The Impact of a Regional Family Planning Service Promotion Initiative in Sub-Saharan Africa: Evidence from Cameroon

Babalola, Stella; Vondrasek, Claudia; Brown, J. Howard; Traore, Regina

doi:10.2307/2673854

Cited by 24 publications

(30 citation statements)

References 6 publications

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“…4,17,21,[34][35][36][37][38][39][40][41][42] However, this article builds on what we already know. Many of the studies that have examined the impact of family planning campaigns did not use a theoretical model that takes into account the ideational predictors of contraceptive use.…”

Section: Discussionmentioning

confidence: 99%

“…The few that based their analyses on an ideational or similar psychosocial model did not examine the dose-response effects of the campaign on both ideational variables and contraceptive use. 4,17,21 Probably the most significant innovation in this paper concerns the use of the PSM technique. A serious issue in ascribing causal effects using observational data (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…4 We will only say here that both the design and the implementation of the initiative are based on a mixture of theory and empirical data. Pre-intervention exploratory research in the four intervention countries assessed the community definition and experience of the quality of family planning services and served as a basis for the design of the initiative.…”

Section: The Gold Circle Initiativementioning

confidence: 99%

“…There is increasing empirical evidence to show that ideational variables are strong proximate determinants of contraceptive use. 4,17,21 Failure to take these variables into consideration in the estimation of the effects of the campaign may result in incorrect attribution of effects. We therefore included the propensity score quintile as a covariate in a logistic regression that assesses the impact of campaign exposure on contraceptive use while controlling for ideational variables.…”

Section: Campaign Exposure and Contraceptive Usementioning

confidence: 99%

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Communication, ideation and contraceptive use in Burkina Faso: an application of the propensity score matching method

Babalola

Vonrasek

2005

j fam plann reprod health care

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Objective The study aim was to assess the effects of a multi-component communication campaign that promoted contraceptive use in Burkina Faso.Methods This was a cross-sectional survey conducted in 2001 involving 1421 women of reproductive age from Ouagadougou and Bobo-Dioulasso. Participants during the 2001 survey were randomly selected from 54 enumeration areas that were covered during the 1999 Demographic and Health Survey. The propensity score matching (PSM) technique was the analytical method used to assess the effects of the campaign. ResultsMore than three-quarters of the respondents reported exposure to at least one example of campaign material. Compared with no exposure, high campaign exposure is associated with an adjusted increase of 21.8 percentage points in the proportion of women currently using modern contraceptive methods. Similarly, low exposure is associated with a 7.3 percentage point increase over no exposure. The campaign is also associated with increased knowledge about contraceptives and more favourable attitudes towards family planning. ConclusionsThe multiple-component nature of the campaign makes it easy for many members of the target audience to hear consistent messages from a variety of sources. This is a key element responsible for the documented effectiveness of the campaign. Despite its limitations, the PSM technique is a straightforward method that should be used more often to assess the effects of communication programmes. 207

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: The Gold Circle Initiativementioning

confidence: 99%

Section: Campaign Exposure and Contraceptive Usementioning

confidence: 99%

See 2 more Smart Citations

Communication, ideation and contraceptive use in Burkina Faso: an application of the propensity score matching method

Babalola

Vonrasek

2005

j fam plann reprod health care

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“…As a concept, ideation has been defined as ways of thinking that can be diffused through communication and social interactions. [39][40][41][42][43] It is a predictive model that incorporates behavioural predictors borrowed from leading psychosocial theories. The original ideation model has been extended for the purpose of our analysis to include parental factors, in addition to the individual factors.…”

Section: Predictor Variablesmentioning

confidence: 99%

Parental Factors and Sexual Risk-Taking among Young People in Côte d'Ivoire

Babalola¹,

Tambashe

Vondrasek

2005

African Journal of Reproductive Health

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103

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Côte d'Ivoire is the country worst affected by the HIV epidemic in West Africa, and young people in this country are a particularly vulnerable group. This study examined the relation between parental factors and sexual risk-taking among young people using logistic regression and survival analysis methods. Three parental factors (living in the same household as the father during childhood, perceived parental disapproval of early and premarital pregnancy, and parent-child communication about sexual abstinence) were positively associated with primary sexual abstinence (defined as yet to experience sexual debut), secondary sexual abstinence (defined as sexual abstinence subsequent to sexual debut) and reduced number of sex partners. The findings suggest that parental monitoring and control are important predictors of youth sexual behaviours and underscore the need to target parents and guardians in efforts to promote responsible sexual behaviours among adolescents. It is important to promote parent-child communication about sexual issues and empower parents and guardians to communicate effectively with their children and wards about sexual issues. RÉSUMÉFacteurs parentaux et la prise de risque sexuel chez les jeunes gens en Côte-d'lvoire. La Côte-d'lvoire est le pays le plus atteint par l'épidémie du VIH en Afrique de l'ouest et les jeunes gens de ce pays constituent un groupe surtout vulnérable. Cette étude a examiné le rapport entre les facteurs parentaux et la prise de risque sexuel chez les jeunes gens à l'aide de la regression logistique et la méthode de l'analyse de survie. Trois facteurs parentaux (le fait d'habiter dans la mème maison que le père pendant l'enfance, la désapprobation parentale perçue de la grossesse précoce et la grossesse prémaritale et la communication parent-enfant concernant l'abstinence sexuelle primaire (définie comme n'ayant pas encore eu l'expérience sexuelle), l'abstinence sexuelle secondarie (définie comme une abstinence sexuelle postérieure à l'expérience sexuelle initiale) et le nombre réduit de partenaires sexuels. Les résultats démontrent que la surveillance et l'autorité des parents sont des facteurs importants qui soulignent le besoin de viser les parents et les tuteurs dans les tentatives de promouvoir des comportements sexuels responsables chez les adolescents. Il est important de promouvoir la communication parent-enfant par rapport aux questions sexuelles et de capabiliser les parents et les tuteurs afin qu'ils puissent communiquer de manière effetive avec leurs enfants et leurs pupilles quant aux questions sexuelles. (Rev Afr Santé Reprod 2005; 9[1]: 49-65)

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The Senegal urban reproductive health initiative: a longitudinal program impact evaluation

Benson¹,

Calhoun²,

Corroon³

et al. 2018

Contraception

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Objectives This paper presents the impact of key components of the Senegal Urban Reproductive Health Initiative, including radio, television, community-based activities, Muslim religious-leader engagement and service quality improvement on modern contraceptive use by all women and the sub-sample of poor women. Study design This study uses baseline (2011) and endline (2015) longitudinal data from a representative sample of urban women first surveyed in 2011 to examine the impact of the Initiative’s demand- and supply-side activities on modern contraceptive use. Results By endline, there was increased exposure to radio and television programming, religious leaders speaking favorably about contraception, and community-based initiatives. In the same period, modern contraceptive use increased from 16.9% to 22.1% with a slightly larger increase among the poor (16.6% to 24.1%). Multivariate analyses demonstrate that women exposed to community-based activities were more likely to use modern contraception by endline (marginal effect (ME): 5.12; 95% confidence interval (CI): 2.50–7.74) than those not exposed. Further, women living within 1 km of a facility with family planning guidelines were more likely to use (ME: 3.54; 95% CI: 1.88–5.20) than women without a nearby facility with guidelines. Among poor women, community-based activities, radio exposure (ME: 4.21; 95% CI: 0.49–7.93), and living close to program facilities (ME: 4.32; 95% CI: 0.04–8.59) impacted use. Conclusions Community-based activities are important for reaching urban women, including poor women, to achieve increased contraceptive use. Radio programming is also an important tool for increasing demand, particularly among poor women. Impacts of other program activities on contraceptive use were modest. Implications This study demonstrates that community-based activities led to increased modern contraceptive use among all women and poor women in urban Senegal. These findings can inform future programs in urban Senegal and elsewhere in francophone Africa.

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The Impact of a Regional Family Planning Service Promotion Initiative in Sub-Saharan Africa: Evidence from Cameroon

Cited by 24 publications

References 6 publications

Communication, ideation and contraceptive use in Burkina Faso: an application of the propensity score matching method

Communication, ideation and contraceptive use in Burkina Faso: an application of the propensity score matching method

Parental Factors and Sexual Risk-Taking among Young People in Côte d'Ivoire

The Senegal urban reproductive health initiative: a longitudinal program impact evaluation

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