World Journal of Public Health

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Effects of Behavior Change Communication Interventions on the Adoption of Contraceptive Methods in Urban and Peri-Urban Districts of Senegal

Received: 07 September 2017    Accepted: 22 September 2017    Published: 05 November 2017
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Abstract

The Senegalese Urban Health Initiative (ISSU) was a six-year project (2009-2015) implemented by Intrahealth International, Senegal. This project aimed to improve the quality of life of the poorest urban populations in Senegal by increasing access, quality and use of FP services. The aim of this study is to determine the effects of behavior change communication interventions of the ISSU project on the adoption of modern contraceptive methods in 10 urban and semi-urban districts of Senegal. For the evaluation, we use quantitative methods. To do this, we use data from the baseline survey and the final survey in the project areas. A total of 9 614 women were included in the study. In this study we proceed to a descriptive study with an analytical aim. The evaluation showed an increase in the contraceptive prevalence of target FARs. Modern contraceptive use increased from 1154 users (16.7%) to 1727 (24.9%) users with an increase in the use of long-acting methods: IUDs: 448 (6.5%) to 583 (8.4%); Implants (0.8 to 1.8%); Injectable (5.7 to 5.9%). The study shows a decrease in unmet needs between the two surveys from 14.9% to 13.7%, especially among those with unmet needs in relation to birth spacing (10.6% to 8.4%). Several interventions in the FP generation project significantly impacted on the adoption of modern contraceptive methods (p <0.05). These include PF information in health facilities, PF information from private pharmacies, community interventions (community niches, home visits to relays, etc.), the use of telephony with calls and the involvement of the religious. Multiple logistic regressions concludes that the adoption of modern method of contraception by women was linked with being exposed to PF messages through advertising spots (ORa = 0.43 [0.13-0.87]) and having participated in a community conversation on PF (ORa = 0.43 [0.23-0.80]). The ISSU project through its demand generation interventions (community activities, the use of mass media in FP promotion,) has significantly increased contraceptive prevalence in intervention sites.

DOI 10.11648/j.wjph.20170204.13
Published in World Journal of Public Health (Volume 2, Issue 4, December 2017)
Page(s) 144-150
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Family Planning, Behaviour Change Communication, ISSU

References
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[4] Valente T. W., Saba W. P. Campaign Exposure and Interpersonal Communication as Factors in Contraceptive Use in Bolivia. Journal of Health Communication 6 (4), 200.
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[7] Williamson LM, Parkes A, Wight D, Petticrew M, Hart GJ. (2009) Limits to modern contraceptive use among young women in developing countries: a systematic review of qualitative research. Reproductive Health, 6:3.
[8] Plan Stratégique de Communication 2016-2018 pour la Promotion de l’Offre et de la Demande de services de soins liés à la SRSE en vue de la réduction de la Mortalité Maternelle Néonatale Infantile et Infanto-juvénile.
[9] HDS continuous 2010-2011.
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[14] Leye M. M. M., Faye A., Diongue M., Wone I., Seck I., Ndiaye P. Tal-Dia A. (2015) Déterminants de l’utilisation de la contraception moderne dans le district sanitaire de Mbacké (Sénégal). Santé Publique. 1 (27): 154.
[15] Randall, S. & Legrand, T. (2003). Stratégies reproductives et prise de décision au Sénégal: le rôle de la mortalité des enfants. Population, 58(6), 773-806.
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[17] Ministère de la santé du Sénégal. Rapport final évaluation à mi-parcours Campagne de communication PF 2013-2014.
[18] Gueye A., Speizer I S., Corroon M. (2015) Belief in Family Planning Myths at the Individual And Community Levels and Modern Contraceptive Use in Urban Africa. Int Perspect Sex Reprod Health. 41(4): 191–199.
[19] De La Brosse R. (2001). Le rôle des médias et des nouvelles technologies de la communication et de l’information dans la démocratisation des sociétés d’Afrique subsaharienne. Les Cahiers du journalisme n° 9.
[20] Snyder L. B. Health Communication Campaigns and Their Impact on Behavior. (2007) Journal of Nutrition Education and Behavior. 39 (2): S32-S4.
[21] Puska P., McAlister A., Niemensivu H., Piha T., Wiio J., Koskela K.,(1987)A television format for national health promotion: Finland's "Keys to Health" Public Health Rep. 3: 263–269.
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Author Information
  • Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal

  • Department of Pediatrics, Health District of Guediawaye, Ministry of Health, Dakar, Senegal

  • Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal

  • Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal

  • Department of Measurement Learning and Evaluation, IntraHealth International, Dakar, Senegal

  • Department of Measurement Learning and Evaluation, IntraHealth International, Dakar, Senegal

  • Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal

  • Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal

  • Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal

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    Ndèye Marème Sougou, Jean Baptiste Diouf, Mouhamadou Makhtar Mbacké Lèye, Mayassine Diongue, Babacar Guèye, et al. (2017). Effects of Behavior Change Communication Interventions on the Adoption of Contraceptive Methods in Urban and Peri-Urban Districts of Senegal. World Journal of Public Health, 2(4), 144-150. https://doi.org/10.11648/j.wjph.20170204.13

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    ACS Style

    Ndèye Marème Sougou; Jean Baptiste Diouf; Mouhamadou Makhtar Mbacké Lèye; Mayassine Diongue; Babacar Guèye, et al. Effects of Behavior Change Communication Interventions on the Adoption of Contraceptive Methods in Urban and Peri-Urban Districts of Senegal. World J. Public Health 2017, 2(4), 144-150. doi: 10.11648/j.wjph.20170204.13

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    AMA Style

    Ndèye Marème Sougou, Jean Baptiste Diouf, Mouhamadou Makhtar Mbacké Lèye, Mayassine Diongue, Babacar Guèye, et al. Effects of Behavior Change Communication Interventions on the Adoption of Contraceptive Methods in Urban and Peri-Urban Districts of Senegal. World J Public Health. 2017;2(4):144-150. doi: 10.11648/j.wjph.20170204.13

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  • @article{10.11648/j.wjph.20170204.13,
      author = {Ndèye Marème Sougou and Jean Baptiste Diouf and Mouhamadou Makhtar Mbacké Lèye and Mayassine Diongue and Babacar Guèye and Abdou Guèye and Adama Faye and Ibrahima Seck and Anta Tal-Dia},
      title = {Effects of Behavior Change Communication Interventions on the Adoption of Contraceptive Methods in Urban and Peri-Urban Districts of Senegal},
      journal = {World Journal of Public Health},
      volume = {2},
      number = {4},
      pages = {144-150},
      doi = {10.11648/j.wjph.20170204.13},
      url = {https://doi.org/10.11648/j.wjph.20170204.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.wjph.20170204.13},
      abstract = {The Senegalese Urban Health Initiative (ISSU) was a six-year project (2009-2015) implemented by Intrahealth International, Senegal. This project aimed to improve the quality of life of the poorest urban populations in Senegal by increasing access, quality and use of FP services. The aim of this study is to determine the effects of behavior change communication interventions of the ISSU project on the adoption of modern contraceptive methods in 10 urban and semi-urban districts of Senegal. For the evaluation, we use quantitative methods. To do this, we use data from the baseline survey and the final survey in the project areas. A total of 9 614 women were included in the study. In this study we proceed to a descriptive study with an analytical aim. The evaluation showed an increase in the contraceptive prevalence of target FARs. Modern contraceptive use increased from 1154 users (16.7%) to 1727 (24.9%) users with an increase in the use of long-acting methods: IUDs: 448 (6.5%) to 583 (8.4%); Implants (0.8 to 1.8%); Injectable (5.7 to 5.9%). The study shows a decrease in unmet needs between the two surveys from 14.9% to 13.7%, especially among those with unmet needs in relation to birth spacing (10.6% to 8.4%). Several interventions in the FP generation project significantly impacted on the adoption of modern contraceptive methods (p <0.05). These include PF information in health facilities, PF information from private pharmacies, community interventions (community niches, home visits to relays, etc.), the use of telephony with calls and the involvement of the religious. Multiple logistic regressions concludes that the adoption of modern method of contraception by women was linked with being exposed to PF messages through advertising spots (ORa = 0.43 [0.13-0.87]) and having participated in a community conversation on PF (ORa = 0.43 [0.23-0.80]). The ISSU project through its demand generation interventions (community activities, the use of mass media in FP promotion,) has significantly increased contraceptive prevalence in intervention sites.},
     year = {2017}
    }
    

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    T1  - Effects of Behavior Change Communication Interventions on the Adoption of Contraceptive Methods in Urban and Peri-Urban Districts of Senegal
    AU  - Ndèye Marème Sougou
    AU  - Jean Baptiste Diouf
    AU  - Mouhamadou Makhtar Mbacké Lèye
    AU  - Mayassine Diongue
    AU  - Babacar Guèye
    AU  - Abdou Guèye
    AU  - Adama Faye
    AU  - Ibrahima Seck
    AU  - Anta Tal-Dia
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    DO  - 10.11648/j.wjph.20170204.13
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
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    PB  - Science Publishing Group
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    AB  - The Senegalese Urban Health Initiative (ISSU) was a six-year project (2009-2015) implemented by Intrahealth International, Senegal. This project aimed to improve the quality of life of the poorest urban populations in Senegal by increasing access, quality and use of FP services. The aim of this study is to determine the effects of behavior change communication interventions of the ISSU project on the adoption of modern contraceptive methods in 10 urban and semi-urban districts of Senegal. For the evaluation, we use quantitative methods. To do this, we use data from the baseline survey and the final survey in the project areas. A total of 9 614 women were included in the study. In this study we proceed to a descriptive study with an analytical aim. The evaluation showed an increase in the contraceptive prevalence of target FARs. Modern contraceptive use increased from 1154 users (16.7%) to 1727 (24.9%) users with an increase in the use of long-acting methods: IUDs: 448 (6.5%) to 583 (8.4%); Implants (0.8 to 1.8%); Injectable (5.7 to 5.9%). The study shows a decrease in unmet needs between the two surveys from 14.9% to 13.7%, especially among those with unmet needs in relation to birth spacing (10.6% to 8.4%). Several interventions in the FP generation project significantly impacted on the adoption of modern contraceptive methods (p <0.05). These include PF information in health facilities, PF information from private pharmacies, community interventions (community niches, home visits to relays, etc.), the use of telephony with calls and the involvement of the religious. Multiple logistic regressions concludes that the adoption of modern method of contraception by women was linked with being exposed to PF messages through advertising spots (ORa = 0.43 [0.13-0.87]) and having participated in a community conversation on PF (ORa = 0.43 [0.23-0.80]). The ISSU project through its demand generation interventions (community activities, the use of mass media in FP promotion,) has significantly increased contraceptive prevalence in intervention sites.
    VL  - 2
    IS  - 4
    ER  - 

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