Arts, Culture & Media

A comic textbook helps dispel bogus health claims in Uganda

ihc_classroom.jpeg

Students use  the final version of a children's book to teach kids how to identify false health claims in a classroom in Uganda. 

Credit:

Daniel Semakula/Informed Health Choices

In Uganda, fake news isn't just the difference between facts and fiction. It can be the difference between life and death. 

Player utilities

This story is based on a radio interview. Listen to the full interview.

The potentially lethal fake news in Uganda comes in the form of health claims, says Allen Nsangi, a researcher at Makerere University in Uganda. A typical (and worrying) example involves treating HIV and AIDS. "Sometimes, there are claims on TV about the use of herbal treatments or use of vitamins or nutritional supplements, and people think those could be used as a replacement for antiretroviral therapy," Nsangi says. And many believe the claims because they don't know how to assess their validity.

frame from comic book talking about an herb that people heard that's a cure. It's not.
Credit:

Courtesy: Informed Health Choices

Nsangi is part of a project to change that. The tool: comic stories designed to teach Ugandan schoolchildren how to identify bogus health claims.

The target age group: 10- to 12-year-olds. They're the current demographic sweet spot for reaching Ugandan children. Nearly half the population is below the age of 15. And at 10 and 11, the Ugandan kids are old enough to learn critical appraisal skills.

But there's another pretty depressing reason: "We have very high dropout rates," says Nsangi. "A lot of our children don't continue on to secondary school." So, public health educators have to reach them while they can.

Nsangi says using the comic art form was also motivated by practical matters. "They do not overwhelm children with too much text. Remember, English is not our first language. Most of these children are learning English for the very first time." Comics get the important messages across without using complex English words.

A typical lesson involves the popular belief in Uganda that cow dung heals burns.

comic text book dispelling myth that cow dung helps heal burns.
Credit:

Courtesy: Informed Health Choices

After explaining how someone might believe cow dung is a cure for burns, the “Health Choices Book” gets serious.

second panel of lesson in comic textbook about identifying health claims.
Credit:

Courtesy: Informed Health Choices

"The comics bring the story to life," Nsangi says. "Children are able to envision whatever story it is that we're trying to tell them." And learning critical thinking skills in the process.  

Nsangi and her colleagues applied an end-user involvement approach to developing their teaching materials. And that meant introducing comics, which are not very common in Uganda.

"Some children were seeing comics for the very first time. So, we needed to do something that would be socially acceptable," she says — yet, get the point across. 

A school administrator (right) and Ugandan researcher Allen Nsangi discuss the project during a pilot lesson. Nsangi was a primary investigator in the development and evaluation of the Informed Health Choices primary school intervention.

A school administrator (right) and Ugandan researcher Allen Nsangi discuss the project during a pilot lesson. Nsangi was a primary investigator in the development and evaluation of the Informed Health Choices primary school intervention.

They started out with a small group of children whom they met with weekly to come up with a comic story the kids could relate to but also interpret and understand.

"We got to a point where it was the message the comics was communicating, not just the comic itself," Nsangi says.

Eventually, the curricula included a cartoon-filled textbook, lesson plans and an exercise book, all on critical-thinking skills aimed at schoolchildren. Then, they introduced the materials in a number of Ugandan primary schools.

"What we're trying to do is to try and get people not only to distinguish fact from fiction but equip them with critical skills that they will be able to use when making health decisions," Nsangi says.

The efforts are getting the attention of the scientific community. In 2016, Nsangi and her colleagues tested the materials in a big trial involving 10,000 schoolchildren in 120 primary schools in the central region of Uganda. The results, which were encouraging, were recently published in The Lancet. They showed that kids who were taught basic concepts about how to think critically about health claims massively outperformed children in a control group.

cover of comic text book about how to identify false health claims
Credit:

Courtesy: Informed Health Choices

There will be more testing and a follow-up in a year to see how much the kids retain, but if the results continue to be positive, this has enormous implications. It means kids can be taught how to identify "alternative facts" and misinformation. Essentially, how to recognize bull sh**.

The following is one of the podcast episodes created for parents of the schoolchildren.

Learn more at www.informedhealthchoices.org/podcast-for-parents.