Faith-Based Advocacy for Family Planning Works: Evidence From Kenya and Zambia

Bormet, Mona; Kishoyian, Jane; Siame, Yoram; Ngalande, Ngalande; Erb, Kathy; Parker, Kathryn; Huber, D; Hardee, Karen

doi:10.9745/ghsp-d-20-00641

Cited by 11 publications

(11 citation statements)

References 8 publications

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“…Therefore, health promotion interventions that use a social network approach that relies on collaboration between public health organizations and community “links” or gatekeepers can be effective in disseminating information and adoption of preventive behaviors (Kincaid, 2000 ). This approach has been effective in promoting the importance of family planning and increasing the contraceptive use uptake globally, by training community links on how to facilitate discussions to clarify any misconceptions and share their adoption of modern contraceptive use (Bormet et al, 2021 ; Kincaid, 2000 ; Lowe & Moore, 2014 ). These community links are usually individuals within organizations already embedded in the communities and collaborating with them can help reach a wide range of community members, especially hard to reach and at risk populations.…”

Section: Discussionmentioning

confidence: 99%

“…These community links are usually individuals within organizations already embedded in the communities and collaborating with them can help reach a wide range of community members, especially hard to reach and at risk populations. To illustrate, Borment et al (2021) found that contraceptive uptake was found to be 1.7 times higher for women exposed to family planning messages from religious leaders than those that were not (Bormet et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

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Factors Influencing COVID-19 Prevention Behaviors

et al. 2022

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COVID-19 remains a public health emergency with prevention guidelines and mitigation strategies being constantly updated to curb the rapid spread of the disease. Despite proven successes of recommended preventive behaviors, there is low uptake of wearing a mask, washing of hands, and social distancing in the United States (US). The purpose of this study was to examine factors that influence COVID-19 preventive behaviors. We used data from the nationally representative COVID-19 Household Impact Survey (n = 19,815) conducted in the US from April to June 2020. Chi-square (χ2) test and bivariate analyses were performed to compare study participants who used all COVID-19 related preventive behaviors and those who did not, and multivariate logistic regressions to determine associations across demographic and social characteristics. Of the 19,815 participants, 79.2% of participants reported practicing the aforementioned COVID-19 preventive behaviors. Further, non-Hispanic white, Spanish speaking, living in urban areas, of older age (60+), being female, having an education above an undergraduate, those with income levels $100K or more, living in the urban northeast region that trust and communicate frequently with family and neighbors were more likely to use all three preventive behaviors. Findings suggest a need for continued provision of information on prevention and vaccination importance, but expand efforts to target adopters of these behaviors and encourage them to share their uptake and adherence efforts. This type of horizontal communication where information is shared within trusted social networks can shape social norms that influence the uptake of COVID-19 preventive behaviors and slowly curb communal spread.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Influencing COVID-19 Prevention Behaviors

et al. 2022

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“…There was also increased sensitization and investment to promote family planning, birth spacing, and manageable families [26,27], including committing to the FP2020 goals [28].…”

Section: Discussionmentioning

confidence: 99%

Trends and determinants of changes in cumulative fertility among married women in Kenya between 2003 and 2014: an analysis of demographic health surveys

Orwa

Gatimu

Ariho

et al. 2022

Preprint

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Background: Globally, cumulative fertility has declined in the last three decades. In sub-Saharan Africa Including Kenya, this decline started more recent and at a slower pace compared to other regions. Despite a significant fertility decline in Kenya, there are disparities in intra- and interregional fertility. Reduction in cumulative fertility has health benefits for both the mother and child, thus it is important to improve women and children health outcomes associated with high fertility. The study, therefore evaluated the determinants of change in cumulative fertility among married women of reproductive age in Kenya between 2003 and 2014. Methods: The study used the Kenya Demographic and Health Survey (KDHS) datasets of 2003, 2008 and 2014. Analysis of variance (ANOVA) was used to calculate the mean number of children ever born (cumulative fertility) and to assess the change in fertility across different factors. A Poisson-based multivariate decomposition for the nonlinear response model was performed to identify and quantify the contribution of demographic, socioeconomic and reproductive correlates, to the change in cumulative fertility between 2003 and 2014. Results: The study included 3,917, 4,002, and 7,332 weighted samples of women of reproductive age in 2003, 2008, and 2014, respectively. The mean number of children born declined from 3.8 (95% CI: 3.6–3.9) in 2003 to 3.5 (95% CI: 3.4–-3.7) in 2008 and 3.4 (95% CI: 3.3–3.4) in 2014 (p=0.001). The changes in socio-demographic composition of the population (i.e. changes in the characteristics of women) explained 81.6% of the decline while 18.4% was due to changes in fertility behaviour of women. The main contributors to the change in cumulative fertility were reduced child mortality (88.6%), urbanisation (44.5%), education (15.8%), family size (12.8%) and increased age at first marriage (12.1%). Conclusion: The cumulative fertility declined by one-tenth between 2003 and 2014; majorly as a result of the compositional difference in characteristics of women in terms of child death experience, residing in urban areas and level of education. These highlights a need to continue strengthening the healthcare systems (access to quality antenatal care, skilled delivery, and postpartum care) to reduce child mortality and implement education policies that focuses on gender equality and women empowerment.

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Section: Douglas Hubermentioning

confidence: 99%

“…Faith leaders have shown they can be effective advocates not only for HTSP within their own faith communities, but also for better policies, increased resources, and access to voluntary FP services [7]. In sub-Saharan Africa (SSA) FP uptake can be accelerated through the extensive faith-based networks that own and operate 20-50% of health care facilities in many SSA countries [7][8][9]. Three pillars have provided a solid base for HTSP/FP results: 1) engaging faith leaders to recognize the value of HTSP and voluntary FP and to advocate for the same; 2) training, equipping, and supplying faith-based health facilities; and 3) utilizing community health workers (CHWs) to deliver community-based contraceptives and refer for clinic-based methods.…”

Section: Douglas Hubermentioning

confidence: 99%