Presentation by Karin Hugelius at CDAC Network World Radio Event, 13 February 2018, at IOM, Geneva Session title: Evidence of the link between use of radio and the health of disaster-affected communities 2019-01-12

How it all started…

Overview of the four studies Paper I Paper II Paper III Paper IV Design Descriptive mixed methods study Descriptive qualitative Explorative qualitative Cross sectional quantitative Focus To describe how disaster radio was used to communicate vital and health-related information and after the Haiyan typhoon. To describe expereinces and needs from being in a natural disaster, and the impact of disaster radio from the affected individuals´perspective. To explore experiences from being deployed as a health profssional during a natural diaster. To describe health consequences of a natural diaster, and potential effects of disaster radio on health in a long term perspective. Data and data collection procedures Radio log files (n=2587) from 17 days of broadcast Individual and focus group interviews with 28 survivors Individual interviews with 8 health professionals Web based survey, 443 participants GHQ 12 and EQ5D3L Recruitment by Facebook Analysis Qualitative content analysis and descriptive statistics Phenomenological hermeneutic method Descriptive and analytic statistics Time of data collection Immediately 5 months 30 months Paper I: Hugelius, K., Gifford, M., Ortenwall, P. & Adolfsson, A. (2016). Disaster Radio for Communication of Vital messages and Health-related Information; analysis from the Haiyan typhoon, The Philippines. Disaster Medicine and Public Health Preparedness.10(4):591-7. Paper II: Hugelius, K., Gifford, M., Ortenwall, P., A Adolfsson. (2015). To silence the deafening silence”; Experiences of the impact of disaster radio for survivor’s wellbeing after a natural disaster. Journal of International Emergency Nursing. 28(8):13. Paper III: Hugelius, K., Adolfsson, A., Ortenwall, P. & Gifford, M. (2017). Being both a helper and a victim: health professionals’ experiences of working during a natural disaster. Journal of Prehospital and Disaster Medicine 32(2):117-123. Paper IV: Hugelius, K., Gifford, M., Ortenwall, P. & Adolfsson, A. (2017). Health among disaster survivors and health professionals after the Haiyan Typhoon: a self-selected Internet-based web survey. International Journal of Emergency Medicine 10(1):13.

The content of broadcast Messages changed over time Encourangement messages were the most frequent broadcast Health related messages comprised a minor part of all messages and there were gaps in the broadcast Hugelius, K., Gifford, M., Ortenwall, P. & Adolfsson, A. (2016). Disaster Radio for Communication of Vital messages and Health-related Information; analysis from the Haiyan typhoon, The Philippines. Disaster Medicine and Public Health Preparedness.10(4):591-7

The relation between needs and radio Hugelius, K., Gifford, M., Ortenwall, P., A Adolfsson. (2015). To silence the deafening silence”; Experiences of the impact of disaster radio for survivor’s wellbeing after a natural disaster. Journal of International Emergency Nursing. 28(8):13

Factors associated with good health Factors associated with   Unstandardized coefficients B 95% CI for B (lower bound; upper bound) Sig. Gender 1.260 (-2.48;5.00) .507 Age 18-25 years 26-65 years 7.331 6.334 (-1.33; 16.00) (-1.95;14.60) .097 .134 Highest level of education elementary school high school .666 -4.011    (-11.35;12.69) (-7.90; 1.13) .913 0.43 Deployed during typhoon as health professional as other professional as voluntary worker -3.019 3.508 9.946 (-8.66; 2.62) (-3.72; 10.739) (2.33;17.56) .293 .341 .011 Physical injures -6.292 (-11.08; -1.51) .010 Psychological problems -8.698 (-12.32; -5.08) .000 Use of social support .690 (-3.04; 4.42) .716 Loss of family member -9.932 (-13.69; -6.18) Forced to move Still living elsewhere Returned back home -5.486 -2.303 (-11.01; .04) (-5.98; 1.37) .520 .218 Listened to disaster radio 8.387 (4.36; 12.42) Factors associated with good health Having been deployed as a voluntary worker Having listened to disaster radio Higher education Factors associated with poor health Loss of family member Reporting psychological problems Reporting physical injures Table 4. Model summery of multivariate regression analysis Model R R Square Adjusted R Square Std Error of the Estimate 1 .492a .242 .223 15.832 a: predictors: Listened to radio, physical injures, age, gender, psychological problems, loss of family member, level of education, social support, working during the disaster, forced to move. b: dependent variable: EQ-VAS Hugelius, K., Gifford, M., Ortenwall, P. & Adolfsson, A. (2017). Health among disaster survivors and health professionals after the Haiyan Typhoon: a self-selected Internet-based web survey International Journal of Emergency Medicine 10(1):13.

Conclusions and recommendations Disaster radio seems to be a useful tool to help provide evidence based psychosocial support, and to promote health in the aftermath of a disaster. Both the information and the music were contributing factors for recovery. It is assumed that further integration and coordination between health professionals, crisis communication experts and radio broadcasting personnel should improve and enhance the use of radio as a positive health intervention response. Research studies designed to find strategies for supporting social needs are strongly needed. Additionally, studies on short and long term health effects, in both an individual and a community resilience perspective, would strengthen the evidence base for using radio in the early stages after a disaster.