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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
Volume 2, Issue 4, December 2017, Pages: 144-150
Received: Sep. 7, 2017; Accepted: Sep. 22, 2017; Published: Nov. 5, 2017
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Authors
Ndèye Marème Sougou, Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal
Jean Baptiste Diouf, Department of Pediatrics, Health District of Guediawaye, Ministry of Health, Dakar, Senegal
Mouhamadou Makhtar Mbacké Lèye, Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal
Mayassine Diongue, Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal
Babacar Guèye, Department of Measurement Learning and Evaluation, IntraHealth International, Dakar, Senegal
Abdou Guèye, Department of Measurement Learning and Evaluation, IntraHealth International, Dakar, Senegal
Adama Faye, Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal
Ibrahima Seck, Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal
Anta Tal-Dia, Department of Public Health and Preventive Medecine, University Cheikh Anta Diop, Dakar, Senegal
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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.
Keywords
Family Planning, Behaviour Change Communication, ISSU
To cite this article
Ndèye Marème Sougou, Jean Baptiste Diouf, Mouhamadou Makhtar Mbacké Lèye, Mayassine Diongue, Babacar Guèye, Abdou Guèye, Adama Faye, Ibrahima Seck, Anta Tal-Dia, 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. Vol. 2, No. 4, 2017, pp. 144-150. doi: 10.11648/j.wjph.20170204.13
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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