25
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Rationale, design, and characteristics of the multimedia family planning campaign for a small, happy, and prosperous family in Ethiopia (SHaPE)

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Ethiopia, the second most populous country in Africa, has a total fertility rate of 4.6, a decrease from 5.5 in 2000. However, only 35.3% of women in the reproductive age group use modern family planning (FP) methods, and the 22.3% of them who have an unmet need for family planning is among the highest rates in sub-Saharan African countries. The Small, Happy, and Prosperous family in Ethiopia (SHaPE) is one of the country’s first comprehensive multimedia family planning campaigns. Its purpose is to increase FP-related knowledge, attitude, and practice of Ethiopians, particularly women of reproductive age.

          Methods/Design

          The SHaPE campaign has multiple components: (1) a nationwide representative survey, which serves as formative research to identify region-specific and culture-appropriate media, messages, and barriers and determinants of family planning; (2) a multimedia communication campaign intervention, including radio dramas and other interpersonal, community-level, and mass media channels; and (3) campaign evaluation, including pre-, process-, and post-evaluation research using both quantitative and qualitative methodologies. The main target population for SHaPE is reproductive age women and men in three regions: Amhara, Oromia, and Somali. These regions take up about 66.6% of the entire country and have distinct ethnicities, cultures, and languages.

          Discussion

          SHaPE contributes to existing family planning research and intervention because it is theory- and evidence-based, and it employs integrated marketing communications and entertainment-education approaches with key messages that are tailored to audiences within unique cultures. But even within a country, a nationwide campaign with uniform messages is neither possible nor desirable due to different cultures, norms, and languages across regions. Last, media campaigns in developing and underdeveloped countries require constant monitoring of political situations.

          Related collections

          Most cited references18

          • Record: found
          • Abstract: found
          • Article: not found

          Family planning: the unfinished agenda.

          Promotion of family planning in countries with high birth rates has the potential to reduce poverty and hunger and avert 32% of all maternal deaths and nearly 10% of childhood deaths. It would also contribute substantially to women's empowerment, achievement of universal primary schooling, and long-term environmental sustainability. In the past 40 years, family-planning programmes have played a major part in raising the prevalence of contraceptive practice from less than 10% to 60% and reducing fertility in developing countries from six to about three births per woman. However, in half the 75 larger low-income and lower-middle income countries (mainly in Africa), contraceptive practice remains low and fertility, population growth, and unmet need for family planning are high. The cross-cutting contribution to the achievement of the Millennium Development Goals makes greater investment in family planning in these countries compelling. Despite the size of this unfinished agenda, international funding and promotion of family planning has waned in the past decade. A revitalisation of the agenda is urgently needed. Historically, the USA has taken the lead but other governments or agencies are now needed as champions. Based on the sizeable experience of past decades, the key features of effective programmes are clearly established. Most governments of poor countries already have appropriate population and family-planning policies but are receiving too little international encouragement and funding to implement them with vigour. What is currently missing is political willingness to incorporate family planning into the development arena.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Determinants of low family planning use and high unmet need in Butajira District, South Central Ethiopia

            Background The rapid population growth does not match with available resource in Ethiopia. Though household level family planning delivery has been put in place, the impact of such programs in densely populated rural areas was not studied. The study aims at measuring contraception and unmet need and identifying its determinants among married women. Methods A total of 5746 married women are interviewed from October to December 2009 in the Butajira Demographic Surveillance Area. Contraceptive prevalence rate and unmet need with their 95% confidence interval is measured among married women in the Butajira district. The association of background characteristics and family planning use is ascertained using crude and adjusted Odds ratio in logistic regression model. Results Current contraceptive prevalence rate among married women is 25.4% (95% CI: 24.2, 26.5). Unmet need of contraception is 52.4% of which 74.8% was attributed to spacing and the rest for limiting. Reasons for the high unmet need include commodities' insecurity, religion, and complaints related to providers, methods, diet and work load. Contraception is 2.3 (95% CI: 1.7, 3.2) times higher in urbanites compared to rural highlanders. Married women who attained primary and secondary plus level of education have about 1.3 (95% CI: 1.1, 1.6) and 2 (95% CI: 1.4, 2.9) times more risk to contraception; those with no child death are 1.3 (95% CI: 1.1, 1.5) times more likely to use contraceptives compared to counterparts. Besides, the odds of contraception is 1.3 (95% CI: 1.1, 1.6) and 1.5 (1.1, 2.0) times more likely among women whose partners completed primary and secondary plus level of education. Women discussing about contraception with partners were 2.2 (95% CI: 1.8, 2.7) times more likely to use family planning. Nevertheless, contraception was about 2.6 (95% CI: 2.1, 3.2) more likely among married women whose partners supported the use of family planning. Conclusions The local government should focus on increasing educational level. It must also ensure family planning methods security, increase competence of providers, and create awareness on various methods and their side effects to empower women to make an appropriate choice. Emphasis should be given to rural communities.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Health promotion and the knowledge-attitude-behavior continuum.

              Influencing health behavior through informational campaigns, followed by the expectation of attitude change and subsequent desired behavior changes, is examined. Prior literature in this area indicates that the correlations between information level and overt behavior or between attitude and overt behavior are generally positive though low. Two major approaches to improving the relationships between knowledge, attitude, and behavior are discussed: the approach taken by M. Fishbein and his associates, which argues for the use of measures of behavior intention rather than generalized attitudes, and the approach of W.J. McGuire and other proponents of an information-processing model, which argues that moving between the elements of the knowledge-attitude-behavior continuum demands processing time on the part of individuals and attention to a set of elements within a communication matrix. The five central elements of the communication process--source, message, channel, receiver, destination--and the independent variables involved are examined. The information-processing model is seen as particularly appropriate to health promotion campaigns and is recommended for further careful study in health promotion situations.
                Bookmark

                Author and article information

                Contributors
                hjpaek@gmail.com
                hokim@snu.ac.kr
                youngtae@snu.ac.kr
                wraisong@dongduk.ac.kr
                reako@snu.ac.kr
                haejin.choi87@gmail.com
                youngok1972@gmail.com
                yunhee@ppfk.or.kr
                gbalew@gmail.com
                yadoh@koica.go.kr
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                11 July 2018
                11 July 2018
                2018
                : 18
                : 861
                Affiliations
                [1 ]ISNI 0000 0001 1364 9317, GRID grid.49606.3d, Department of Advertising & Public Relations, , Hanyang University, ; 55 Hanyangdeahak-ro, Sangnok-gu, Ansan, Gyeonggi-do South Korea
                [2 ]ISNI 0000 0004 0470 5905, GRID grid.31501.36, Graduate School of Public Health, , Seoul National University, ; 1 Gwanak-ro, Gwanak-Gu, Seoul, South Korea
                [3 ]ISNI 0000 0004 0532 5816, GRID grid.412059.b, Department of Liberal Arts College of Liberal Arts and Sciences, , Dongduk Women’s University, ; Wharang-ro, 13 Gil, 60 Sungbook-Gu, Seoul, South Korea
                [4 ]Korea Population, Health and Welfare Association, 20 Beodeunaru-ro 14ga-gil, Yeongdeungpo-gu, Seoul, South Korea
                [5 ]EngenderHealth Ethiopia Office, Djibouti Avenue, Addis Ababa, Ethiopia
                [6 ]Ethiopia Office, Korean International Cooperation Agency (KOICA), Addis Ababa, Ethiopia
                Author information
                http://orcid.org/0000-0001-8415-5541
                Article
                5799
                10.1186/s12889-018-5799-5
                6042381
                29996819
                a550432f-fecc-40d0-a153-041bd5fecfbe
                © The Author(s). 2018

                Open AccessThis article is 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, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 15 June 2018
                : 4 July 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100003605, Korea International Cooperation Agency;
                Award ID: P2014-00038
                Categories
                Study Protocol
                Custom metadata
                © The Author(s) 2018

                Public health
                family planning,ethiopia,multimedia campaign,entertainment-education,evaluation
                Public health
                family planning, ethiopia, multimedia campaign, entertainment-education, evaluation

                Comments

                Comment on this article