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Li ci penc mi4/30/2023 The project also implemented supply-side activities in study cities. Other community-level activities included: meetings where FP was raised and debated conversations about FP that may have been led by a Muslim religious leader or another FP champion educational discussions or awareness raising sessions (called “niche”) led by a community worker and theater that raised issues related to FP. ISSU also undertook community-based activities such as training community-health volunteers (called Badiénou Gokh) to share information about FP through one-on-one discussions with women and other members of the household or through small group discussions with multiple women in the home. The project undertook a small number of activities using print media including promoting FP through newspapers and magazines. There were also non-ISSU led national-level FP campaigns on the radio and television. Likewise, ISSU aired FP messages and advertisements on the television using specific stations that are popular in the study cities. They also undertook activities on specific, popular radio stations. For example, ISSU included FP messages in various types of radio shows including health programs, religious programs, music programs, and through debates on the radio. Second, the ISSU program used radio, television, and the print media as part of their program activities. The ISSU team trained Muslim religious leaders to promote FP messages in religious settings, in small group discussions, and to participate in debates about FP on the radio and television. The first demand generation activity was working with Muslim religious leaders to become FP champions. The ISSU project included demand generation activities as well as supply-side interventions. ISSU aimed to improve quality and integration of FP services, increase public-private partnerships and demand for FP methods, and advocate for increased funding for FP. The ISSU project, led by IntraHealth International, was launched in 2010 with funding from the Bill & Melinda Gates Foundation (BMGF) with the goal of increasing use of modern FP in targeted urban sites. The Initiative Sénégalaise de Santé Urbaine It considers impact among all women and poor women over a four-year follow-up period.ġ.1. Using recently collected data from six cities of Senegal, this paper examines the impact on modern contraceptive use of the Senegal Urban Reproductive Health Initiative (called Initiative Sénégalaise de Santé Urbaine – ISSU) that included radio, television, community-based activities, religious-leader engagement, and improved quality of services. This paper begins to fill these gaps by examining the impact of an integrated, multi-component FP program in urban settings in Senegal where at the time of program launch (2010), the modern contraceptive prevalence rate was only 20% based on Demographic and Health Survey data. Few evaluation studies have been undertaken in francophone Africa where recent analyses have demonstrated that there are gaps in uptake and use of FP. Further, most previous evaluations focus on national-level programs, small-scale programs, or programs targeted to rural settings. Less is known about the impact of multi-component programs on FP outcomes. Supply-side programs including quality of FP services and increasing access have also led to increases in knowledge, discussion, and in some cases, FP use, ,. Prior research has demonstrated that both mass media programs and interpersonal communication activities generally lead to increases in knowledge, attitudes, discussion, and intentions to use family planning (FP), as well as actual use, ,,.
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