12,965 The Drum Beat 715, July 13 2016, Family Planning in Focus

The Drum BeatFamily Planning in Focus – The Drum Beat 715
July 13 2016

In this issue:


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  • 1. Talking about LARCs with Young Clients
    Developed by the Health Communication Capacity Collaborative (HC3), these social and behaviour change communication (SBCC) resources are designed to increase acceptance of long-acting reversible contraceptives (LARCs) as a contraceptive option for youth, and to facilitate communication between providers and young people around LARCs, such as the intrauterine device (IUD) and the implant. The materials spotlight LARCs as safe, effective, cost-effective, and appropriate for women of all ages – especially youth in low- and middle-income countries. [Apr 2016]
  • 2. Thinking Outside the Separate Space: A Decision-Making Tool for Designing Youth-Friendly Services
    by Callie Simon, Regina Benevides, Gwyn Hainsworth, Gwendolyn Morgan, and Katie Chau
    This Evidence to Action Project (E2A) tool guides programme designers in using appropriate youth-friendly service (YFS) delivery models, considering: the country context, the intended population, the desired behavioural and health outcomes, the services offered, and the needs and objectives for scalability and sustainability. [May 2015]
  • 3. The Urban Adolescent Sexual and Reproductive Health Social and Behavior Change Communications Implementation Kit
    This HC3 I-Kit provides a selection of Essential Elements and tools to guide the creation, or strengthening, of sexual and reproductive health (SRH) and SBCC programmes for urban adolescents aged 10 to 19. Available in both English and French, it includes worksheets to illustrate and facilitate each application. [Oct 2015]
  • 4. Addressing Advanced Maternal Age and High Parity Pregnancies: A Healthy Timing and Spacing of Pregnancy Implementation Kit
    This I-Kit is a complementary resource to help programme managers include advanced maternal age (AMA) and high parity (HP) pregnancy risk in their existing family planning (FP) and maternal and child health (MCH) programmes. Available in both English and French, it includes a collection of adaptable SBCC resources and tools, such as: key SBCC theories in FP, illustrative positioning statements, communication approaches and activities, client brochures, a guide for working with community-based groups, a counseling guide for providers and one for community health workers (CHWs), a reminder poster for providers, a guide for researchers, a guide for journalists, and infographics for health priority decision-makers. [May 2016]
  • 5. Right Method, Right Time, My Choice
    This behaviour change communication (BCC) campaign is designed to improve increase contraceptive prevalence rate (CPR) in the 11 districts in Indonesia where the campaign is being implemented over 3 years through an implementation research approach. By providing the correct information through channels that women connect with, Johns Hopkins Center for Communication Programs (JHU CCP) seeks to create informed clients who go to health facilities and midwives with knowledge and motivation to get the right method for women’s lifestyle and life stage. Organisers are positioning FP as a choice and presenting the “menu” of methods (specifically, LARCs) that are effective and right for their life stage, whether their goal is to space or limit births.

See also:


  • 6. Engaging the Missing Link: Evidence from FALAH for Involving Men in Family Planning in Pakistan
    by Seemin Ashfaq and Maqsood Sadiq
    Results from the United States Agency for International Development (USAID)-funded Family Advancement for Life and Health project (FALAH), implemented by the Population Council in 20 districts across Pakistan’s 4 provinces, show that the inclusion of men in FP efforts is a feasible and effective intervention to help shift attitudes and behaviours. This brief notes that FALAH’s male engagement component can be synchronised with interventions that reach out to women together with men as is the case with interactive theatre or separately as with the male and female falahi workers. There is strong evidence that exposure to television messages and the men’s group meetings have been clearly influential in changing important behavioural aspects of involving men more fully in FP programmes. [June 2015]
  • 7. Inter-Spouse Communication and Contraceptive Behavior in Cameroon: A Couple-Based Analysis: Abstract
    by Cedric Stephane Mbella Mbella and Willy Adrien Yakam Yemtchoua
    “Inter-spouse communication on FP has been found in the literature to have a great influence in the decision-making process of couples for adopting FP measures, especially in male-dominated cultures, where, it is thought unnecessary for men to discuss family planning as child bearing and contraception are presumed to be female matters….This study tried to answer two specific questions: what is the effect of spouse communication about FP on contraceptive use of couples in Cameroon? and what is the effect of spouse communication about FP on a couple’s future intention to use contraceptives in Cameroon?” [Feb 2016]
  • 8. New Masculinity and Family Planning: A Gender Transformative Approach to SBCC in Rural Guatemala
    by Haydée Lemus
    This presentation examines Population Service International’s Support for International Family Planning Organisation (SIFPO) programme, which is an effort to support Guatemala’s Ministry of Health (MOH) in its efforts to reduce maternal mortality and chronic malnutrition rates by increasing the voluntary use of modern FP contraceptives and providing quality FP services. Interventions focused on working with men to transform gender relations (create new masculinity roles) in order to promote equality and respect as a means to reach health outcomes. More men have shared with their wives the responsibility of FP and recognised FP as a benefit for their lives. Organisers reflected that more men were reached through interpersonal communication (IPC) sessions when using the campaign materials (e.g., poster images that help illiterate people understand messages) – they “opened eyes, helped remove customs”. [Feb 2016]

See also:


  • 9. Entertainment Education for Increased Uptake of Family Planning Services and Improved Health Seeking Behaviors in Rural India: Abstract
    by Hanimi Reddy
    “The UK [United Kingdom] aid supported Project Ujjwal, initiated an entertainment education (EE) campaign as part of its mid-media demand generation programmes in Bihar and Odisha (2 states across India) to support and improve service uptake through its private sector interventions and improve access to FP products. This programme was designed, in two formats, i.e. live and video shows, to inform, persuade and engage eligible couples and link them to Ujjwal clinics/service providers and FP products. This study tests the influence of these EE shows on the outcomes (services uptake from Ujjwal clinics, public facilities, and use of the Ujjwal helpline).” [Feb 2016]
  • 10. Giving Data Wings: Using Theater as a Medium for Presenting Quantitative Research – Findings for a Health Communication Family Planning Program in Guatemala: Abstract
    by Karen Steele and Carlos Palma
    “The Pan-American Social Marketing Organization (PASMO) routinely conducts large-scale studies to learn about target audiences and the process of behavior change. Communicating study findings to program stakeholders in an engaging, accessible, and useful way is often challenging. PASMO/Guatemala sought to overcome these challenges by developing a story-based theater approach to disseminate research results to an audience of key stakeholders and donors. Theater was chosen as a channel that would convey results, as well as personalize findings in a way that would resonate with the audience.” [Feb 2016]

  • 11. Improving Quality of Post-Partum Family Planning in Low-Resource Settings
    by Tamar Chitashvili, Silvia Holschneider, and P. Annie Clark
    This framework, developed by the USAID’s Applying Science to Strengthen and Improve Systems (ASSIST) project, outlines a new step-by-step approach to improving postpartum family planning (PPFP) services and outcomes, based on improvement methods that have proven effective in other areas of health care. A case study from Niger reveals learnings such as: “…even in a severely resource-constrained environment, gains are possible when managers and front-line providers work together to solve local system challenges and make changes to care delivery processes…” [Apr 2016]
  • 12. Quick Investigation of Quality: A User’s Guide for Monitoring Quality of Care in Family Planning (2nd Edition)
    This MEASURE Evaluation Quick Investigation of Quality (QIQ) resource offers materials needed to design and implement a practical, low-cost methodology for monitoring quality of care (QoC) in clinic-based FP programmes in developing countries. A set of 3 related data collection instruments monitors 25 indicators of QoC. For instance, the evaluator is asked to look for information, education, and communication (IEC) materials: posters on the walls or doors of the facility and flipcharts, brochures, or pamphlets. [Jan 2016]
  • 13. Community Health Workers: Bringing Family Planning Services to Where People Live and Work
    by Julie Solo
    This brief discusses how integrating CHW programmes into the health system can help increase access to FP. A number of recommendations are provided, such as train and engage CHWs in BCC efforts: In India, “women living in communities where CHWs supported a behavior change communication campaign focused on healthy timing and spacing of pregnancy, were 3.5 times more likely to be using modern contraception at 9 months postpartum than women living in communities where CHWs were not involved in this communication campaign.” Equipping CHWs also involves, for instance, implementing multilevel quality improvement teams that connect CHWs, health centre staff, and health programme staff. [Oct 2015]

See also:


  • 14. Galvanizing Commitment: Creating a Supportive Environment for Family Planning Programs
    by Jay Gribble, Maria Colopy, Nadia Olson, Tanvi Pandit-Rajani, and Shawn Malarcher
    This brief discusses the process of commitment making around FP at the global, regional, country, and subnational levels. It discusses why galvanising support for FP is important, presents examples of different types of commitment and how they advance the enabling environment, and offers learning from experts in the field. [Oct 2015]
  • 15. Family Planning Advocacy Toolkit
    This K4Health toolkit shares evidence-based advocacy guidance and tools to: add FP to the voices of existing advocacy networks, enable leaders at all levels in low- and middle-income countries to advocate for FP, and grow FP champions for sustainable organisations. Resources selected for inclusion in the toolkit were published by organisations working throughout the world to advocate for expanded access to contraception and to improve the delivery of FP services.
  • 16. Advance Family Planning Advocacy Portfolio
    This compendium of best practices and tools in FP advocacy is designed to help advocates identify, plan, carry out, and evaluate activities that focus on the decisionmaker and policy change that have the highest potential for impact in the near term through the SMART (Specific, Measurable, Attainable, Relevant, Time-bound) framework. [2013, with expansion in Nov 2015]

See also:


  • 17. Meeting Postpartum Women’s Family Planning Needs through Integrated Family Planning and Immunization Services: Results of a Cluster-Randomized Controlled Trial in Rwanda
    by Lisa S Dulli, Marga Eichleay, Kate Rademacher, Steve Sortijas, and Théophile Nsengiyumva
    The primary objective of this study was to test the effectiveness of integrating FP service components into infant immunisation services to increase modern contraceptive method use among postpartum women in Rwanda. Results showed that the intervention, which included 4 components, such as concise FP messages delivered during pre-immunisation group education sessions, had a statistically significant positive effect on modern contraceptive method use among intervention group participants compared with control group participants. [Feb 2016]
  • 18. Strategic Communication Framework for Hormonal Contraceptive Methods and Potential HIV-Related Risks
    HC3 developed this strategic framework to assist governments in developing a communication strategy and to guide the development of SBCC materials and activities focused on the potential risks certain hormonal contraceptives (HCs), such as progestogen-only injectables, may (or may not) have for women at risk of HIV. It is designed to help country-based stakeholders tailor to the local context and then disseminate information pertaining to HC and HIV risk with a variety of audiences. [Jan 2016]

See also:

This issue of The Drum Beat was written by Kier Olsen DeVries.
The Drum Beat is the email and web network of The Communication Initiative Partnership.

Full list of the CI Partners:
ANDI, BBC Media Action, Bernard van Leer Foundation, Breakthrough, Citurna TV, Fundación Imaginario, Fundación Nuevo Periodismo Iberoamericano (FNPI), Heartlines,Johns Hopkins Bloomberg School of Public Health Center for Communication Programs, Maternal and Child Survival Program (MCSP), MISA, Open Society Foundations,Oxfam Novib, PAHO, The Panos Institute, Puntos de Encuentro, SAfAIDS, Sesame Workshop, Soul City, STEPS International, UNAIDS, UNICEF, Universidad de los Andes,USAID, World Health Organization (WHO), W.K. Kellogg Foundation

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