Spotlights For Campaigns

Aiisseee! (I Say!): A Game Show Promoting Couple Communication

The programs are a project of the Tanzania Capacity and Communication Project (TCCP).

The show acts as a platform for conversations about HIV prevention, maternal and child health, and family planning, using a subtle yet provocative approach to create a comfortable forum for addressing hard-to-discuss issues in a non-confrontational way.

Timeline


Jan 2013
RFP Issued to Creative Agencies

Aug 2013
Selection of Creative Agency

Oct 2013
Program Development

Nov 2013
Began recording of radio episodes

Nov 2013
Social Media Goes Live

Jan 2014
Launch of Season 1 of Radio Program

Feb 2014
Launched Facebook Game for Valentine's Day

Apr 2014
Project Household Midline Survey Fielded

Apr 2014
Season 1 Review and Season 2 Planning

Apr 2014
Development of TV Episodes

Apr 2014
Omnibus Survey

Jun 2014
Facebook Fan Growth

Aug 2014
Omnibus Survey

Aug 2014
Season 2 Radio Recording

Aug 2014
Omnibus Survey

Aug 2014
Launch of Season 2 of Radio Program

Dec 2014
Omnibus Survey

May 2015
Omnibus Survey

Jul 2015
TV Episodes Launched

Inquire

Couple communication has been shown to positively influence health behaviors, including uptake of family planning, HIV counseling and testing and condom use.

Data from Tanzania Capacity and Communication Project’s (TCCP) 2011 household baseline survey suggested that couple communication was low:

  • 63% of women and 50.8% of men had discussed FP with their main sexual partner in the past 12 months
  • 39.7% of women and 24.0% of men had discussed going for an HIV test with their partner

TCCP, therefore, sought to develop an integrated, interactive, entertainment-education platform that modeled effective couple communication, with the ultimate objective of improving health outcomes such as family planning, maternal and child health, and HIV prevention and treatment.

Design the Strategy

Aiisseee! was designed to target couples of reproductive age.

Grounded in the Ideation Model, the program aimed to influence:

  • Couple communication
  • Couple connectedness
  • Relationship satisfaction
  • Shared decision-making
  • Social norms around romantic relationships
  • Knowledge and skills of health topics in order to impact health outcomes

The program was designed to meaningfully engage both contestants and the wider audience, approach serious issues in a humorous way, and ‘push the envelope,’ without being aggressive or culturally insensitive. The program sought to model couple connectedness through mass media in order to increase reach, while simultaneously addressing the subject in an in-depth enough manner to create sustainable change.

Create and Test

For the radio series, the creative agency (Khanga Rue Media), radio station (Clouds FM), and radio personalities (Adam Mchomvu and Gea Habib) were selected through competitive procurement and audition processes. The team developed a structure and question synopsis for the first 13 episodes. The name Aiisseee! (“I say!”), common Swahili slang, was selected for the program name, given its use to express shock or surprise.

The program included a combined game show/documentary format. In the game show component, three couples competed in the studio to see who knew each other best, alternating between rounds where men were asked questions about the women, women were asked about the men, and partners were brought back into the studio after each round to see if their answers matched. In the final ‘hot seat’ round, each player answered the same question twice, once about oneself and once about his/her partner. The documentary component took place between studio competition rounds, as the program cut to an interviewer on the street. The interviewer asked passersby questions similar to those asked in the studio. Couples were recruited off the streets and through Facebook, screened for relationship authenticity, and auditioned to ensure they were comfortable on radio. The winning couple of each episode was awarded an all-expenses paid overnight get-away for two.

Based on feedback from the radio game show’s first season, the team expanded outside of Dar es Salaam and did regional recordings in two other regions, which included playing the game on stage, and recording outdoors where it drew more of a crowd. Five regional radio stations agreed to air it for free, again increasing the show’s reach.

Early into Aiisseee!’s radio broadcast, the team was approached by multiple media houses, who, recognizing the show’s success and commercial viability, expressed interest in adapting Aiisseee! for television. TCCP issued a Request for Proposals to media houses to adapt Aiisseee! for television. TCCP, Khanga Rue Media, and Azam Media entered into a public-private partnership in which Azam Media agreed to provide free airtime, promotional spots, and PSAs. Azam was free to make the program a commercial broadcast. Sixteen TV episodes were produced through with the creative agency and Azam TV, which are posted on theAiisseee! YouTube channel.

Still from TV show recording

Image from off-the-street interview – https://www.youtube.com/watch?v=Mn1Y-OcXa1Y

Mobilize and Monitor

Implementation

The radio game show’s first season launched in January 2014 and aired for 26 weeks on Sunday evenings in five-minute segments during the female co-host’s regularly scheduled program. Promotional spots which aired each week showed highlights from the previous episode, mentioned the previous week’s winners, and promoted the upcoming episode. As a program sponsor, TCCP placed two of the project’s PSAs from other campaigns in each episode.

Aiisseee!’s Facebook and Twitter accounts were used to promote the program, pose questions to fans, provide links to full-length episodes and YouTube links to street interviews, post relationship-related content, and encourage fans to play the Aiisseee! Facebook app. Aiisseee! also shared its theme music as a ringtone. Aiisseee!’s artwork reflected the same playful nature of the program. Graphical elements were used for social media executions and in print and promotional materials, such as t-shirts, stickers, banners, tire covers, and pens.

The second season of the radio program began in August 2014. Clouds FM aired a weekly repeat broadcast, increased the number of promotional spots aired per program, and agreed that episodes could be repackaged for broadcast on regional radio stations after initial broadcast. All 52 programs were re-packaged and distributed to regional radio stations to broadcast at no cost at a time of their convenience. Stations were free to make their own promotional spots, seek sponsorship, and retain any revenue generated from the program.

The television program began airing on Azam TV in July 2015.

Monitoring

TCCP conducted an internal qualitative post-test exercise at the end of Season 1 to seek operational input for the design of the next season. Two sets of focus group participants listened to a randomly selected episode and provided feedback on areas for improvement. TCCP, Khanga Rue Media, and Clouds FM also held regular review meetings throughout the season to make quick adjustments and determine how to increase reach and impact.

Qualitative research findings from Season 1 recommended:

  • Improved transitions between studio and street sessions
  • An easier way for listeners to track contestant couples throughout the show
  • Expansion to additional regions to improve reach
  • Diversified recruitment mechanisms

Stakeholder review recommended further reinforcement of health messages by the co-hosts, repeat weekly broadcasts on Clouds FM, additional promotional spots, and a re-packaging of previously aired episodes for broadcast on regional radio stations in order to increase reach.

Omnibus Survey Results:

The April 2014 survey found an estimated audience of almost one million (964,249) listeners age 18 or above. By August/September, listenership had more than doubled, with 8.9% of respondents reporting that they had listened to the program in the last 3 months.

The January 2015 survey found that exposure to Aiisseee! was 6.4%, and it grew to 6.9% in May 2015.

The May 2015 Survey found::

  • 16.7% reported discussing it with someone else, with 65.2% of those talking to a friend or neighbor, 34.8% to a family member, and 30.4% to their spouse or main sexual partner
  • 12.3% of exposed participants reported doing something to improve their relationship as a result of listening to Aiisseee!, including talking more (41.2%), spending more time together (29.4%), going on dates (5.9%), and other (35.3%).

Social Media Statistics:

June 30, 2014:

  • The Aiisseee! Facebook fan-base had grown to 53,666 followers. The majority of the total fan base was male (76%), aged 18-24 and located in Dar es Salaam.
  • The Facebook app had 3,524 lifetime total users.
  • Aiisseee! TV and radio host Vanessa Mdee (@VanessaMdee), had over 43,000 followers
  • SoundCloud episodes of the program had been played 5,278 times
  • The Aiisseee! ringtone received 1,564 plays and 90 downloads

September 30, 2015:

  • The Aiisseee! Facebook fan-base had grown to 113, 513 fans, 71% of whom are male, with the majority in the 18-34 age group.
  • On average, 98,274 of fans were online daily
  • Aiisseee! content reached over 19,307 accounts daily with an average 281,023 daily impressions
  • @AiiSSEEE had tweeted 589 times and had 405 followers
  • The program’s YouTube channel had 7,876 views

Evaluate and Evolve

TCCP conducted a national, household-based, cross-sectional project midline survey in April 2014 with a nationally representative sample of 4,000 respondents (2,060 males and 1,940 females) aged 15-49 years, randomly selected from urban/peri-urban and rural areas to evaluate the program’s impact. Interview data was collected using tablets and interviewers were gender-matched to participants.

Results/Key Findings

Just three months after Aiisseee! Season 1 launched, 19.1% of men and 10.3% of women had been exposed to the campaign

In multivariate and/or propensity score analyses, exposure was significantly associated with:

  • Improved increased HIV prevention knowledge
  • Sexual protection self-efficacy
  • Sexual risk communication
  • Discussing HIV testing with a partner
  • Likelihood of having ever been tested for HIV
  • Condom use with last primary sexual partner
Those exposed to Aiiseee! were:
9.2% more likely to discuss HIV testing with their partners
4.9% more likely to have ever been tested for HIV
8.1% more likely to use a condom at last sex with their primary partner

Season two surveys suggested that use of a subtle yet provocative, humorous approach could create a comfortable forum for addressing hard-to-discuss issues in a non-confrontational way, ultimately leading to behavioral impact.

Aiisseee! has now been aired free of charge on 5 regional radio stations, adapted for television, and is being broadcast at no cost to the project through a public-private partnership with a media house that recognized the program’s social significance and commercial viability.


Recognition

Coverage of the game show was highlighted on these sites:


Lessons Learned

Some lessons learned from the campaign:

  • Men did engage – willingly, meaningfully, and repeatedly
  • Commercially appealing approaches have the potential to leverage investments and increase reach, impact and sustainability
  • There is a need for more research to test and refine the Ideation Model
  • There is a need to develop and validate Tanzanian couple communication connectedness scales
  • This was a great opportunity for evidence-based/evidence-building

Banner Photo from Aiiseeee! Facebook page Retrieved December 15, 2015

Date of Publication: April 20, 2022