Barriers to health education in developing countries

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Abstract
This paper reviews some of the barriers to effective health education programmes in developing countries. Both published literature as well as unpublished personal experiences and discussions are drawn upon to identify four overlapping groups of reasons why health education programmes can fail. These are: failures in the planning process to apply epidemiological and behavioural sciences to the selection of appropriate objectives; communication failure ion reaching the intended audience and promoting understanding and acceptance of messages; failures in the organization of health education services and the weak status of the specialist health educator; and failure in the evaluation process and the dissemination of research into decision making. Several innovative health education approaches are reviewed and suggestions made for fruitful topics for future research and evaluation studies.

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