not so experienced in conducting the groups and also lacked familiarity with the subject- HIV/AIDS. 4. Involvement of the NGO in organizing such exercises varied with in the states and from state to state, which also has bearing on the outcome of the findings. 5. Geographic locations of the screening sites have had influence on the outcome of the findings. The state of the Madhya Prdesh, borders more than one state. The screenings sites bordered - Uttar Pradesh in North, Maharashtra in the South- East and Gujarat in the West. 6. The language and culture in each of these locations is influenced by the neighbouring state. In North of Madhya Pradesh, a dialect of Hindi – Bundelkhandi is spoken, whereas in district bordering Maharashtra, local language is interspersed with Marathi terms. In Indore and Dewas, districts bordering Gujarat, Malawi a dialect, which is a mixture of Hindi and Gujarati is spoken. 7. Gender of the facilitator did hider the process of interaction and affects the findings. 8. Timing of the screening and compatibility issues of the screening ate also had impact on the out come the study. 9. Lack of coordination at all levels especially with SAMBHAV NGO resulted in loss of resources and affected the screenings
  • 7. 7 3 Findings Story A: Basics The consultant’s observations As mentioned earlier, consultant observed the participants and the facilitators at three stages i.e. pre-screening ice breaking, during screening and post screening. The findings in this section are presented along these lines. 3.1 Pre-screening Ice- Breaking Bihar Due to technical problems the screening was delayed, the facilitator apologized for it. Audience and facilitator were well known to each other, so there was no problem, BBC WST representative, the consultant and participant were introduced. Jharkhand The facilitator first introduced himself and the other members of the organization and also the introduced team members of BBC. Explained the audience on the objective of the AV screening and requested the audience to patiently watch the film and to participate in the interactive session after the screening of the movie Madhaya Pradesh The pre-screening ice- breaking session at all places for each story was limited to introduction of the consultant and the purpose of assembling. The reason perhaps for limiting to such a short ice breaking can be attributed to the compatibility problems eating into the screening and interactive session time. Uttar Pradesh The facilitator introduced the AV as a story giving out HIV-AIDS messages. Almost all the participants had TV sets at their homes. However, they do not have regular electricity therefore they claimed to be mostly watching films using generators. A couple of them had seen a few episode of Jasoos Vijay.
  • 8. 8 3.2 During Screening The audiences’ reactions to the audio-visual are an indictor of their involvement and internalizing the messaging. The reactions to the advertisement, story -drama and action and messaging across the target audience varied. 3.2.1 Stimulus Reaction: Advertisement, Story and Messaging Bihar They were watching with lot interest and very seriously. Jharkhand The audiences observed the advertisements very seriously. They liked the action scenes Jasos Vijay’s blow to Tausha (Gajendra) made the audience laugh. Audience enjoyed Jasoos Vijay tastes tobacco (Khaini) and spits it immediately on disliking the taste. Madhaya Pradesh The group was very attentive and relaxed. Watched the story with lot interest and anticipating the next scene. Enjoyed advertisement especially, women telling lady doctor about HIV/AIDS messaging. The groups at such (HIV messaging) times reacted by whispering and giggling; and eyes glued to the TV. Uttar Pradesh It was a very attentive audience. Two younger siblings and two mothers had accompanied the group. Disturbance none. Found advertisements amusing. However, were involved with the story and its characters. Kept discussing among themselves who the possible killer could be. The suspense element was thrilling. Tara's position appeared to be a little awkward as she goes out at night to meet a man without informing the elders. HIV messaging was heard with all seriousness and full concentration and only when Dr. Sanjay Chugh came there was some lack of interest.
  • 9. 9 3.3 Post Screening 3.3.1. On Audio –Visual. Bihar On the oppressed, position of woman. It was relevant to their life and they want to change the situation. Audience related to the content of the story easily. Jharkhand From the AV the characters recalled by the audiences were Vijay, Gauri, Pratap and Gajendra Tuasha. While former were liked, the latter was disliked by the audiences. Jasoos Vijay’s role in integrating Pratap with the villagers was very much liked by the audiences. “Jasoos Vijay ek achha kam kiya pratap ko gaon walon se milakar” Jasoos Vijay’s role in protecting the women from the husband’s (Chacha) beating was also liked by the audiences.“Aurat Ke upper haat uthana paap he, Jasoos vijay ka ye role achha laga”.Gauri’s role in helping a stranger like Jasoos Vijay in tracing the culprit of Tara’s murder was also liked.“Gauri ek ajnabi ko apne behen ka katil ko khoj n eke liye vijay ko saath diya achha laga”Gauri apne behen ko bahut pyar karta tatha”. There was no dislike among the audiences on social messages. However the audiences were excited to know how Pratap got infected with HIV and could not believe that a very handsome and self respecting person like Pratap could be infected with HIV. “Pratap ko kese HIV hua, chehera aur gun dekh ke nahin lagta he ki usko HIV ho sakta he” The audiences appreciated Jasos Vijay’s role in protecting Chachi from the outrage behaviour of Gajendra chacha. They Perceived that a women in a family should be respected. “Gaon mein kabhi kabar mard log nasa kar ke apni biwi ko marte hein, ea sab galat he, ham log aese nahin karenge”. The audience appreciated the role of the Village panchayat in solving different problems of the villagers. “Har gaon me aise panchayat ko baitha ke kishi bhi masla ko hal nikalna chaiye” Madhaya Pradesh Post screening the interactive session, begun after 5-10 minutes gap. The break was essential to allow loosen the stiff limbs and also to bring the audiences in to interactive mood. All the post screenings began with the questions how did you find the story? Did you learn some thing? What did you learn? What all can you recall?
  • 10. 10 Liking to the story was replied in unison by audiences at all the centres. The learnings from the story began with the recall of characters liked by the audience. Jasoos Vijay was liked by all, the reason “ Woh sach bolta hai”, Acchi Janakari deta hai” , Apradhi ko pakad ta hai.” The audience on the whole were able to get the jist of the story and some of the HIV/AIDS messages, as the dialogues runs fast and also the language is not very easy to follow. The language was issue with above 20 years females and males than with the younger lot, this could because of difference in the levels of education and exposure to the terminologies such “ grast”, “delivery” “test”. Uttar Pradesh Chanda was not disliked, in fact everyone had sympathy for her but it was felt by the group that her going out at night to meet a man without telling the elders made them question her intentions. They felt, if found out, in such cases the girl is likely to face violence, though death, they felt was not justified. “Raat ko paraye mard se milna galat hai, pitaayee tau hogi hee”. Social messages were not taken up in the following discussion. Could be that domestic violence is such a disturbing fact that the audience was in denial. At the end, the consultant brought it up, there was total agreement that it is not justified, it happens all the time and people must intervene and stop it. Social messages for the audiences had direct relevance to them and a part of their reality. Used the terms used in the film and AV to discuss HIV /AIDS messaging. But not everyone knew the meaning of the terms, vishanu (virus), yaun sambandh (sexual intercourse), pratirodhak shakti (immunity) or sankramit khoon (infected blood). Relevance of HIV/AIDS messages for the audiences: Though none of them knew of anyone with HIV-AIDS a lot of the men from their villages had migrated to the cities, as also getting affected through injections and blood transfusion seemed relevant. Got the overall message but term like vishanu (virus), yaun sambandh (sexual intercourse), pratirodhak shakti (immunity) or sankramit khoon (infected blood) were not understood by quite a few of them. 3.3.2 On user Manual Bihar The number of games should be increased as they help in understanding the HIV/AIDS messages.
  • 11. 11 Jharkhand It was observed during the interaction that the supplementary materials are very useful for conducting the interactive sessions. However there are few gaps were identified as shown below. There is use of white blood cell (page 6), which may not be easily understood by the facilitator. Therefore it was felt that Instead of WBC , Khoon ke Safed Kan may be appropriate or both. Under routes of transmission it is written that HIV transmits through Khun Chadhane se. (page 6). The word Dushit may be added before Khun to make more meaningful. In page 7 of the user manual it is written that it takes 8 to 10 years for a HIV positive person to be affected by AIDS. The experiences says that if a HIV positive person continues to practice unsafe behavior then he may get affected with AIDS within a year or two. It needs to be rephrased and elaborate so as to make the facilitator more comfortable to explain. It was felt from the audiences feed back and the experience of the facilitator that few more pictures need to be added as given below: A picture that HIV spreads through unprotected sex (vaginal intercourse) may be added. Picture on coughing and sneezing need to be added Madhaya Pradesh The user manual lends help in carrying forward the discussion based on the story. However, the language especially the grammar and the spellings needs a look in. At many places, the manual is literal translation from English to Hindi. The manual was not helpful in clarifying many doubts of the audiences principally on HIV and TB. The focus of the manual is more on conducting / taking the interactive process forward. The user manual provides games/ exercise for only two stories-the exercise on condom usage (flash Cards) and myths and misconceptions. Arranging the condom flash cards was a bit confusing as the pictures are not so clear. The myths and misconceptions were interpreted as thus.
  • 12. 12 The full-blown condom was part of the myths and misconceptions exercise, the aim was to convey it as a protective gear i.e. through use of condoms HIV/AIDS could be checked. However, some misinterpreted the picture as FEEDING BOTTLE NIPPLE. At another place the below 20 years females were reluctant to hold the picture and kept passing it on when asked to participate in the exercise. This picture of the toilet sharing with HIV+ positive person, does not spread HIV/AIDS was mistaken as UTERUS. The needle-sharing picture was mistaken for men playing with BANDOOK (toy gun). Uttar Pradesh Suggestions from the audiences: It was suggested that one could also include tattoo (gudna) and shaving pictures in the list of pictures. 3.4. Facilitators Performance Bihar The facilitator was well versed in conducting exercises and comfortable with the subject. i. Known to the exercise ii. Two way communication iii. Live relation with audience iv. Used black board and pen/flip chart v. Well communicated and patient vi. Explained HIV/AIDS very simply and spell it well in very interesting way and simple words Madhaya Pradesh In Madhya Pradesh, with exception of Ranbaxy Community Health Care Centre, other two NGOs namely SOPAN and Sambhav and no prior experience in HIV/AIDS or Reproductive and Child Health exposure. The capacitates of the NGOs needs to be build in the area of HIV/AIDS, so that the following mistakes are minimized: i. HIV/AIDS are interchanged ii. HIV – is virus “ Vishanu” and not insect “ Kitanu” iii. Symptoms of HIV+ positive not immediately visible. Weight loss can happen due other factor as well. iv. Anti Retro Viral Therapy (ART) is medicine for AIDS. .
  • 13. 13 Of the three NGOs, SOPAN was the best and showed lot of commitment and involvement in conducting the interactive sessions. SOPAN facilitator was very innovative. Overall the facilitators were able to manage and engage the audience before, during and after the screening. However, the games and exercises were not conducted well. Uttar Pradesh Facilitator was comfortable with the subject: and had good understanding of the issue Conducted the games very well although the facilitator did not use innovate for discussion. 3.5 Facilitators feed back 3.5.1. On audio-visual Bihar Entertaining and very informative. Terms not easily understood. Jharkhand i. Audio visual is a very attractive medium for any IEC strategies. This was also felt with this group. The AV according to the facilitator was very useful in attracting the audiences for watching a movie. The audience will see it as there is some kind of entertainment along with important information. ii. The story was liked by the group as there were less or no disturbances. However, according to the facilitator, the AV was not having a proper link between the HIV messaging and the story. The HIV messages in the AV shown very late i.e after 40 minutes which need to come early. The story was also very long. iii. The term and languages used in the AV was seen as acceptable and understandable. No one from the group made any remarks on the terms and languages. iv. The story and the messages were well accepted with the group. v. There was no evidence of any difficulties faced by the facilitator in conducting the exercises.
  • 14. 14 Madhaya Pradesh i. The costumes and the language are very urbane. ii. The names in the HIV/ TB story are not easy to remember and therefore, relating to the story is difficult. iii. The story is lengthy and the HIV messages get lost in the story. iv. There is no pause or break for while HIV message is being aired, for people to understand its importance. v. In the end main characters from the story instead of doctor should recapitulate the HIV messages for better impact. vi. Females to anchor the story VCTC in particular. vii. Words like condom to be replaced with NIRODH, “Grast” should be Rogi/ Pidit, Bulgum as “ Thuk”. TB as” Tapedik”. viii. Audio-Visual to begin with songs. Uttar pradesh i. Usefulness of the AV tool in facilitating interactive sessions: Very interesting pictures easily understood by all and aid discussion. ii. Feed back on the story: All paid attention to the story and messages. However social issues like domestic violence did not come up on their own it may be useful to include a short discussion on this in the user manual. iii. Feedback on the terms, language used: May use easier terms like ability to fight diseases instead of immunity. iv. Cultural acceptance of the story and the messages: Yes. Tara's going at night to meet the man was objectionable. v. How successfully the audiences related the content of the story and are there any constraints in this: Other than Tara's going out at night, everything as was taken in the right spirit and went down well with the audience.
  • 15. 15 3.5.2 On user manual Bihar Very useful to begin interactive session. Jharkhand 1. Supplementary material was very useful in making the audience understand the objective of the story i.e HIV/AIDS. However the audiences were interested to know more about RTI and STI, therefore few lessons on RTI and STI may be added so as to help the facilitator. 2. It was felt from the audiences feed back and the experience of the facilitator that few more pictures need to be added as given below: A kissing photograph needs to add in the game. Cough and sneezing, Playing together, etc. Madhaya Pradesh i. The user manual focuses on the process of taking forward the interactive session. ii. The manual does not provide answer to many of the questions on TB and Symptoms of HIV, no information about VCTC. iii. Games are limited. Games help in clearing myths and misconceptions and also help in recapitulating. iv. The user manual should be pictorial. v. The manual should have songs composed on HIV/AIDS. vi. Manual should provide A-Z about HIV/AIDS and story related information. Uttar Pradesh i. The supplementary materials are quite good. The user manual was used and all understood it well. The pictures were in conjunction with the HIV-AIDS messages in the AV and were easily understood by all. The pictures were read easily. ii. Easier terms may be better understood but it is also essential for the participants to be familiar with the technical terms, therefore both should be used. iii. Include pictures of shaving and tattooing.
  • 16. 16 3 Findings Story B: Condom Use The consultant’s observations As mentioned earlier, consultant observed the participants and the facilitators at three stages i.e. pre-screening ice breaking, during screening and post screening. The findings in this section are presented along these lines. 3.1 Pre-screening Ice- Breaking Bihar Due to technical problems the screening was delayed, the facilitator apologized for it. Audience and facilitator were well known to each other, so there was no problem, BBC WST representative; the consultant and participant were introduced. Jharkhand The facilitator first introduced himself and the other members of the organization and also the introduced team members of BBC. Explained the audience on the objective of the AV screening and requested the audience to patiently watch the film and to participate in the interactive session after the screening of the movie Madhaya Pradesh The pre-screening ice- breaking session at all places for each story was limited to introduction of the consultant and the purpose of assembling. The reason perhaps for limiting to such a short ice breaking can be attributed to the compatibility problems eating into the screening and interactive session time. Uttar Pradesh The facilitator introduced the AV as a story giving out HIV-AIDS messages. Almost all the participants had TV sets at their homes. However, they do not have regular electricity therefore they claimed to be mostly watching films using generators. A couple of them had seen a few episode of Jasoos Vijay.
  • 17. 17 3.3 During Screening The audiences’ reactions to the audio-visual are an indictor of their involvement and internalizing the messaging. The reactions to the advertisement, story -drama and action and messaging across the target audience varied. 3.2.1 Stimulus Reaction: Advertisement, Story and Messaging Bihar They were watching with lot interest and very seriously. Jharkhand On chunilal cartoon every one giglled but during the message they settle down and observed it seriously. on the actions there was no perceived reaction from the audiences. But on the drama few giggles among the group was reflected. The two instances were When Akal admitted of having 3 girl friends the audiences giggled. Hanubhai’s reaction after Vijay’s revelation of his “Jasos” identity evoked giggle among the group. The audiences listened carefully the HIV Messaging. Madhaya Pradesh The group was very attentive and relaxed. Watched the story with lot interest and anticipating the next scene. Enjoyed advertisement especially, of the weightlifters (phelwan). Uttar Pradesh Were involved with the story and were responding to the characters. End of Sharmi’s murder sequence, a couple said, “sapna dekh raha tha”. (“He was dreaming), another said “nahin, yaad kar raha hai”. (No he is thinking about her murder”). The suspense element was thrilling. When Gauri gets captured, most went, “tuch-tuch”, they were full of sympathy for her and found her character quite endearing. When Kalu asked the kids to leave his home, in the presence of JV and Chanda, everyone laughed, this bit about kids being scolded for no particular reason, everyone immediately identified with.
  • 18. 18 3.3 Post Screening 3.3.1. On Audio –Visual. Bihar It was relevant to their life and they want to change the situation. Audience related to the content of the story easily. Jharkhand From the AV the characters recalled and liked by the audiences were: Jasos Vijay, Gauri, Cahnda, Akal. Chanda’s responsibility for her future married life was well appreciated.“Chanda apne sadi suda jeevan ko achhi karni karni chthi thi wo bahut achha laga”.The support of Gauri in educating Chanda, a village girl was well appreciated. “Gauri bahut achhi he, ek sahei ladki ho kar wo bahut achhi se Chaanda ko sahyog diya”.Jasoos Vijay was appreciated every where. “Sabko Jassos vijay jesa hona chaie”.They liked Akals responsible behavior of using condoms every time with all his three girl friends.“Akal ne akalmandi ka kaam karta tha hamesa condom byabahar karke”Chanda buying the condoms was appreciated. Also the knowledge on the benefits of condom was also liked.“Condom apna ke hum log bahut sare rog se bacch sakte hein”. Madhaya Pradesh Post screening the interactive session, begun after 5-10 minutes gap. The break was essential to allow loosen the stiff limbs and also to bring the audiences in to interactive mood. All the post screenings began with the questions how did you find the story? Did you learn some thing? What did you learn? What all can you recall? Characters such as Chanda , Akal were not liked. Chanda was not liked by the audiences, it is important to mention, that Condom Usage was exposed only to the male audiences in Madhya Pradesh, and women discussing and buying condoms, did not go well with the men. One of the male audience remarked “ Yeh Istemal toh aadmi karta hai gyan aurat baant rahi hain.”
  • 19. 19 Uttar Pradesh They did not dislike Chanda, were a little taken aback by her buying condoms. They also claimed that she is not wrong in buying them. Some said that they also get them from ANM behanji so there is nothing wrong in it. They just felt that her buying it from a shop, before she is married was a very bold, bordering on impudence act. Relevance of HIV/AIDS messages for the audiences: Condoms (Nirodh) is being promoted through the AV. “Beemari se bachaav aur bachchon se bhi” 3.3.2 On user Manual Bihar The number of games should be increased as they help in understanding the HIV/AIDS messages. Jharkhand It was observed during the interaction that the supplementary materials are very useful for conducting the interactive sessions. All the topics related to theme were covered in the user manual. While doing the exercise with the help of pictures it was felt few problems are there. The first picture may be redesigned. The picture exposed the condom while tearing which need to be avoided. The third picture, which is showing the removal of air from the condom, should be shown slightly pressed. The fourth picture only showing that condom is rolled partly on the erect penis rather it should be shown that the condom is rolled on the entire length. The fifth picture is not clear and it is difficult to make out whether it is being rolled on or out. If it is rolling out then the presence of semen must be indicated. The card game was very effective. However two more cards may be designed and added — one should depict the expiry date of the condom and one showing the use (intercourse).
  • 20. 20 Madhaya Pradesh The user manual lends help in carrying forward the discussion based on the story. However, the language especially the grammar and the spellings needs a look in. At many places, the manual is literal translation from English to Hindi. The manual was not helpful in clarifying many doubts of the audiences principally on HIV and TB. The focus of the manual is more on conducting / taking the interactive process forward. The user manual provides games/ exercise for only two stories-the exercise on condom usage (flash Cards). Arranging the condom flash cards was a bit confusing as the pictures are not so clear. Uttar Pradesh The user manual was used and all understood it well. Interesting pictures, many were embarrassed by the graphic details but got over the embarrassment by the end of it. Facilitator distributed the condoms and everyone got to open one and actually handle the condom. Initially only a few opened them, later the rest followed 3.4. Facilitators Performance Bihar The facilitator was well versed in conducting exercises and comfortable with the subject. vii. Known to the exercise viii. Two way communication ix. Live relation with audience x. Used black board and pen/flip chart xi. Well communicated and patient xii. Explained HIV/AIDS very simply and spell it well in very interesting way and simple words Jharkhand Facilitator was comfortable with the material but it was observed that she has not properly gone through it. It is essential that the facilitator should thoroughly go through the supplementary materials before taking any session. The experience of the facilitator and the user manual could make facilitator understand the exercises. It was observed that the facilitator having the well articulated patience
  • 21. 21 to address the audience. On communication it was observed that she was little low in her voice, which needs to be taken care of. It was a average performance by the facilitator. The facilitator need to be bold and should have good commanding/audible voice, which was less reflected. She could relate the content well to explain the audiences. Madhaya Pradesh In Madhya Pradesh, with exception of Ranbaxy Community Health Care Centre, other two NGOs namely SOPAN and Sambhav and no prior experience in HIV/AIDS As the Condom exercise was with male groups, they enjoyed dong the exercise and had fun pulling each others leg. Uttar Pradesh Facilitator was comfortable with the subject: and had good understanding of the issue Conducted the games very well although the facilitator did not use innovate for discussion.
  • 22. 22 3 Findings Story C: VCTC The consultant’s observations As mentioned earlier, consultant observed the participants and the facilitators at three stages i.e. pre-screening ice breaking, during screening and post screening. The findings in this section are presented along these lines. 3.1 Pre-screening Ice- Breaking Bihar Not needed as the group knew the organization and the facilitator Jharkhand The facilitator first introduced himself and the other members of the organization and also the introduced team members of BBC. Explained the audience on the objective of the AV screening and requested the audience to patiently watch the film and to participate in the interactive session after the screening of the movie Madhaya Pradesh The pre-screening ice- breaking session was limited to introduction of the consultant and the purpose of assembling. The reason perhaps for limiting to such a short ice breaking can be attributed to the compatibility problems eating into the screening and interactive session time. Uttar Pradesh The group had been watching Lage Raho Munnabhai before we came. They first sang a welcome song before we began the screening. The facilitator introduced the AV as a story giving out HIV-AIDS related messages. We had a fairly large group of young girls in the group and all of them stayed till the very end. The length of the session however, appeared to be an issue primarily because the screening got delayed and several of them had come from nearby village. Some of the girls had seen JV.
  • 23. 23 3.2 During Screening The audiences’ reactions to the audio-visual are an indictor of their involvement and internalizing the messaging. The reactions to the advertisement, story -drama and action and messaging across the target audience varied. 3.2.1 Stimulus Reaction: Advertisement, Story and Messaging Bihar They were watching with lot interest and very seriously. Jharkhand There was no evidence of any stimulus re action to any scene, action or drama exhibited by the audiences. Everything was watched seriously and attentively. Madhaya Pradesh The group was very attentive and relaxed. Watched the story with lot interest and anticipating the next scene. Enjoyed advertisement especially, of the weightlifters (phelwan). Uttar Pradesh Were involved with the story and were responding to the characters. Jeet’s entry was appreciated. Since this AV has a lot of physical violence, many went “uff uff” each time there was some action. Mother in law’s taunts were not appreciated and many went, “Oho”. The girls seemed to enjoy Gauri and Jeet’s relationship. Also they responded with laughter on hearing the new language, “Nikdi jao” “Theo che” etc. Looked sad and concerned for the pregnant woman when she slips and falls on the stairs.
  • 24. 24 3.3 Post Screening 3.3.1. On Audio –Visual. Bihar It was relevant to their life and they want to change the situation. Audience related to the content of the story easily. Jharkhand The user manual was used to go over the messages in the AV. Mother-in-law “Pure cinema mein sabse Ganda wohi tha” Madhaya Pradesh In the film social messages overshadowed the HIV messages. Everyone could relate to te film as such scenes were part of the life, especially, mother-in-law’s desire for a male child. Uttar Pradesh Very helpful as the message was not fully understood and it was good to go over them again. Generally liked the story and Gauri . May use easier terms like ability to fight diseases instead of immunity as almost all the women found it difficult to understand the terms including words like grast (inflicted). Yes. The messages on condom usage made them a little restless but they continued to pay attention 3.3.2 On user Manual Bihar The number of games should be increased as they help in understanding the HIV/AIDS messages. Jharkhand It was very useful but on breast feeding it was little confused. It was felt that before exposing the audiences to the VCTC, the facilitator should be allowed to talk about the basics on HIV / AIDS to the group. The module on Basic explains that an infected mother can provide Breast-feeding if she is unable to top feed the child properly. The same statement is contradicted in VCTC AV when the infected mother (Vaishali)is counseled that not to breast feed the child. The VCTC module is not addressing this in detail.
  • 25. 25 The AV showed that the HIV test report can be provided after 2 hours where as the module shows that it will be available after 2 to three days. It need be clarified. It was written to use flip charts but no supportive flip charts were provided. The module needs more editing on spellings, sentence formations. Madhaya Pradesh The user manual lends help in carrying forward the discussion based on the story. However, the language especially the grammar and the spellings needs a look in. At many places, the manual is literal translation from English to Hindi. Uttar Pradesh The user manual was used and all understood it well. Here there were no exercises. In fact they were missed, as after a short discussion there was nothing left to talk about
  • 26. 26 3.4. Facilitators Performance Bihar The facilitator was well versed in conducting exercises and comfortable with the subject. xiii. Known to the exercise xiv. Two way communication xv. Live relation with audience xvi. Used black board and pen/flip chart xvii. Well communicated and patient xviii. Explained HIV/AIDS very simply and spell it well in very interesting way and simple words Jharkhand Facilitator was comfortable with the material but it was observed that she has not properly gone through it. It is essential that the facilitator should thoroughly go through the supplementary materials before taking any session. The experience of the facilitator and the user manual could make facilitator understand the exercises. It was observed that the facilitator having the well articulated patience to address the audience. On communication it was observed that she was little low in her voice, which needs to be taken care of. It was a average performance by the facilitator. The facilitator need to be bold and should have good commanding/audible voice, which was less reflected. She could relate the content well to explain the audiences. Madhaya Pradesh In Madhya Pradesh, with exception of Ranbaxy Community Health Care Centre, other two NGOs namely SOPAN and Sambhav and no prior experience in HIV/AIDS SOPAN facilitator Mr. Toetia, linked up the interactive session by using advertisements in the AV( Why people shower flowers on Patla Dubla Pehlwan and not on others) and also how general behavior is in a village when one is hurt i.e. to press the wound hard to stop blood. Though this was humane and correct to help, but kindly wash hands smeared with blood ensure the blood does not enter your system, as one may not know the other person HIV+ or HIV-. He also clarified on breast-feeding with the audience about what Angan Wadi Workers tells and what is being shown in the Audio Visual.
  • 27. 27 Uttar Pradesh Facilitator was comfortable with the subject: and had good understanding of the issue Conducted the games very well although the facilitator did not use innovate for discussion. 3 Findings Story D: HIV/TB The consultant’s observations As mentioned earlier, consultant observed the participants and the facilitators at three stages i.e. pre-screening ice breaking, during screening and post screening. The findings in this section are presented along these lines. 3.1 Pre-screening Ice- Breaking Bihar Not needed as the group knew the organization and the facilitator Jharkhand The facilitator first introduced himself and the other members of the organization and also the introduced team members of BBC. Explained the audience on the objective of the AV screening and requested the audience to patiently watch the film and to participate in the interactive session after the screening of the movie Madhaya Pradesh The pre-screening ice- breaking session was limited to introduction of the consultant and the purpose of assembling. The reason perhaps for limiting to such a short ice breaking can be attributed to the compatibility problems eating into the screening and interactive session time. Uttar Pradesh The facilitator introduced the AV as a story giving out HIV-AIDS related messages. We had a fairly large group of young girls in the group and all of them stayed till the very end. The length of the session however, appeared to be an issue primarily because the screening got delayed and several of them had come from nearby village. Some of the girls had seen JV.
  • 28. 28 3.2 During Screening The audiences’ reactions to the audio-visual are an indictor of their involvement and internalizing the messaging. The reactions to the advertisement, story -drama and action and messaging across the target audience varied. 3.2.1 Stimulus Reaction: Advertisement, Story and Messaging Bihar They were watching with lot interest and very seriously. Jharkhand There was no evidence of any stimulus re action to any scene, action or drama exhibited by the audiences. Everything was watched seriously and attentively. Madhaya Pradesh The group was very attentive and relaxed. Watched the story with lot interest and anticipating the next scene. Enjoyed advertisement especially, of the weightlifters (phelwan). Uttar Pradesh Were involved with the story and were responding to the characters. Jeet’s entry was appreciated. Since this AV has a lot of physical violence, many went “uff uff” each time there was some action. Mother in law’s taunts were not appreciated and many went, “Oho”. The girls seemed to enjoy Gauri and Jeet’s relationship. Also they responded with laughter on hearing the new language, “Nikdi jao” “Theo che” etc. Looked sad and concerned for the pregnant woman when she slips and falls on the stairs.
  • 29. 29 3.3 Post Screening 3.3.1. On Audio –Visual. Bihar It was relevant to their life and they want to change the situation. Audience related to the content of the story easily. Jharkhand Kikri Chachi’s reaction to the destruction of her Dhaba created a humor among the group. The driver Phool Singh’s running away after seeing Jassos vijay and Jeet and further felling down and his comments after seeing parvati also created a humorous scene during the screening. Madhaya Pradesh Did not understand the technical terms and could not realte much to the story as they found picture very urban. Uttar Pradesh Generally liked the story but did not remember names. How HIV becomes AIDS, it is a virus and severely affects immunity system, in this film they showed how it leads to TB. Liked the relationship between JV and his wife. Felt that she keeps him happy and he takes precaution, even while coughing. 3.3.2 On user Manual Bihar The number of games should be increased as they help in understanding the HIV/AIDS messages.
  • 30. 30 Jharkhand The reference material stated that a HIV infected person is vulnerable to TB 10 times than a normal man. What is the reference point.TB is written as a disease that spreads through touching (chuachoot bemari), It need to be looked into. The module should also include that a TB patient should use a clean handkerchief every time when he coughs. There is no discussion in the reference material how to destroy the sputum of a TB patient. The OI in Hindi is a problem it should be clearly written in English and all the short forms used need to be explain fully. In the module two types of TB is explained. Nishkriya and sakriya TB. It needs to be explain more. The explanation BCG needs to be re written. In the module it is explained that BCG has become redundant and is not effective. But people used to know that BCG vaccination is given to children to protect from TB. Again it is also explained in the module that BCG is a disease which is wrong information. The pointer iozoni acid medicine need to be clarified more. Madhaya Pradesh The user manual lends help in carrying forward the discussion based on the story. However, the language especially the grammar and the spellings needs a look in. At many places, the manual is literal translation from English to Hindi. The manual was not helpful in clarifying many doubts of the audiences principally on HIV and TB. The focus of the manual is more on conducting / taking the interactive process forward. Through the characters messages were recalled. The message recall reveals the comprehending HIV/AIDS messages. Majority of the respondents were able to tell routes of transmission after watching basics and relate to the myths and misconceptions. After screening of HIV/TB the audiences were able to inform do’s and do not for a HIV/TB person. The message - HIV/TB person should take proper and complete treatment from a qualified doctor was loud and clear. Most of the respondents were able to recall this message as “ HIV/TB grast vyakati ko niyamti aur poori dawa lena chhahiye aur doctor se ilaja karwana chhahi ye.” The material needs to provide information on Symptoms HIV/AIDS. When and where to go for checkup? How can HIV+ person lead normal healthy life? No input on diet of HIV+ person.
  • 31. 31 Uttar Pradesh The user manual was used and all understood it well. Here there were no exercises. In fact they were missed, as after a short discussion there was nothing left to talk about 3.4. Facilitators Performance Bihar The facilitator was well versed in conducting exercises and comfortable with the subject. xix. Known to the exercise xx. Two way communication xxi. Live relation with audience xxii. Used black board and pen/flip chart xxiii. Well communicated and patient xxiv. Explained HIV/AIDS very simply and spell it well in very interesting way and simple words Jharkhand Facilitator was comfortable with the material but it was observed that she has not properly gone through it. It is essential that the facilitator should thoroughly go through the supplementary materials before taking any session. The experience of the facilitator and the user manual could make facilitator understand the exercises. It was observed that the facilitator having the well articulated patience to address the audience. On communication it was observed that she was little low in her voice, which needs to be taken care of. It was a average performance by the facilitator. The facilitator need to be bold and should have good commanding/audible voice, which was less reflected. She could relate the content well to explain the audiences. Madhaya Pradesh In Madhya Pradesh, with exception of Ranbaxy Community Health Care Centre, other two NGOs namely SOPAN and Sambhav and no prior experience in HIV/AIDS SOPAN facilitator Mr. Toetia, linked up the interactive session by using advertisements in the AV( Why people shower flowers on Patla Dubla Pehlwan and not on others) and also how general behavior is in a village when one is hurt i.e. to
  • 32. 32 press the wound hard to stop blood. Though this was humane and correct to help, but kindly wash hands smeared with blood ensure not to enter the blood into your system, as one may not know the other person HIV+ or HIV-. He also clarified on breast-feeding with the audience about what Angan Wadi Workers tells and what is being shown in the Audio Visual. Uttar Pradesh Facilitator was comfortable with the subject: and had good understanding of the issue Conducted the games very well although the facilitator did not use innovate for discussion.
  • 33. 33 4 Conclusion and Suggestions- Overall The useful ness of the audio-visual and the user manual cannot be overlooked in spread of knowledge of HIV/AIDS. The tool kit can become a powerful medium of communicating about HIV/AIDS if the following are taken into considerations. 4.1 Suggestions For Facilitators  Training of the facilitators to build knowledge about HIV/AIDS.  Training on conducting the sessions.  Training on installation and trouble shooting of devices. On the user manual The user manual should include:  More pictures relating to story and disease. So that it can be used during the session.  Topics on TV/DVD/Generator installation- on the lines of electronic gadgets manual.  Topics on trouble shooting of the devices and checks to handle the troubles.  Glossary of terminologies  Addresses and List of VCTC in state.  Folk Songs based on story themes.  More games /exercises.- Advertisements can be picked as games or advertisements can be used as innovation during sessions.
  • 34. 34 Additonal Report The tough and unfamiliar words used in film: TB/HIV Poorak Ardhangini Hav bhav basha Kunhiye Kshamta Anubhuti Sankramanh The speed of delivering the messages are very fast. VCCTC Pathav naee ave Mard log bagan me chhe Anubhuti Vishanhu Shabdakosh Kave sako chhe Basics Pushtaini Correspondence course Thane Ko Baisha Tausha Sunha Nehin Ye jagah khanhi chahiye Mahara Tharilanhki Bhaisha Kahe houn Jhuthe bole hai yee Fitrat Peechhe panhya tha Jaanhon Tha ki izzat kare hain
  • 35. 35 Note: The scene where police inspector tells to J.V. ‘….Jasooson Ki Roti Chalti Rahe.....” destroys the ideal image of J.V.
  • 36. 36 User Manual Story Suggestions A Page No. Line No. Tough Word Propose simpler Word 1 4 tahkeekat jaanch partal 1 9 sanvedansheel bhavuk 1 10 abhav na hona 3 18 moulik Khas 4 4 mithakon galat phahmiyon 7 6 pratirodhak beemariyon se ladne ki takat 8 15 gyatavya maloom 8 16 grasit lapet me Suggestions B 1 condom use nirodh ka istemal 1 under pressure pareshani me 1 7 mask mukhouta 1 11 sutron admiyon 1 12 sanyogvash Itfakan 1 15 rahasya raj 1 15 udghatan patachala 2 6 condom nirodh 2 7 dayitwa zimmedari 2 11 prakriya Tareeke 3 1 vidhi tareeke 3 2 audio vedio show Film 3 6 prastavana bhumika 3 7 sahbhagiyon Shamil logon 5 8 sankramanh failne or hone 6 13 margdarshan madad 8 8 dushprabhav bura asar Suggestions C 1 7 nakaratmak dirshtikhonh purnai ghisipiti soch 3 1 prakriya tareeka 4 1 feedback rai jaane 4 9 margdarshan madadgar 4 11 garbhawastha jab uske pet me beccha pal rah tha 5 6 suchanaon jankariyon 6 2 dhyan rakhne dekhbhal karne Suggestions D 2 5 pratirodhak kshamata beemariyon se ladne ki takat
  • 37. 37 2 5 grasit lapet me 2 12 upchar ilaz 3 8 sahaj samanya aaram se 4 16 feedback rai jane 5 1 margdarshak madadgar Supplementary material should be added. Nirodh o nakhoon ki kharonch se bachayen o kisi gandagi wali jagah par na rakhen o rasoe men jahan garmi aur dhuan hota hai na rakhen o anganwadi men bhi nirodh milta hai (muft me) o A N M ke pass bhi nirodh milta hai (muft me) o Swasthya par kaam karne wale NGOs ke office me bhi nirodh milta hai (muft me) o Nirodh ke istemal se yown sukh me koyee kami nehin aati Note: Some sentences are not complete and some does not serve the purpose.