Behind every successful nutrition campaign lies a simple but powerful question: who exactly are we trying to reach? A message about complementary feeding crafted for a first-time urban mother will fall flat in a tribal hamlet where the grandmother decides what the baby eats. A poster warning about anaemia will not move a daily-wage labourer who cannot read it. Identifying the target audience is the single most important step in any Nutrition Education and Communication (NEC) programme, because everything that follows – the message, the channel, the timing, even the choice of communicator – depends on knowing who is listening.

Table of Contents

Who is the target audience?

In nutrition communication, the target audience is the group of people whose behaviour, knowledge, or attitudes we want to change. It is rarely a single homogeneous block. The Food and Agriculture Organization and most public health frameworks classify it into three layers – primary, secondary, and tertiary audiences. Each layer plays a distinct role, and ignoring any one of them can quietly sabotage a programme.

Primary audience

The primary audience consists of people who will directly benefit from the behaviour change. These are the individuals whose dietary practices, feeding habits, or health-seeking behaviours we are actively trying to influence. For most maternal and child nutrition programmes in the country, this group includes pregnant women, lactating mothers, and caregivers of children under two years of age. The POSHAN Abhiyaan, for instance, places special emphasis on the first 1,000 days of a child’s life and treats pregnant women and mothers of young children as its core primary audience.

Other examples of primary audiences include adolescent girls (for iron and folic acid supplementation), school-going children (for midday meal-linked nutrition education), the elderly (for diet-related non-communicable diseases), and people living with conditions like diabetes or hypertension. The defining feature is simple: this is the person whose plate, behaviour, or body we want to change.

Secondary audience

The secondary audience is made up of people who directly influence the primary audience. They do not necessarily benefit from the behaviour change themselves, but their support – or resistance – can make or break the programme. In Indian households, this often means mothers-in-law, husbands, grandmothers, elder sisters, and other family members who shape food purchase, preparation, and feeding decisions.

The lesson here is not new. The Tamil Nadu Integrated Nutrition Programme of the 1980s, one of the country’s earliest large-scale nutrition communication efforts, deliberately segmented its audience into primary and secondary targets, with mothers, mothers-in-law, and fathers all treated as priority groups. A modern echo of this can be seen in POSHAN Abhiyaan’s communication materials, which actively counsel pregnant women and mothers as well as their influencers, such as husbands and mothers-in-law.

Secondary audiences also include community-level actors who reinforce messages – teachers, anganwadi workers, ASHAs, ANMs, self-help group members, and local religious or political leaders.

Tertiary audience

The tertiary audience operates further from the household but controls the wider environment in which behaviour change happens. These are the policymakers, programme managers, district-level officers, food producers, retailers, media professionals, and academic researchers who shape policy, funding, food supply, and the information ecosystem.

According to the FAO’s guidance on nutrition education, tertiary participants are those whose expertise and official positions can serve as valuable sources of information and support – even if they are not from the community itself. A campaign promoting double-fortified salt, for example, must reach salt manufacturers, food safety regulators, and state procurement officers, not just the woman cooking in the kitchen.

Vulnerable groups deserve special attention

Within these three layers, certain groups consistently face higher nutritional risk and require focused communication. These include pregnant and lactating women, infants and young children, adolescent girls, elderly people, persons with disabilities, tribal communities, urban slum dwellers, and migrant workers. The National Family Health Survey and successive nutrition policies have repeatedly flagged these groups as priority populations for both service delivery and communication.

Frontline health workers – anganwadi workers, ASHAs, and ANMs – occupy a unique position. They are simultaneously a primary audience (their own knowledge and counselling skills need strengthening), a secondary audience (they influence mothers), and a delivery channel. Programmes like POSHAN Abhiyaan have invested heavily in their training, recognising that a poorly informed anganwadi worker cannot deliver a well-designed message.

Steps to identify the target audience

Identifying the right audience is a methodical exercise, not guesswork. It begins long before any poster is designed or any radio jingle is recorded, and it draws on formative research, secondary data, and community consultation.

Step 1: Define the nutrition problem and desired behaviour

The starting point is the problem itself. Is the issue exclusive breastfeeding rates, anaemia among adolescent girls, stunting in under-fives, or obesity among urban office workers? The first question audience segmentation must answer is – whose behaviour must change to change the health situation? The answer should emerge from a clear situation analysis, not assumption.

Step 2: Analyse demographic factors

Demographic variables are the most basic layer of segmentation. They include age (nutritional needs differ sharply across infancy, adolescence, pregnancy, and old age), sex (women have specific iron and calcium requirements), marital and parental status, family structure (nuclear versus joint households face different decision-making dynamics), and life stage. A message for a first-time pregnant woman in her early twenties cannot be identical to one for a mother of three in her late thirties.

Step 3: Examine socioeconomic factors

Income, occupation, education, and literacy levels shape both what people eat and how they receive information. A low-literacy audience needs visuals, audio, and demonstrations rather than text-heavy brochures. Households where the woman works as a daily-wage labourer have very different time constraints from those where she works from home. Food insecurity, access to clean cooking fuel, and refrigeration also fall under this lens. The World Bank’s review of large-scale nutrition programmes has repeatedly shown that ignoring socioeconomic realities is the fastest way to produce technically accurate messages that nobody can actually follow.

Step 4: Map cultural and behavioural factors

Food is deeply cultural. Religious practices, caste-based food taboos, fasting traditions, beliefs about “hot” and “cold” foods during pregnancy, and preferences for certain grains or cooking methods all influence dietary behaviour. Many communities discourage colostrum feeding, delay complementary foods, or restrict pregnant women’s diets based on traditional beliefs. A communication programme that does not acknowledge these beliefs – or worse, dismisses them – loses credibility immediately.

Behavioural factors also include current knowledge, attitudes, and practices (the classic KAP framework), self-efficacy, and perceived barriers. The IDinsight evaluation of POSHAN Abhiyaan traced behaviour change through five linked steps – reach, recall, knowledge, self-efficacy, and practice – and found that getting any one of them wrong breaks the chain.

Step 5: Consider geographic and access factors

Where the audience lives affects almost everything else. Urban, peri-urban, rural, tribal, hilly, and coastal populations have different food systems, different media access, and different exposure to health services. A rural mother may rely on the anganwadi worker and community radio, while an urban mother may be more responsive to WhatsApp groups, mobile apps, or private clinics. Migration patterns, distance to the nearest health facility, and local language preferences must all feed into audience definition.

Step 6: Conduct formative research

Once tentative audience groups are identified, formative research – through focus group discussions, in-depth interviews, household observations, and small surveys – validates assumptions and uncovers the hidden barriers and motivators. This research also identifies trusted information sources within the community, which is invaluable when choosing channels later.

The importance of audience segmentation

Even after identifying primary, secondary, and tertiary audiences, the work is not done. Within each layer, people still differ enormously. A 22-year-old first-time mother in a Mumbai slum is not the same as a 35-year-old mother of four in a Jharkhand village, even though both fall under “mothers of young children.” Audience segmentation divides each broad group into smaller, more homogeneous sub-groups for whom a specific message will genuinely work.

The basic premise of segmentation is that everyone in a population does not have the same need for a particular piece of information, resource, or service. Trying to talk to “all mothers” usually ends in talking to none of them effectively.

Tailored messages create real impact

Segmented audiences allow communicators to design messages that speak to specific concerns. A low-income family may respond best to messages about cost-saving, locally available foods, and child health. A higher-income family may engage more with framing around “optimal brain development” or “academic performance.” A mother of a severely malnourished child needs a different intensity of counselling than a mother whose child is growing normally.

Better channel selection

Segmentation also drives smart channel choices. Television and radio spots, mobile messaging, community-based events like Godh Bharai and Annaprashan, home visits by anganwadi workers, and Village Health, Sanitation and Nutrition Days each reach different sub-groups with different efficiency. The POSHAN Abhiyaan SBCC evaluation found that community-based events significantly expanded reach to women who otherwise rarely left their homes, while home visits remained the most reliable platform for personalised counselling.

Efficient use of limited resources

Nutrition programmes operate under tight budgets. Segmentation prevents waste by focusing intensive interventions on the groups most likely to benefit, while using lower-cost mass channels for general awareness. Universal messages reach everyone; targeted messages change behaviour.

Stronger evaluation and learning

When audiences are clearly defined and segmented, programmes can measure who actually changed and who did not. This feedback loop is essential for course correction. USAID’s guidance on audience segmentation for nutrition emphasises that without clear segments, evaluation becomes guesswork and learning stalls.

Common pitfalls to avoid

Even experienced programmes stumble. The most frequent mistake is trying to reach “everyone” – which usually means reaching no one effectively. Another is assuming homogeneity within a demographic group, ignoring the cultural, economic, and behavioural variations that actually drive food choices. A third is forgetting the secondary audience entirely, designing brilliant messages for mothers while the mother-in-law continues to insist on the old practice. A fourth is treating tertiary audiences as an afterthought, only to find later that policy bottlenecks or supply gaps undermine the entire effort.

Identifying the target audience is not a one-time checkbox at the start of a programme. As situations evolve – new data emerges, behaviours shift, migration patterns change – audience definitions need revisiting. The strongest nutrition communication programmes treat audience identification as a living process, refined continuously through monitoring and community feedback.

What do you think? If you were designing a nutrition communication programme for adolescent girls in your district, who would you place in your primary, secondary, and tertiary audiences – and which cultural or socioeconomic factor do you think would matter most in segmenting them further?

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References
  1. https://www.fao.org/4/w3733e/w3733e04.htm
  2. https://www.worldbank.org/en/country/india/brief/transforming-india-s-nationwide-nutrition-program
  3. https://pmc.ncbi.nlm.nih.gov/articles/PMC6607813/
  4. https://healthcommcapacity.org/i-kits/step-3-choose-intended-audiences/
  5. https://www.ncbi.nlm.nih.gov/books/NBK11761/
  6. https://www.idinsight.org/wp-content/uploads/2021/08/POSHAN-Abhiyaan-Social-and-Behavior-Change-Communication-Mar-2020.pdf
  7. https://learning.breakthroughactionandresearch.org/wp-content/uploads/Audience-Segmentation-Nutrition-EN.pdf

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Public Health and Nutrition

1 Public Health – Genesis and Development

  1. The History of Public Health
  2. Concept of Public Health
  3. Essential Services of Public Health
  4. The Development of Public Health in India
  5. Public Health and Sanitary Policy

2 Health and Nutrition- Behaviour and Practices

  1. Health Scenario in Rural India
  2. Determinants of Health Seeking Behaviour
  3. Impact of Rural Health Services
  4. Health Seeking Behaviour Due to Technology
  5. Alternative Medicine and Rural Health

3 Society and Environment

  1. Poverty and Environment
  2. Population and Environment
  3. Affluence and Environment
  4. IPAT and KAYA Identities
  5. Reformulating IPAT

4 Mental Health

  1. Defining Mental Health
  2. Model A — Mental Health as Above Normal
  3. Model B — Mental Health as Maturity
  4. Model C — Mental Health as Positive or Spiritual Emotions
  5. Model D — Mental Health as Socio-Emotional Intelligence
  6. Model E — Mental Health as Subjective Well-being
  7. Model F — Mental Health as Resilience

5 Historical Perspectives of Mental Health

  1. Ancient Views
  2. Greek and Roman Views
  3. Middle Ages
  4. The Nineteenth Century
  5. The Early Twentieth Century
  6. DSM IV TR
  7. A Growing Emphasis on Preventing Disorders and Promoting Mental Health

6 Family and Mental Health

  1. Historical Aspects of Role of Family in Mental Health Care
  2. Family Perspectives of Mental Health Issues
  3. Role of Family in Mental Health
  4. Role of Family in Mental Illness
  5. Caregivers’ Burden

7 Sociology of Mental Health

  1. Social Attitudes and Mental Health
  2. Social Perception and Mental Health
  3. Attribution Theory
  4. Social Influence
  5. Group Process
  6. Leadership and Social Power
  7. Sociological Theories Related to Mental Health

8 Culture and Mental Health

  1. Culture and Mental Health
  2. Cultural Context of Understanding Mental Illness
  3. Culture-Bound Syndromes
  4. Culture and Stress
  5. Immigration and Acculturation

9 Yoga Therapy, Mental Health and Well -Being

  1. Definitions of Yoga
  2. Concept of Health and Disease
  3. Stress According to Yoga and its Management in Bhagavad Gita
  4. How Yoga Helps
  5. Techniques of Integrated Approach of Yoga Therapy
  6. Scientific Evidence Related to Yoga in Psychiatric Disorders

10 Physical Hazards

  1. Physical Hazards – Definition
  2. Types of Physical Hazards
  3. Extreme Temperature
  4. Noise and Vibration
  5. Radiation (Ionizing and Non-Ionizing)

11 Chemical Hazards

  1. Definition
  2. Types of Chemical Hazards and their Effects
  3. Chemical Toxins
  4. Chemical Carcinogens

12 Biological Hazards

  1. What are Biological Hazards?
  2. Sources of Biological Hazards
  3. Types of Biological Hazards
  4. Threats of Biological Hazards
  5. Biological Warfare/Bioterrorism

13 Mining and Construction Hazards

  1. Workforce in Mining and Construction Industry
  2. Mining Industry in India
  3. Occupational Health Hazards in Mining Industry
  4. Construction Industry in India
  5. Protecting Good Health for Construction Workers

14 Basic Disaster Management and Institutional Framework

  1. Reducing Risk; Enhancing Resilience
  2. Capacity Development Initiative
  3. The DM Act 2005: Definition for Disaster
  4. Disaster Management
  5. Types of Disasters
  6. National Disaster Management Plan

15 Concept of Public Nutrition

  1. Understanding the Terms: Nutrition, Health, and Public Nutrition
  2. Public Nutrition
  3. Health Care
  4. Role of Public Nutritionists in Health Care Delivery

16 Public Nutrition- Multidisciplinary Concept

  1. Multiple Causes of Public Nutrition Problems
  2. Multidisciplinary Approach to Solve Nutrition Problems
  3. Role of Agriculture in Nutrition
  4. Food and Nutrition Security
  5. Sustainable Development Goals
  6. Food Behaviour

17 Nutritional Problems-I

  1. Protein Energy Malnutrition (PEM)
  2. Micronutrient Deficiencies

18 Nutritional Problems-II

  1. Beriberi
  2. Ariboflavinosis (Riboflavin Deficiency)
  3. Pellagra
  4. Folic Acid and B12 Deficiency
  5. Scurvy
  6. Rickets and Osteomalacia
  7. Fluorosis
  8. Lathyrism

19 Strategies to Combat Public Nutrition Problems-I

  1. Strategies to Combat Nutrition Problems
  2. Diet or Food-Based Strategies
  3. Dietary Diversification/Modification
  4. Horticulture Interventions
  5. Food Fortification
  6. Nutrition and Health Education
  7. Supplementation as a Short-Term Strategy
  8. Implementing an Intervention Strategy

20 Strategies to Combat Public Nutrition Problems-II

  1. Immunization
  2. Supplementary Feeding Programmes
  3. Improving the Quality of Food by Genetic Approaches
  4. Clean Water, Sanitation, Street Foods, and Strategies for Improvement
  5. Improving Food and Nutrition Security

21 Nutrition Policy and Programme

  1. National Nutrition Policy
  2. National Nutrition Mission (POSHAN Abhiyaan)
  3. Integrated Child Development Services (ICDS)
  4. Supplementary Feeding Programmes
  5. Nutrient Deficiency Control Programmes
  6. Infant and Young Child Nutrition Programme (IYCN)
  7. National Health Mission (NHM)

22 Nutrition Education Communication Programmes- Formulation

  1. Setting Objectives of a Nutrition Education Communication Programme
  2. Identifying a Target Audience
  3. Designing Messages
  4. Choosing the Media and Multi-Media Combinations
  5. Development of a Communication Strategy

23 Nutrition Education Communication Programmes- Implementation

  1. Implementation Process – An Overview
  2. Production of Communication Support Materials
  3. Designing an Effective Training Programme
  4. Executing the Communication Interventions
  5. Social Marketing
  6. Community Participation

24 Nutrition Education Programme- Evaluation

  1. Evaluation – Basic Concept
  2. Purpose of Evaluation of NEC Programme
  3. Developing an Evaluation System for NEC Programme
  4. Types of Evaluation
  5. Conducting a Dynamic and Participatory Evaluation
  6. Contribution of Nutrition Education Programme to Changes in Behaviour