Evaluation of a Communication Campaign to Improve Continuation Among First-Time Injectable Contraceptive Users in Nyando District, Kenya

Abstract

Consistent and correct contraceptive use is necessary for women who want to limit their family size. Unfortunately, many women who wish to space or stop childbearing discontinue contraceptive use. Variables consistently associated with contraceptive discontinuation include method type, side effects, age, number of living children, fertility intentions and change in marital status. Theoretical ModelOur model for predicting contraceptive continuation expands on the Bruce-Jain framework 22 and has been described elsewhere. 23 The Bruce-Jain framework links quality of family planning services to fertility through contraceptive prevalence, acceptance and continuation. It outlines six elements of service quality: choice of methods, information given to clients, provider competence, client-provider relations, follow-up and continuity mechanisms, and appropriate constellation of services. Quality of services is primarily considered a supply factor. Demand factors, including fertility motivations, also influence continuation. Couples' desire or motivation to regulate their fertility is considered the most important factor affecting demand for contraception. We expanded on the Bruce-Jain framework by adding constructs from the theories of reasoned action and planned behavior.

Association between contraceptive implant knowledge and intent with implant uptake among postpartum Malawian women: a prospective cohort study

“…One study in Zimbabwe found that contraceptive counseling during antenatal care increased IUC knowledge, but not uptake [ 28 ]. Educational campaigns through radio, [ 29 ] billboards, and social media [ 30 ] have shown to be effective at increasing contraceptive uptake and continuation in some studies.…”

Community Understanding of Contraception During the Zika Virus Outbreak in Puerto Rico

“…Studies have demonstrated the effectiveness of health communication and social marketing initiatives to encourage and support behavior change (Andreasen, 1995; Firestone, Rowe, Modi, & Sievers, 2016; Hornik, 2002; Snyder, 2007; Stead, Gordon, Angus, & McDermott, 2007). Although minimal research has documented the effectiveness of health communication activities within the context of a disease outbreak, some studies have evaluated how communication efforts can increase contraception use and continuation (Janowitz, Suazo, Fried, Bratt, & Bailey, 1992; McClain Burke & Ambasa-Shisanya, 2014). Over the course of the program, over 21,000 women received services and over 67% chose a LARC method (Lathrop et al, 2018).…”