Evaluation of a Mass Media Family Planning Campaign on the Uptake of Contraceptive Methods in Burkina Faso
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 7,515
- 试验地点
- 1
- 主要终点
- Change in Total Contraception Prevalence Rate
研究概览
简要总结
In this experiment, the investigators will study the effect of a mass media family planning campaign on contraception related behavior. The study takes place in Burkina Faso, a country with an average of six children born to each woman, and a modern contraceptive prevalence rate (mCPR) estimated at 15% in 2010 at the national level, as per the Demographic Health Survey (DHS) 2010 report on Burkina Faso.
The aim of this study is to provide robust evidence on the efficiency and cost-effectiveness of an intense three-year mass media campaign focused on family planning. The campaign will diffuse messages about the financial and health benefits of family planning, and information on the different types, sources, advantages, and disadvantages of different contraceptive methods. The study will target women at the age of reproduction in rural areas of Burkina Faso to measure the effect of the intervention on total and modern contraceptive prevalence rates, perceptions of family planning, contraception-related behavior, and general gender norms.
Burkina Faso is an ideal place to evaluate the impact of a radio campaign because a high percentage of the rural population listens to local radio which is in the local language. Radio station areas are distinct because they target very local languages and their reach is limited by government decree, which allows for the implementation of a randomized control trial.
详细描述
Development Media International (DMI), a non-governmental organization (NGO) that runs media campaigns to induce behavioral change in developing countries, will implement the mass media campaign in conjunction with community radio stations in rural areas of Burkina Faso. The study takes place in the coverage areas of 16 radio stations, all selected in a way to prevent overlap between coverage areas, and to have different local languages through which the campaign will be diffused. This strategy limits possible "leakages" between the treatment and the control groups. Out of the 16 clusters of radio stations, 8 will be randomly assigned to receive the media campaign, and the other 8 will be left as control.
Within each radio station cluster, only small and rural villages with no access to electricity will be sampled in order to limit access to television. The radio stations being in urban to semi-urban areas, villages that are more than 5 km away from a radio station will be excluded. Villages within radio station clusters will be randomly selected to participate in the study. A household listing survey will be conducted in all selected villages to get an exhaustive list of households and the basic information on women within each household. In addition, a village survey will be conducted with village chiefs to get a better sense of the demographics and the key figures in each village.
Based on the information provided by the listing on women at the age of reproduction, eligible women will be randomly selected to participate in the study. These women will be invited to take the baseline survey, and 3 years later, the endline survey, therefore forming a panel structure.
In addition to the listing, village, and women surveys, a clinics survey will take place to monitor the demand and supply of contraceptive methods in different areas. The clinics questionnaire will ask about contraception related behavior, including perception of family planning, usage of contraception, number of pregnancies and abortions, among other things. The investigators are also seeking administrative data from clinics within radio stations areas to examine whether distribution of contraceptive products is higher in treatment areas.
The effect of the media campaign will be analyzed based on information provided by women on how they and their partners perceive and use traditional and modern contraceptive methods, and cross-verified with information provided on demand for contraception and family planning by the clinics survey.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 49 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Inclusion in our study of radio station clusters on which treatment will be randomized is based on the following criteria:
- •The cluster has at least one local radio station with adequate Frequency Modulation (FM) rays to cover the zone
- •Different radio stations' coverage areas do not overlap with each other
- •The criteria for village selection is the following:
- •Villages must have less than 1,500 inhabitants as per the 2006 Burkina Faso census, except in a couple of radio station clusters where villages sampled had up to 4,200 inhabitants due to the low number of small villages in them.
- •The radio stations through which the campaign will be diffused, being in semi-urban or urban locations, we only include villages that are more than 5 km away from these stations
- •We only consider villages with limited access to electricity
- •We only consider villages less than 10 km away from a clinic as per available estimates (Geographic Institute of Burkina Faso and village chiefs)
- •Individual level criteria:
- •We only survey women at the age of reproduction, i.e. between 15 and 49 years of age as measured by the listing
排除标准
- •No particular exclusion criteria when the inclusion criteria listed above are met.
研究组 & 干预措施
Radio Mass Media Family Planning Campaign
Clusters receive a three-year mass media campaign on family planning in an attempt to reduce cognitive barriers to contraception
干预措施: Radio Mass Media Family Planning Campaign (Behavioral)
Control group
结局指标
主要结局
Change in Total Contraception Prevalence Rate
时间窗: Baseline and 3 years
The percentage of women using, or whose partner is using, an effective contraceptive method out of all women at the age of reproduction in the sample ("effective" method includes all modern methods, but also some effective traditional methods, such as withdrawal) The investigators will look at heterogeneous treatment effects by availability of supply and by access and listenership to the radio.
Change in Modern Contraception Prevalence Rate
时间窗: Baseline and 3 years
The percentage of women using, or whose partner is using, a modern contraceptive method out of all women at the age of reproduction in the sample. The investigators will look at heterogeneous treatment effects by availability of supply and by access and listenership to the radio. All secondary outcomes listed below will eventually be analyzed only if the variables had sufficient variance.
次要结局
- Percentage of women seeking family planning advice(Baseline and 3 years)
- Number of family planning products delivered throughout the study period (from administrative data, if available)(Baseline and 3 years)
- Mean effects on survey questions relating to knowledge of contraceptive methods(Baseline and 3 years)
- Mean effects on survey questions relating to attitudes towards contraception(Baseline and 3 years)
- Number of births per 1,000 women of reproductive age (if accurate population level data on total births in communities become available)(Baseline and 3 years)
- Percentage of women intending to use contraception in the future(Baseline and 3 years)
- Percentage of women discussing family planning with their partners and others(Baseline and 3 years)
- Percentage of women who are fecund and sexually active but do not want to become pregnant but are not currently using contraception(Baseline and 3 years)
- Average time lapse between pregnancies(Baseline and 3 years)
- Number of unwanted pregnancies(Baseline and 3 years)
- Mean effects on survey questions relating to attitudes towards family planning(Baseline and 3 years)
- Mean effects on survey questions relating to women's perceptions of fertility and birth spacing(Baseline and 3 years)
- Mean effects on survey questions relating to perceptions on gender norms(Baseline and 3 years)
- Mean effects on survey questions relating to behavior reflecting women empowerment(Baseline and 3 years)
- Mean effects on survey questions relating to women's subjective health and wellbeing(Baseline and 3 years)
- Mean effects on survey questions relating to partners' perceptions of fertility and birth spacing (as reported by women)(Baseline and 3 years)
- Mean effects on survey questions relating to domestic violence and sexual harassment(Baseline and 3 years)
- Mean effects on survey questions relating to knowledge of family planning(Baseline and 3 years)