Effectiveness of a Behavior Change Communication Intervention to Improve Knowledge and Perceptions About Abortion in Bihar and Jharkhand, India

Banerjee, Sushanta K.; Andersen, Kathryn; Warvadekar, Janardan; Pearson, Erin

doi:10.1363/3914213

Cited by 29 publications

(20 citation statements)

References 14 publications

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“…If scaled up, this will support communications for behaviour change. Needless to say if such effective behaviour change communication approaches are combined with other approaches, behaviour change can be achieved 21 . As is the current practice in rural Uganda, Village Health Teams, (VHTs) move from one home to another to deliver maternal newborn and child health messages however as mentioned in the interviews, very few mothers have been accessing these services.…”

Section: Discussionmentioning

confidence: 99%

Community-made mobile videos as a mechanism for maternal, newborn and child health education in rural Uganda; a qualitative evaluation

Mutanda¹,

Waiswa²,

Namutamba³

2017

Afr H. Sci.

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Introduction: In Uganda, the maternal, newborn and child mortality is highest in rural areas, which are least served by health services and are also least reached by effective behavior change communication for health. Though maternal and child health related messages are available, they are still not culture and context specific for effective behaviour change. Aim: This study aimed at evaluating the feasibility of using locally made videos by local community groups in local languages as a channel for increasing knowledge, practices, demand and use of maternal and child health messages among women living in rural communities in Eastern Uganda. Methods: This paper describes the qualitative findings from a quasi experimental study targeting the rural semi-illiterate populations in hard to reach areas. Videos were developed and implemented based on Ministry of Health. Focus group discussions and KIs targeted pregnant and post natal mothers. Data transcription and content analysis was done. Results: Local mobile community videos were effective in communicating knowledge about key maternal and child health messages to both women and their male partners. Conclusion: Locally made mobile community videos are effective in improving knowledge, attitudes, practices and use of maternal and child health messages among rural semi-illiterate communities. Keywords: Community-made mobile videos, maternal, newborn, child health education, rural Uganda, a qualitative evaluation DOI: http://dx.doi.org/10.4314/ahs.v16i4.6 Cite as: Mutanda JN, Waiswa P, Namutamba S. Community-made Mobile Videos as a mechanism for maternal newborn and child health education in rural Uganda; a qualitative evaluation. Afri Health Sci 2016;16(4): 923-928. http://dx.doi.org/10.4314/ahs.v16i4.6

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Section: Discussionmentioning

confidence: 99%

Community-made mobile videos as a mechanism for maternal, newborn and child health education in rural Uganda; a qualitative evaluation

Mutanda¹,

Waiswa²,

Namutamba³

2017

Afr H. Sci.

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“…Communication campaigns intended to address reproductive health issues often fail to include information about unsafe abortion, or do not reach young women [14]. Additionally, Indian youth may lack sources of SRH information; a recent assessment in Bihar and Jharkhand revealed that youth are apprehensive and unlikely to discuss sensitive SRH issues, including abortion, with older counterparts due to stigma around youth sexuality [15].…”

Section: Introductionmentioning

confidence: 99%

How prepared are young, rural women in India to address their sexual and reproductive health needs? a cross-sectional assessment of youth in Jharkhand

Banerjee¹,

Andersen²,

Warvadekar³

et al. 2015

Reprod Health

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BackgroundYoung, rural Indian women lack sexual and reproductive health (SRH) information and agency and are at risk of negative sexual and reproductive health outcomes. Youth-focused interventions have been shown to improve agency and self-efficacy of young women to make decisions regarding their sexual and reproductive health. The objectives of this study were to assess young women’s sexual and reproductive health knowledge; describe their health-seeking behaviors; describe young women’s experiences with sexual and reproductive health issues, including unwanted pregnancy and abortion; and identify sources of information, including media sources.MethodA cross-sectional survey with a representative sample of 1381 married and unmarried women young women (15–24 years) from three rural community development blocks in Jharkhand, India was conducted in 2012. Participants were asked a series of questions related to their SRH knowledge and behavior, as well as questions related to their agency in several domains related to self-efficacy and decision-making. Linear regression was used to assess factors associated with greater or less individual agency and to determine differences in SRH knowledge and behavior between married and unmarried women.ResultsDespite national policies, participants married young (mean 15.7 years) and bore children early (53 % with first birth by 17 years). Women achieved low composite scores on knowledge around sex and pregnancy, contraception, and abortion knowledge. Around 3 % of married young women reported experiencing induced abortion; 92 % of these women used private or illegal providers. Married and unmarried women also had limited agency in decision-making, freedom of mobility, self-efficacy, and financial resources. Most of the women in the sample received SRH information by word of mouth.ConclusionsLack of knowledge about sexual and reproductive health in this context indicates that young rural Indian women would benefit from a youth-friendly SRH intervention to improve the women’s self-efficacy and decision-making capacity regarding their own health. A communication intervention using outreach workers may be a successful method for delivering this intervention.

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“…In addition, a considerable improvement was observed in women who were exposed to BCC during their antenatal period with regard to their knowledge of danger signals, management of breastfeeding-related problems, and awareness of skin-to-skin technique for the management of hypothermic baby [4]. Similar sort of positive results have been obtained in studies done to minimize trends of abortion [7]; to augment the use of postpartum contraception [8]; utilization of maternal and child health related welfare programs [2]; neonatal care [3]; and prevention of malnutrition [9].…”

Section: Public Health Applicationsmentioning

confidence: 93%

Behavior Change Communication: A Client-centered and Professionally Developed Strategy to Modify Health Status in Developing Countries

Shrivastava¹

2014

Biol Med

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The Behavior Change Communication (BCC) is a process of implementing communication strategies for the welfare of individual or communities to encourage them to adopt positive behaviors suitable to the local problem and the settings. Successful implementation of BCC essentially needs extensive research and meticulous planning based on the level of knowledge and attitude of the target population. Although BCC has shown a significant impact in heterogeneous conditions, but for its successful implementation in different health problems, the costeffectiveness for the same should be estimated in different local settings. In addition, eventual outcome of the BCC strategy depends upon the knowledge level of the community health worker and their efficacy to share knowledge with the target population. To conclude, Behavior Change Communication is a research-based, client-centered, benefit-oriented, service-linked and professionally developed strategy with significant potential that can influence and eventually modify the bad practices in order to maintain a healthy state both of individual and the society.

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Effectiveness of a Behavior Change Communication Intervention to Improve Knowledge and Perceptions About Abortion in Bihar and Jharkhand, India

Cited by 29 publications

References 14 publications

Community-made mobile videos as a mechanism for maternal, newborn and child health education in rural Uganda; a qualitative evaluation

Community-made mobile videos as a mechanism for maternal, newborn and child health education in rural Uganda; a qualitative evaluation

How prepared are young, rural women in India to address their sexual and reproductive health needs? a cross-sectional assessment of youth in Jharkhand

Behavior Change Communication: A Client-centered and Professionally Developed Strategy to Modify Health Status in Developing Countries

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