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연구정보

[보건] Mass Messaging and Health Risk Reduction - Evidence from COVID-19 text messages in Tajikistan

타지키스탄 국외연구자료 연구보고서 - World Bank 발간일 : 2023-09-06 등록일 : 2023-09-10 원문링크

Can mass public health messages change behavior during a crisis? I assess the impact of a COVID-19 focused SMS text-messaging campaign launched in May 2020 with the Ministry of Health and Social Protection of Tajikistan to encourage compliance with risk reduction measures. The initiative sent a series of informational messages to about 5.5 million mobile phone subscribers and reached at least one member of more than 90 percent of the country’s households. I use an individual fixed effectsestimator to measure changes in reported behavior after a respondent either lists SMS messages as a primary source of information about COVID-19, or alternatively when reporting an official text message in the past week. Listing SMS as a primary source of information increased the number of reported behaviors by .15 units (p=.000) and receiving an official text message in the past week increased the number by .47 units (p=.000). These effects were driven by more positive responses forwearing masks, reducing visits with friends and relatives, reducing travel, practicing safer greetings (fewer handshakes, etc.) and safety-related changes to work. The results suggest that SMS-based public health messaging was a cost-effective means of increasing awareness in a large and geographically dispersed audience during the COVID-19 pandemic, and that the program led to an increase in self reported risk reducing behaviors.

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