TY - JOUR
T1 - Demand generation activities and modern contraceptive use in urban areas of four countries
T2 - A longitudinal evaluation
AU - Speizer, Ilene S.
AU - Corroon, Meghan
AU - Calhoun, Lisa
AU - Lance, Peter
AU - Montana, Livia
AU - Nanda, Priya
AU - Guilkey, David
N1 - Funding Information:
Acknowledgments: The authors would like to recognize the numerous individuals and organizations that played a role in supporting data collection in India, Kenya, Nigeria, and Senegal. This paper could not have been written without their commitment and support. Funding for this work comes from the Bill & Melinda Gates Foundation. This research was also supported by grant 5 R24 HD050924, Carolina Population Center, awarded to the Carolina Population Center at The University of North Carolina at Chapel Hill by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The contents of this paper are solely the responsibility of the authors and do not necessarily represent the official views of the funders.
Funding Information:
The authors would like to recognize the numerous individuals and organizations that played a role in supporting data collection in India, Kenya, Nigeria, and Senegal. This paper could not have been written without their commitment and support. Funding for this work comes from the Bill & Melinda Gates Foundation. This research was also supported by grant 5 R24 HD050924, Carolina Population Center, awarded to the Carolina Population Center at The University of North Carolina at Chapel Hill by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The contents of this paper are solely the responsibility of the authors and do not necessarily represent the official views of the funders.
Funding Information:
Increase funding and financial mechanisms and promote a supportive policy environment for ensuring access to family planning supplies and services for the urban poor (advocacy) The locally designed programs of the Urban RH Initiative are being evaluated independently by the Measurement, Learning & Evaluation (MLE) project, which is led by the University of North Carolina at Chapel Hill Carolina Population Center in collaboration with the International Center for Research on Women. Findings from the MLE project will inform future family planning and reproductive health programs in the target countries and globally.
Publisher Copyright:
© Speizeretal.
PY - 2014/12
Y1 - 2014/12
N2 - Family planning is crucial for preventing unintended pregnancies and for improving maternal and child health and well-being. In urban areas where there are large inequities in family planning use, particularly among the urban poor, programs are needed to increase access to and use of contraception among those most in need. This paper presents the midterm evaluation findings of the Urban Reproductive Health Initiative (Urban RH Initiative) programs, funded by the Bill & Melinda Gates Foundation, that are being implemented in 4 countries: India (Uttar Pradesh), Kenya, Nigeria, and Senegal. Between 2010 and 2013, the Measurement, Learning & Evaluation (MLE) project collected baseline and 2-year longitudinal follow-up data from women in target study cities to examine the role of demand generation activities undertaken as part of the Urban RH Initiative programs. Evaluation results demonstrate that, in each country where it was measured, outreach by community health or family planning workers as well as local radio programs were significantly associated with increased use of modern contraceptive methods. In addition, in India and Nigeria, television programs had a significant effect on modern contraceptive use, and in Kenya and Nigeria, the program slogans and materials that were blanketed across the cities (eg, leaflets/brochures distributed at health clinics and the program logo placed on all forms of materials, from market umbrellas to health facility signs and television programs) were also significantly associated with modern method use. Our results show that targeted, multilevel demand generation activities can make an important contribution to increasing modern contraceptive use in urban areas and could impact Millennium Development Goals for improved maternal and child health and access to reproductive health for all.
AB - Family planning is crucial for preventing unintended pregnancies and for improving maternal and child health and well-being. In urban areas where there are large inequities in family planning use, particularly among the urban poor, programs are needed to increase access to and use of contraception among those most in need. This paper presents the midterm evaluation findings of the Urban Reproductive Health Initiative (Urban RH Initiative) programs, funded by the Bill & Melinda Gates Foundation, that are being implemented in 4 countries: India (Uttar Pradesh), Kenya, Nigeria, and Senegal. Between 2010 and 2013, the Measurement, Learning & Evaluation (MLE) project collected baseline and 2-year longitudinal follow-up data from women in target study cities to examine the role of demand generation activities undertaken as part of the Urban RH Initiative programs. Evaluation results demonstrate that, in each country where it was measured, outreach by community health or family planning workers as well as local radio programs were significantly associated with increased use of modern contraceptive methods. In addition, in India and Nigeria, television programs had a significant effect on modern contraceptive use, and in Kenya and Nigeria, the program slogans and materials that were blanketed across the cities (eg, leaflets/brochures distributed at health clinics and the program logo placed on all forms of materials, from market umbrellas to health facility signs and television programs) were also significantly associated with modern method use. Our results show that targeted, multilevel demand generation activities can make an important contribution to increasing modern contraceptive use in urban areas and could impact Millennium Development Goals for improved maternal and child health and access to reproductive health for all.
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U2 - 10.9745/GHSP-D-14-00109
DO - 10.9745/GHSP-D-14-00109
M3 - Article
C2 - 25611476
AN - SCOPUS:84991000725
VL - 2
SP - 410
EP - 426
JO - Global health, science and practice
JF - Global health, science and practice
SN - 2169-575X
IS - 4
ER -