Objective To determine whether women or men should be preferred as the target group of the family Design Community trial (educational intervention study).Setting Three villages having similar characteristics in Gaziantep, Turkey.Population Currently married women aged between 15-49 and their husbands in these villages.Methods Family planning education was given only to women in the first village, only to men in the second village and to both women and their husbands in the third village.Main outcome measures Changes in knowledge, attitudes, the behaviour of married women and their husbands between surveys performed before and after family planning education.Results Important changes in knowledge, attitudes, and behaviour were determined in all intervention groups after family planning education. The rate of effective contraceptive usage among women using any one of the contraceptive methods described significantly increased in all groups, especially where family planning education was given to both sexes.Family planning education given to one of the couples may easily affect the other. Consistent and regular education is more important than selecting target gender groups for family planning education. planning education.
Conclusions
INTRODUCTIONThere are many kinds of intervention studies on family ~lanningl-~. Family planning education was given to different sex groups in these st~dies'."~, but a review of related literature does not allow one to determine whether family planning education is more effective if provided to one sex, compared with the other.This study aimed to determine whether gender selection improved the results of those given family planning instruction. By selecting three similar villages, we provided family planning education only to women living in the first village, only to men living in the second village, and to both women and their husbands living in the third village. After three education tours in a two-year period between June 1996 and July 1998, the effects of the family planning education were assessed for each intervention group.
METHODSIn Turkey, primary health care services are being given by health centres in which at least one doctor, one nurse, one health personnel named 'saglik memuru', one sanitary technician, and two to four nurse-midwives are employed. Each nurse-midwife provides care at smaller health stations, which are subunits of the health centres. All of primary health care services, including family planning, are carried out by all personnel, but family planning education and application is particularly the duty of nurse-midwives at the health stations to which they are assigned.Villages were selected according to similarity of geographical status, distance to nearest city, use of contraception, distance to a village with a health centre and the presence of health facility. It is 20 km from the target villages of Atalar to Isikli, 8 km from Isikli to Yamaqoba, and 15 km from Atalar to Yamaqoba. It is 40 km from Atalar to Gaziantep (the city that was the base for th...