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Strategic Plan


                                                             Prevention of
                                                           Infant Cot Death
                                                                 Using
                                                              Firmometer


                                                    • Client: Department of Health and Ageing
 • Client Rep: Dr. Ron Sommers, Director of Epidemiology, S.A, Department for Health and Aging
• CMU Team: Chikezie Isiguzo, Elizabeth Kioria , Thien-Huong Do, Caroline Kiriga, Mustiawati D.O
                                                                                         Hussin

                                                               •   INSTRUCTOR: Tim O’Loughlin
SA HEALTH

• Comprehensive and
  sustainable health
  system
• Focuses on health
  promotion, illness
  prevention and early    The best
  intervention.           health for
• Achieve equitable       South         • Integrity,
  health outcomes for     Australians   • Respect,
  all South
  Australians.                          • Accountability



 Mission                 Vision Value
How to get people to use the Firmometer to
                prevent Infant Cot Deaths?

Current evidence suggest that among other factors infant cot
mattress firmness is one of the risk factors of SIDS. Infant Cot
                    deaths related to mattress firmness require
         major attention on the measures to prevent them from
                                                     happening.
  Neglecting prevention of infant cot deaths is an opportunity
                                                       foregone.
                We do not need to lose one more infant for the
                                      issue to receive attention.




   Strategic Issue
In line with SA Health Mission, this Strategic Plan’s aims to:
• Increase awareness of Infant cot death
• Promote the use of Firmmometer to measure mattress
  firmness
• Target and mobilize relevant stakeholders to standardize
  infant sleeping mattresses.




Mission Statement
• Eliminate incidences of
  infant cot death related
  to incorrect mattress
  firmness
• Public awareness of the
  right infant cot mattress
• Standardized Safe
  sleeping environments
  for ALL infants




Desired outcome
Vision:
Eliminates incidences
of infant cot death related
to mattress firmness

Values:
• Integrity
• Respect
• Accountability
• Cooperation


OUR Vision
• Our strategic plan focuses on infant cot deaths
  related to mattress firmness
• The strategic plan applies to the state of South
  Australia
• Sources of inform and examples are from within
  and outside Australia



Scopes
SWOC ANALYSIS
• Low cost on the firmometer
• Information can be easily spread
• Concept can be easily understood
• Credibility: research comes from credited researchers
  from developed countries




                 STRENGTHS
• Infant cot deaths related to mattress firmness is not a
  popular concept
• ICD related to mattress firmness is NOT prioritized by
  stakeholders
• Inadequate resources to support promotion
• Firmometer is only meant for mattresses, not other
  sleeping surfaces.




                 WEAKNESSES
• Mobilizing stakeholders on board
• Difficulty ascertaining the proportion of SIDS associated
  with infant mattresses.
• Difficulty convincing the public on the role of firmometer in
  prevention of ICD
• Difficulty to get users to switch infant cot mattresses.
• Possibility of price hike for infant cots
• No benchmarking/standard in Australia




                  CHALLENGES
• Easy to attract public attention (parents)
• Related Millennium Development Goals for reducing infant
  mortality
• Strategy is in line with SA Health mission statement
• Increased support and collaboration with various stakeholders:
  parents, health professions, SA Health, NGO’s such as
  National SIDS Council.
• There are potential stakeholders that can support the strategy
• Opportunity for further research & development




               OPPORTUNITIES
Stakeholders                 Aware    Understand the need   Understand the need
                             of ICD   of cot mattress       for standardized infant
                                      firmness testing      mattress

Internal:

- SA Health Department       Yes      No                    No
- Doctor                     Yes      No                    No
- Pediatric/ Prenatal Care   Yes      No                    No
  nurses
- Child Care Center          Yes      No                    No
  supervisors




Stakeholder Analysis
Stakeholders              Aware of ICD   Understand the      Understand the
                          Related to     need of cot         need for
                          mattress       mattress firmness   standardized
                          firmness       testing             mattreses
External:
-Parents & Childcares     No             No                  No
- Politicians             No             No                  No
- Cot mattress -          No             Yes                 No
   Manufactures
- Standard Australia      Yes            Yes                 Yes
- NGOS / International    No             No                  No
   Organization
- National SIDS council   Yes            No                  No
   of Australia
- National Institute of   Yes            No                  No
   Clinical studies
How to
 accomplish our
 goals and
 mission?




Implementation Plan
Key message

  Our
  beautiful, comfortable   As safe as mom's
  baby mattress are             bosom
  according
  SA Heath Standards




Step 1 – Cot Mattress Manufacturers
GOAL |        Action Plan     HOW | Descriptions                 Who involves
Objectives

                           What to do:
Collaboratio Create a Win- • Trigger mattress manufacturers      Mattress
n with cot   Win              from the marketing perspective     manufacturers (and
mattress     colaboration     that standardization of the of     their marketing team)
manufacturer                  mattress firmness increase the     - Sealy Australia
             Long term        value of the product.
             partnership                                         - Dreamlad
                           • Set up agreement of                    Bedding SA
             with mattress    collaboration of different
             manufacturer                                        - Elite Bedding Co.
                              levels.                               SA
             Co            Benefit for matress                   - Rockdale Mattress
             Marketing-    manufacturers:                           Factory NSW
             communicatio Supports and Credential: SA            - Sandmand
             n programs    Health can test and approve that         Mattress Co.
                           their mattress meet standards, they      Geelong VIC
                           can corporate this in their mar-
                           com campaigns.
                           Endorsement by SA Health.             SA Health
                                                                 representative
Key message

  Let's firmomete our
  mattress to make sure our
  baby is safe




Step 2 –         Parents and Public
W H O A R E W E TA L K I N G T O ?
                                     General Media Landscape:
                                     •   Word-of-mouth
                                     •   New media/ social media/
   1         Parents                     Online forums
                                     •   Government/Ministry of
                                         Health: Pre maternal courses,
                                         hospital, local medic centres
   2          Public
                                     •   Traditional media: Newspaper,
                                         TVs, book
                                     * Key media and approaching
                                     should be selected depending on
                                     each market




                    Parents and Public
GOAL |             Action Plan             HOW | Descriptions                    Who involve
Objectives
                   • Educate about IDC     EMOTIONAL APPROACHING                 Media (refers to
                   • Introducing about     Thru media, disseminate the           previous slide about
                     hidden threats        information: In the first 12 months   media landscape)
                   • Create sense of       there are hidden threats to your
Create /             importancc about      baby that you might not know.
                                                                                 Parenting info
Enhance ICD          mattress's firmness   Among that ICD is among the most
                                           dangerous but avoidable threat.       source
awareness
                                           •   Have you ever heard about ICD     Endorsers (Famous
.                                              Parents must know about ICD       parents, Influential
                                           •   The beautiful mattress for your   Blogger, Health
                                               baby can have hidden threats      expert)
                                           •   Is your baby mattress a safe
                                               environment?                      Any parent and
                                           •   Estimated 60,000 babies died of   every person
                                               ICD
Communication Tools: Prenatal counselling, firmometer flyers (in prenatal care package), Talks and
workshops with department of child services; with community, local council, at home testing to new
mothers.



                      Phase 1 – ICD Awareness
GOAL |            Action Plan            HOW | Descriptions                 Who involves
Objectives
                                         FUNCTIONAL APPROACHING             Media (refers to
                  • Expert's opinion     Interview with Dr. Ron             previous slide about
Engage our
                    to highlight the     • ICD prevention: Firmometter      media landscape)
audience and        matter from          • "It takes less than 10 mins to
grow their          profesional
                                           check if the mattress for your   Parenting info
                    perpective
involvement in                             baby is safe or not"             source
the issue on an
                  • Distrubute “Do-it-
evolving bases.     yourself”
                                         • Distribute Firmomete –It-        Endorsers (Famous
                    guidline/ leaflet/
                    booklet                Yourself booklets                parents, Influential
                                                                            Blogger, Health
                                                                            expert)


                                         News Release about Firmometter     Media
                                         and its user guideline




                       Phase 2 – Engagement
GOAL |            Action        HOW | Descriptions                                           Who
Objectives        Plan                                                                       involves
                                Community involvement                                        Media (refers
                                Depend on each market, pick the best                         to previous
                  Create        effective/strong/high creditability community to             slide about
                  entertain-    organise some events
Engage our                                                                                   media
                  community                                                                  landscape)
audience and      events
                                Idea: Kids and Baby Market and Bedding Day with
                                WTT (the biggest online parental community)
grow their
                                How: To invite parents bring their kid together to join      Parents
involvement in                  Bedding Day- an event with games for kid, parental info      Mattress
                  Create
                                for parents, lucky draw and a Bedding corner.
the issue on an   Firmometer                                                                 producers
                                What: To distribute leaflet about firmometer,
evolving bases.   Day in town   demonstrate how to use the firmometer. Meet with Dr.
                                Ron. Let's checkout the Bedding corner to find the best
                                mattress for your kids (and if you are lucky you can get a
                                free one!)
                                * This needs partnership with mattress producers for
                                best results

                                Idea: Firmometter Day in towns
                                News Release about Firmometter and its user guideline        Media
                                News release about all events


 Step 3 – Embed the Standard in everyone's mind
Media:
 • Strongly focus on Top Media of Mainstream, Healthcare, Mom& Baby
   Groups only (depends on each market)
 • Well balanced between traditional media and new media (Online, Social
   network)

 Frequent Activities/ Content / Tools:
 • Well balanced between Functional and Emotional/ Lifestyle approaching
 • Using visual element to draw attentions (catching photos, bold design….)
 • Quarterly Press release for frequent updates to keep in touch with the
    media & to maintain media coverage.
 • Instruction on Home-made firmometer should be made clear by highly
    trusted voice/ mainstream media.
 • Workshop is tool to talk directly to first group of target audience (parents).




Mar-con strategies
GOAL |        Action Plan     HOW | Descriptions                         Who involves
Objectives

                            • Approach the government to set
Internation   Reach out for   regulation for the standard of cot         Communities
al            international   mattress firmness.
recognised    collborations • With regulation, all stakeholders can
                                                                         Organisations
standards     and supports    be approached at the same time.
                            • More research is needed to give            (-Child and Youth
for
                              definite prove of danger of the            Health SA- CYH
Mattress
                              mattress softness for the babies.          SA ; Raising
                            • International health journals related to   Children Network
                              infant cot death should be published       (RCN); Better
                              and made available to the public.          Health Channel
                                                                         etc.)
                              * Focus on NGO’s or international
                              organization whose goals are to improve    Service providers
                              the health of the public and communicate   (childcare center)
                              with them for more support.



Part 3 –                    Gov and international Org
• Viral clip on the internet about ICD
    • Viral clip on the internet about how to make a firmometter
    • Testimonials
    • Social opinion leaders (from the community, can be their
      blog push or status about the issue)




Others Ideas
Eliminate ICD


          Step 1 – COT MATTRESS                        Step 2 - PARENTS                        Step – 3 GOVERNMENT &
              MANUFACTURE                               AND PUBLICS                             INTERNATIONAL ORG
 GOAL                                          Everyone knows about ICD and how to                 International recognised
               Adoption of the standards                    prevent it                               standard for Mattress

          •     Create a Win-Win           •    Mattress's firmness and educate about IDC      •   Collborations
ACTION          colaboration               •    “Do-it- yourself” guidline/ leaflet/ booklet   •   And, supports from
 PLAN     •     Co Marketing-              •    Entertain-community event and Firmometer           government and international
                communication programs          Day in town                                        organisations
          •     Mattress                   •     Media                                         •    Government
 STAKE          manufacturers                                                                  •    Communities
HOLDERS                                    •     Parents and everyone
          •     Healthcare                 •     Manufacturers                                 •    Organisations
                specialist                                                                     •    Service providers
                                           •     Communities

 TOOLS     •     Mar-com capaigns          •     Traditional media, new media                  •    Researches
           •     Health campaign           •     Leaflet, brochure, booklet                    •    Reports
                                           •     Talks, workshop, in-house training            •    Inter-national seminar,
                                           •     Entertain-community events                         meetings, discussion




                             Next step: eliminate other risks associated to infants'
                                            sleeping environments


                                           Summary
Thank you

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Preventing Infant Cot Deaths with Firmometer Testing

  • 1. Strategic Plan Prevention of Infant Cot Death Using Firmometer • Client: Department of Health and Ageing • Client Rep: Dr. Ron Sommers, Director of Epidemiology, S.A, Department for Health and Aging • CMU Team: Chikezie Isiguzo, Elizabeth Kioria , Thien-Huong Do, Caroline Kiriga, Mustiawati D.O Hussin • INSTRUCTOR: Tim O’Loughlin
  • 2. SA HEALTH • Comprehensive and sustainable health system • Focuses on health promotion, illness prevention and early The best intervention. health for • Achieve equitable South • Integrity, health outcomes for Australians • Respect, all South Australians. • Accountability Mission Vision Value
  • 3. How to get people to use the Firmometer to prevent Infant Cot Deaths? Current evidence suggest that among other factors infant cot mattress firmness is one of the risk factors of SIDS. Infant Cot deaths related to mattress firmness require major attention on the measures to prevent them from happening. Neglecting prevention of infant cot deaths is an opportunity foregone. We do not need to lose one more infant for the issue to receive attention. Strategic Issue
  • 4. In line with SA Health Mission, this Strategic Plan’s aims to: • Increase awareness of Infant cot death • Promote the use of Firmmometer to measure mattress firmness • Target and mobilize relevant stakeholders to standardize infant sleeping mattresses. Mission Statement
  • 5. • Eliminate incidences of infant cot death related to incorrect mattress firmness • Public awareness of the right infant cot mattress • Standardized Safe sleeping environments for ALL infants Desired outcome
  • 6. Vision: Eliminates incidences of infant cot death related to mattress firmness Values: • Integrity • Respect • Accountability • Cooperation OUR Vision
  • 7. • Our strategic plan focuses on infant cot deaths related to mattress firmness • The strategic plan applies to the state of South Australia • Sources of inform and examples are from within and outside Australia Scopes
  • 9. • Low cost on the firmometer • Information can be easily spread • Concept can be easily understood • Credibility: research comes from credited researchers from developed countries STRENGTHS
  • 10. • Infant cot deaths related to mattress firmness is not a popular concept • ICD related to mattress firmness is NOT prioritized by stakeholders • Inadequate resources to support promotion • Firmometer is only meant for mattresses, not other sleeping surfaces. WEAKNESSES
  • 11. • Mobilizing stakeholders on board • Difficulty ascertaining the proportion of SIDS associated with infant mattresses. • Difficulty convincing the public on the role of firmometer in prevention of ICD • Difficulty to get users to switch infant cot mattresses. • Possibility of price hike for infant cots • No benchmarking/standard in Australia CHALLENGES
  • 12. • Easy to attract public attention (parents) • Related Millennium Development Goals for reducing infant mortality • Strategy is in line with SA Health mission statement • Increased support and collaboration with various stakeholders: parents, health professions, SA Health, NGO’s such as National SIDS Council. • There are potential stakeholders that can support the strategy • Opportunity for further research & development OPPORTUNITIES
  • 13. Stakeholders Aware Understand the need Understand the need of ICD of cot mattress for standardized infant firmness testing mattress Internal: - SA Health Department Yes No No - Doctor Yes No No - Pediatric/ Prenatal Care Yes No No nurses - Child Care Center Yes No No supervisors Stakeholder Analysis
  • 14. Stakeholders Aware of ICD Understand the Understand the Related to need of cot need for mattress mattress firmness standardized firmness testing mattreses External: -Parents & Childcares No No No - Politicians No No No - Cot mattress - No Yes No Manufactures - Standard Australia Yes Yes Yes - NGOS / International No No No Organization - National SIDS council Yes No No of Australia - National Institute of Yes No No Clinical studies
  • 15. How to accomplish our goals and mission? Implementation Plan
  • 16. Key message Our beautiful, comfortable As safe as mom's baby mattress are bosom according SA Heath Standards Step 1 – Cot Mattress Manufacturers
  • 17. GOAL | Action Plan HOW | Descriptions Who involves Objectives What to do: Collaboratio Create a Win- • Trigger mattress manufacturers Mattress n with cot Win from the marketing perspective manufacturers (and mattress colaboration that standardization of the of their marketing team) manufacturer mattress firmness increase the - Sealy Australia Long term value of the product. partnership - Dreamlad • Set up agreement of Bedding SA with mattress collaboration of different manufacturer - Elite Bedding Co. levels. SA Co Benefit for matress - Rockdale Mattress Marketing- manufacturers: Factory NSW communicatio Supports and Credential: SA - Sandmand n programs Health can test and approve that Mattress Co. their mattress meet standards, they Geelong VIC can corporate this in their mar- com campaigns. Endorsement by SA Health. SA Health representative
  • 18. Key message Let's firmomete our mattress to make sure our baby is safe Step 2 – Parents and Public
  • 19. W H O A R E W E TA L K I N G T O ? General Media Landscape: • Word-of-mouth • New media/ social media/ 1 Parents Online forums • Government/Ministry of Health: Pre maternal courses, hospital, local medic centres 2 Public • Traditional media: Newspaper, TVs, book * Key media and approaching should be selected depending on each market Parents and Public
  • 20. GOAL | Action Plan HOW | Descriptions Who involve Objectives • Educate about IDC EMOTIONAL APPROACHING Media (refers to • Introducing about Thru media, disseminate the previous slide about hidden threats information: In the first 12 months media landscape) • Create sense of there are hidden threats to your Create / importancc about baby that you might not know. Parenting info Enhance ICD mattress's firmness Among that ICD is among the most dangerous but avoidable threat. source awareness • Have you ever heard about ICD Endorsers (Famous . Parents must know about ICD parents, Influential • The beautiful mattress for your Blogger, Health baby can have hidden threats expert) • Is your baby mattress a safe environment? Any parent and • Estimated 60,000 babies died of every person ICD Communication Tools: Prenatal counselling, firmometer flyers (in prenatal care package), Talks and workshops with department of child services; with community, local council, at home testing to new mothers. Phase 1 – ICD Awareness
  • 21. GOAL | Action Plan HOW | Descriptions Who involves Objectives FUNCTIONAL APPROACHING Media (refers to • Expert's opinion Interview with Dr. Ron previous slide about Engage our to highlight the • ICD prevention: Firmometter media landscape) audience and matter from • "It takes less than 10 mins to grow their profesional check if the mattress for your Parenting info perpective involvement in baby is safe or not" source the issue on an • Distrubute “Do-it- evolving bases. yourself” • Distribute Firmomete –It- Endorsers (Famous guidline/ leaflet/ booklet Yourself booklets parents, Influential Blogger, Health expert) News Release about Firmometter Media and its user guideline Phase 2 – Engagement
  • 22. GOAL | Action HOW | Descriptions Who Objectives Plan involves Community involvement Media (refers Depend on each market, pick the best to previous Create effective/strong/high creditability community to slide about entertain- organise some events Engage our media community landscape) audience and events Idea: Kids and Baby Market and Bedding Day with WTT (the biggest online parental community) grow their How: To invite parents bring their kid together to join Parents involvement in Bedding Day- an event with games for kid, parental info Mattress Create for parents, lucky draw and a Bedding corner. the issue on an Firmometer producers What: To distribute leaflet about firmometer, evolving bases. Day in town demonstrate how to use the firmometer. Meet with Dr. Ron. Let's checkout the Bedding corner to find the best mattress for your kids (and if you are lucky you can get a free one!) * This needs partnership with mattress producers for best results Idea: Firmometter Day in towns News Release about Firmometter and its user guideline Media News release about all events Step 3 – Embed the Standard in everyone's mind
  • 23. Media: • Strongly focus on Top Media of Mainstream, Healthcare, Mom& Baby Groups only (depends on each market) • Well balanced between traditional media and new media (Online, Social network) Frequent Activities/ Content / Tools: • Well balanced between Functional and Emotional/ Lifestyle approaching • Using visual element to draw attentions (catching photos, bold design….) • Quarterly Press release for frequent updates to keep in touch with the media & to maintain media coverage. • Instruction on Home-made firmometer should be made clear by highly trusted voice/ mainstream media. • Workshop is tool to talk directly to first group of target audience (parents). Mar-con strategies
  • 24. GOAL | Action Plan HOW | Descriptions Who involves Objectives • Approach the government to set Internation Reach out for regulation for the standard of cot Communities al international mattress firmness. recognised collborations • With regulation, all stakeholders can Organisations standards and supports be approached at the same time. • More research is needed to give (-Child and Youth for definite prove of danger of the Health SA- CYH Mattress mattress softness for the babies. SA ; Raising • International health journals related to Children Network infant cot death should be published (RCN); Better and made available to the public. Health Channel etc.) * Focus on NGO’s or international organization whose goals are to improve Service providers the health of the public and communicate (childcare center) with them for more support. Part 3 – Gov and international Org
  • 25. • Viral clip on the internet about ICD • Viral clip on the internet about how to make a firmometter • Testimonials • Social opinion leaders (from the community, can be their blog push or status about the issue) Others Ideas
  • 26. Eliminate ICD Step 1 – COT MATTRESS Step 2 - PARENTS Step – 3 GOVERNMENT & MANUFACTURE AND PUBLICS INTERNATIONAL ORG GOAL Everyone knows about ICD and how to International recognised Adoption of the standards prevent it standard for Mattress • Create a Win-Win • Mattress's firmness and educate about IDC • Collborations ACTION colaboration • “Do-it- yourself” guidline/ leaflet/ booklet • And, supports from PLAN • Co Marketing- • Entertain-community event and Firmometer government and international communication programs Day in town organisations • Mattress • Media • Government STAKE manufacturers • Communities HOLDERS • Parents and everyone • Healthcare • Manufacturers • Organisations specialist • Service providers • Communities TOOLS • Mar-com capaigns • Traditional media, new media • Researches • Health campaign • Leaflet, brochure, booklet • Reports • Talks, workshop, in-house training • Inter-national seminar, • Entertain-community events meetings, discussion Next step: eliminate other risks associated to infants' sleeping environments Summary

Notes de l'éditeur

  1. SA Health will lead and deliver a comprehensive and sustainable health system that aims to ensure healthier, longer and better lives for all South Australians.This mission will be achieved by strengthening primary health care, enhancing hospital care, reforming mental health care, improving the health of Aboriginal people and committing to a health system that produces positive health outcomes by focusing on health promotion, illness prevention and early intervention.SA Health will work with other government agencies and the community to address the environmental, socioeconomic, biological and behavioral determinants of health and to achieve equitable health outcomes for all South Australians.
  2. Increase awareness of Infant cot deathPractical options for addressing the issue:Target parents and childcares The barrier to address this issue are:- access and communication. There are many number of parents and childcares that need to be targeted. - lack of funding since the internal stakeholder still has low awareness about the issueThe proposals:- Maximize the use of social media i.e. facebook, community blog, youtube- Make a collaboration with small communities in SA. It is better to target the community where the area has high young people. The data can be found from “family and household of demographic SA”.- Make a collaboration with organizations that have the same value which focus in children health i.e. CYH SA (Child and Youth Health SA), RCN (Raising Children Network), Better Health Channel etc.Target internal stakeholdersThe barrier is that there are many health issues that SA health faced. To make infant cot death a priority, SA health / government need more research about the issue which need high cost.Proposals:Try to get sponsor from external stakeholder to make a research to give definite prove of danger of the mattress softness for the babies.Have some research to find international journal or publication related to infant cot death Target NGOs / international organizationsThe barrier is the access and communication. How we get access to those NGOs?Proposal:Determine which NGOs or international organization that have the same goals or purposeMake communication with themTarget manufactures and Standard AustraliaThe barrier is that the manufacturer will be aware with the issue when the consumer (i.e parents) already have aware about ICD. Standard Australia provide standard to guide the industry. It is self regulatory, so there is no binding agreement that the manufacturer need to use that standard.Give a presentation to the manufacturer about how the standard of the firmness of mattress can increase the value of the product.5. Target all stakeholdersThe barrier is the difficulty to reach all those stakeholder at the same time.Proposal:Approach the government to set regulation for the standard of cot mattress firmness. With regulation, all stakeholders can be approached at the same time.
  3. 1. Sealy of Australia1299 Boundary RoadWACOL QLD 4076Phone1300 656 4542. Dreamland BeddingBedworx Pty Ltd 2/194 Prospect Road, Prospect, South Australia 5082Phone: (08) 7200 54293. Elite Bedding Co.966 - 970 South RoadEdwardstown SA 5039(08) 8347 7577sales@elitebedding.com.au4. Rockdale Mattress Factory610 Princes Highway, Rockdale 2216 NSWPhone (02) 9599-0599 Email info@RockdaleMattressFactory.com.au
  4. Word of Mouth:This is an important channel where parental experiences are passed from the elders to the younger generation and in communities with strong bondingSocial Media: This channel has been growing strongly both in coverage, frequency, credibility (as it combined with word of mouth) and has become of bigger importance.Government/ Health Department: pre maternal courses, hospital, local medic centres. This channel is highly creditable and normally focusing on health nationwide campaign