Reaching the communities most at risk.

Partner

Birmingham City Council

Programme

Fast-Track Cities+

Services

Behaviour Change Campaigns
Behavioural Insights

Reducing fear, increasing testing.

Birmingham City Council needed to reach communities most at risk of Hepatitis B, Hepatitis C and Tuberculosis – and move them from awareness to action.

public health behaviour change campaign

The challenge wasn’t information.
It was stigma, silence, and access.

We designed a public health behaviour change campaign that reframed testing not as something to fear – but something to protect.

Reaching the people most likely to miss testing.

Many at-risk communities face overlapping barriers:

  • Language and health literacy gaps
  • Cultural stigma and fear of diagnosis
  • Conditions that often show no symptoms
  • Limited trust in traditional health messaging

 

To work, the campaign had to feel relevant, respectful, and easy to act on – across multiple communities, channels, and contexts.

Design for real-world behaviour.

Using the COM-B model and Behaviour Change Wheel, we identified what was stopping people from testing – and what could move them forward.

The insight was clear: People are more motivated by protecting others than protecting themselves.

We built everything around this:
Test to protect yourself.
Test to protect your family.

01.

A trusted, protective brand

Test to Protect is a public health behaviour change campaign that we designed to be a trusted, accessible public health identity – simple language, strong symbolism, and minimal cognitive load.
02.

Audience-specific campaigns

Our two tailored strands ensured relevance without dilution:

  • Hepatitis awareness for Asian and Asian British men aged 35–49
  • Tuberculosis awareness for non-UK-born Pakistani men aged 25–34

 

We used culturally informed visuals, colour psychology, and messaging that framed testing as a responsible, protective act.

03.

Multi-channel activation

Out-of-home, social, radio, door drops, and community partnerships – meeting people where they are, not where services expect them to be.

04.

Digital-first pathways.

The campaign website provides clear education, self-referral, and next steps – removing friction at the point of action.

11.4M+

OOH impressions across Birmingham.

113,000

People reached via FM radio.

60,000

Digital radio plays with a 98% listen completion rate.

70,000+

Adshel impressions in target areas.

6,400

Unique website visitors.

10%+

Onward engagement with additional resources.

Why it worked.

Because it respected context.

The campaign didn’t lecture.
It didn’t alarm.
It made testing feel normal, responsible, and achievable.

Change is difficult. We make it possible.

Tell us what you’re working towards – we’ll help you move it forward.