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www.gainhealth.org Behaviour-Centred Design BADUTA – Indonesia

Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

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Page 1: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

Behaviour-Centred

Design

BADUTA – Indonesia

Page 2: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

PROJECT BADUTA GOAL

To contribute to the reduction of anemia and stunting in children in East-Java, Indonesia

among middle majority (C&D) urban and peri-urban households

via a set of sustainable and scalable nutrition intervention focused on the first year of life.

Objective BCI

Curb the introduction and use of industrial milks and ensure baduta’s first foods are high-quality semi-solid complementary foods, not adult foods or snacks.

Page 3: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

THEORETICAL

FRAMEWORK

Page 4: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

BEHAVIOUR CENTRED DESIGN

4

BCD is a process

BCD is a new, holistic approach

to changing behaviour based in

evolutionary theory and

commercial marketing practice.

BCD employs science and

creativity because behaviour only

changes in response to what is

new, challenging, surprising or

exciting.

Page 5: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

Assess + Build

Create

Deliver

intervene

social

biological

physical

BCD PROCESS

behaviour

Evaluate

executive

motivated

reactive

health

BrainEnvironment

Setting

Page 6: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

human

mammal

primate

reptile Create

Affiliate

Nurture Attract

Love Hoard

Fear Disgust

Hunger

Comfort Lust Curiosity

Play

body brainworld

HUMAN MOTIVES

Justice

Status

(Aunger and Curtis,

2013)

Page 7: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

FORMATIVE

RESEARCH

TOOLS

Page 8: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

VIDEO ETHNOGRAPHY

Observed behaviour is more truthful than

reported behaviour

Local girls videoed care-givers of baduta for 8

hours, between 5am-8pm

16 households in total

.

Page 9: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

‘MASTERCHEF’ EVENT

Tasting session of different types

of porridge prepared and tried

with baduta

allows discussion on food

attributes that are important to

mothers:

Page 10: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

MOTIVES TOOL

Cartoon strip of a target behaviour, followed by feedback characteristic

of a particular motive (e.g., a high-ranking person says ‘well-done’ to

represent status).

Informants then rank the various motives.

Page 11: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

FORMATIVE

RESEARCH

INSIGHTS

TRANSLATED

INTO CREATIVE

DESIGN

Page 12: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

SOME FORMATIVE RESEARCH INSIGHTS

THE CONFIDENCE GAP

New mothers lack confidence in their own

breastfeeding capacity, which they cannot

see nor measure. Formula topping-up

breastmilk re-assures them, makes it perfect.

Mothers are unaware that formula does not

supplement, but displaces breast feeding.

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SOCIAL SANCTION

The mother is / feels being judged by her

social environment, including mothers-in-

law, mid-wives and “nosy” neighbors. She

wants to please them and be seen as a

good mother.

HAPPY CHILD & MUM’S CONVENIENCE

Mum’s goal is to get her child into a routine

and eating from the family plate asap – for

social, economic and practical reasons.

Short-term drive for feeding is a happy and

easy child, so she can go about her other

activities. Snacks and bottle deliver this

Page 13: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

COMMUNICATION STRATEGY

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360 º communication strategy

Mass-mediaTV

CommunityEMO

DEMOS

Community

QU’RAN RECITALS

Community STREET WALKS

Health system

IPC

Mass SOCIAL MEDIA

3 Core Communication

Objectives

1. Bottle gets in the way of breast

2. Dietary diversity = colorful plate

3. Snacking hinders mealtime feeding

Page 14: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

‘BREAST IS BEST & BOTTLE MAKES IT PERFECT’

CONSUMER INSIGHTS

• All mothers know breast is best –

but they do not believe their body

can do it. (Confidence Gap)

• Formula milk has become the

social norm: an essential add-on

• “You cannot afford to NOT bottle-

feed your child – only if you really

cannot afford it “

• NO ONE says anything bad

about formula or its dangers –

mothers don’t know formula

displaces BF.

• Well-intended advice is mis-

interpreted by mothers and re-

enforcing formula use

TRANSLATION IN DESIGN

• Communication objective: Bottle gets in

the way of Breast

• Executional parameters:

• Highlight negatives of bottle-feeding

• Strong visual on snapping the bottle

away

• New social norm established which

is endorsed by mother-in-law

4 is Healthy,

5 is Perfect

Milk has been

promoted as

the perfect

food from the

50’s till 90’s

Page 15: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

BREAST VS BOTTLE - EXECUTION EXAMPLES

TV commercial

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Emo Demo

Comparing exclusive

breastfeeding (glass

filled with milk) with

mixed feeding (glass

filled with oil and milk)

Child receives the same

quantity, but the mother

will only reproduce the

amount taken as breast

milk. Feeding infant

formula reduces breast

milk production

Page 16: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

DIETARY DIVERSITY = COLORFUL PLATE

INSIGHTS

• A culture of frugality and saving,

leading to basic diet, minimum

diversity, and rice-heavy

• Perception that adding ‘color’ or

more diversity, is a luxury one

should not habituate its child to

• Mothers know the dietary diversity

message, but given quantities are

minor.

• Children meals are smaller

portions, but in adult proportions

leading to white – rice heavy plates

• .

Learning that people were suspicious

of what’s in snacks=> using disgust in

TRANSLATION IN DESIGN

• Communication objective: Increase

proportions of nutritious foods in infant’s

diets

• Executional parameters:

• Dietary diversity = colorful plate

• Analogy with colorful children’s

games

• Endorsed by mid-wife as trusted

source of info

Page 17: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

SNACKING: GOOD MUM AND HAPPY CHILD

INSIGHTS

• Mothers want to be seen as a ‘good

mum’, and want to avoid her child

cries as this would signal that she

isn’t.

• To keep child happy and tear-free,

she allows it any type of snack, just

prior to mealtimes, to pacify it.

• Snacks are ubiquitous, cheap and

often unhealthy

• As anyone gives food/ snacks to

children in the street – the mother

often does not control what the child

eats

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TRANSLATION IN DESIGN

Communication objectives:

• Unhealthy snacking hinder appetite

for healthy meals

Execution parameters:

• Mother-in-law halts neighbour

feeding child

• Strong gesture to push away crisps

• Healthy alternative for light snack

Page 18: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

SNACKING - EXECUTION EXAMPLES

TV commercial

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Emo Demo

What we do:

• Dissolve coloured

puffed fatty snacks in

a glass of water.

• Stir and wait a bit to

observe the colours

and oils separate.

Why we do it:

• To disgust mothers

about the unhealthy

snacks

• Though the kids like

the taste, they are full

of baddies: colouring,

preservatives, and

lots of oil,

Page 19: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

MULTIPLY TOUCHPOINTS

Street visits Qu’ran recital meetings

Social media

Page 20: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

CONCLUSIONS

Page 21: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

Assess + Build

Create

Deliver

intervene

social

biological

physical

HOLISTIC THEORY

behaviour

Evaluate

executive

motivated

reactive

health

BrainEnvironment

Setting

Page 22: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

MULTI-DISCIPLINARY TEAM

Formative Research

Concept brief & testing

Creative Design

Pilot testing

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Intensive collaboration of multi-disciplinary team with expertise in behaviour change,

nutrition, communication & creative design, Indonesian policy & strategy priorities,

programmatic design, partnership brokering.

to execute the FR , translate the insights into a concept brief, develop the campaign

‘Big Idea’, develop creative story boards, and design compelling interventions

Page 23: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

www.gainhealth.org

INNOVATION IN THEORY, RESEARCH,

DESIGN & PROCESS

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Tap into unconscious motives

Establish new social norms

Repetition = recognition

Make it compelling & aspirational

Use visual demonstration of behaviour

rather than speech

• Evoluationary Psychology

• Social context focus

• Multiple touchpoints

• Commercial marketing aspects

• Neuroscience

BEHAVIOUR-CENTRED DESIGN

BEHAVIOUR ≠ KNOWLEDGE !!

Page 24: Behaviour-Centred Design BADUTA Indonesia · BCD employs science and creativity because behaviour only changes in response to what is new, challenging, surprising or ... Snacking

THANK YOU

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