The Senegal urban reproductive health initiative

a longitudinal program impact evaluation

Aimee Benson, Lisa Calhoun, Meghan Corroon, Abdou Gueye, David Guilkey, Essete Kebede, Michael P Lance, Rick O'Hara, Ilene S. Speizer, John Stewart, Jennifer Winston

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: This paper presents the impact of key components of the Senegal Urban Reproductive Health Initiative, including radio, television, community-based activities, Muslim religious-leader engagement and service quality improvement on modern contraceptive use by all women and the sub-sample of poor women. Study design: This study uses baseline (2011) and endline (2015) longitudinal data from a representative sample of urban women first surveyed in 2011 to examine the impact of the Initiative's demand- and supply-side activities on modern contraceptive use. Results: By endline, there was increased exposure to radio and television programming, religious leaders speaking favorably about contraception, and community-based initiatives. In the same period, modern contraceptive use increased from 16.9% to 22.1% with a slightly larger increase among the poor (16.6% to 24.1%). Multivariate analyses demonstrate that women exposed to community-based activities were more likely to use modern contraception by endline (marginal effect (ME): 5.12; 95% confidence interval (CI): 2.50–7.74) than those not exposed. Further, women living within 1 km of a facility with family planning guidelines were more likely to use (ME: 3.54; 95% CI: 1.88–5.20) than women without a nearby facility with guidelines. Among poor women, community-based activities, radio exposure (ME: 4.21; 95% CI: 0.49–7.93), and living close to program facilities (ME: 4.32; 95% CI: 0.04–8.59) impacted use. Conclusions: Community-based activities are important for reaching urban women, including poor women, to achieve increased contraceptive use. Radio programming is also an important tool for increasing demand, particularly among poor women. Impacts of other program activities on contraceptive use were modest. Implications: This study demonstrates that community-based activities led to increased modern contraceptive use among all women and poor women in urban Senegal. These findings can inform future programs in urban Senegal and elsewhere in francophone Africa.

Original languageEnglish (US)
JournalContraception
DOIs
StateAccepted/In press - Jan 1 2018
Externally publishedYes

Fingerprint

Urban Health
Senegal
Reproductive Health
Program Evaluation
Contraceptive Agents
Radio
Confidence Intervals
Television
Contraception
Guidelines
Islam
Family Planning Services
Quality Improvement

Keywords

  • Evaluation
  • Family planning
  • Longitudinal
  • Senegal
  • Urban

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Benson, A., Calhoun, L., Corroon, M., Gueye, A., Guilkey, D., Kebede, E., ... Winston, J. (Accepted/In press). The Senegal urban reproductive health initiative: a longitudinal program impact evaluation. Contraception. https://doi.org/10.1016/j.contraception.2018.01.003

The Senegal urban reproductive health initiative : a longitudinal program impact evaluation. / Benson, Aimee; Calhoun, Lisa; Corroon, Meghan; Gueye, Abdou; Guilkey, David; Kebede, Essete; Lance, Michael P; O'Hara, Rick; Speizer, Ilene S.; Stewart, John; Winston, Jennifer.

In: Contraception, 01.01.2018.

Research output: Contribution to journalArticle

Benson, A, Calhoun, L, Corroon, M, Gueye, A, Guilkey, D, Kebede, E, Lance, MP, O'Hara, R, Speizer, IS, Stewart, J & Winston, J 2018, 'The Senegal urban reproductive health initiative: a longitudinal program impact evaluation', Contraception. https://doi.org/10.1016/j.contraception.2018.01.003
Benson, Aimee ; Calhoun, Lisa ; Corroon, Meghan ; Gueye, Abdou ; Guilkey, David ; Kebede, Essete ; Lance, Michael P ; O'Hara, Rick ; Speizer, Ilene S. ; Stewart, John ; Winston, Jennifer. / The Senegal urban reproductive health initiative : a longitudinal program impact evaluation. In: Contraception. 2018.
@article{8be8f36af6084a62af98de3ac1e367eb,
title = "The Senegal urban reproductive health initiative: a longitudinal program impact evaluation",
abstract = "Objectives: This paper presents the impact of key components of the Senegal Urban Reproductive Health Initiative, including radio, television, community-based activities, Muslim religious-leader engagement and service quality improvement on modern contraceptive use by all women and the sub-sample of poor women. Study design: This study uses baseline (2011) and endline (2015) longitudinal data from a representative sample of urban women first surveyed in 2011 to examine the impact of the Initiative's demand- and supply-side activities on modern contraceptive use. Results: By endline, there was increased exposure to radio and television programming, religious leaders speaking favorably about contraception, and community-based initiatives. In the same period, modern contraceptive use increased from 16.9{\%} to 22.1{\%} with a slightly larger increase among the poor (16.6{\%} to 24.1{\%}). Multivariate analyses demonstrate that women exposed to community-based activities were more likely to use modern contraception by endline (marginal effect (ME): 5.12; 95{\%} confidence interval (CI): 2.50–7.74) than those not exposed. Further, women living within 1 km of a facility with family planning guidelines were more likely to use (ME: 3.54; 95{\%} CI: 1.88–5.20) than women without a nearby facility with guidelines. Among poor women, community-based activities, radio exposure (ME: 4.21; 95{\%} CI: 0.49–7.93), and living close to program facilities (ME: 4.32; 95{\%} CI: 0.04–8.59) impacted use. Conclusions: Community-based activities are important for reaching urban women, including poor women, to achieve increased contraceptive use. Radio programming is also an important tool for increasing demand, particularly among poor women. Impacts of other program activities on contraceptive use were modest. Implications: This study demonstrates that community-based activities led to increased modern contraceptive use among all women and poor women in urban Senegal. These findings can inform future programs in urban Senegal and elsewhere in francophone Africa.",
keywords = "Evaluation, Family planning, Longitudinal, Senegal, Urban",
author = "Aimee Benson and Lisa Calhoun and Meghan Corroon and Abdou Gueye and David Guilkey and Essete Kebede and Lance, {Michael P} and Rick O'Hara and Speizer, {Ilene S.} and John Stewart and Jennifer Winston",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.contraception.2018.01.003",
language = "English (US)",
journal = "Contraception",
issn = "0010-7824",
publisher = "Elsevier USA",

}

TY - JOUR

T1 - The Senegal urban reproductive health initiative

T2 - a longitudinal program impact evaluation

AU - Benson, Aimee

AU - Calhoun, Lisa

AU - Corroon, Meghan

AU - Gueye, Abdou

AU - Guilkey, David

AU - Kebede, Essete

AU - Lance, Michael P

AU - O'Hara, Rick

AU - Speizer, Ilene S.

AU - Stewart, John

AU - Winston, Jennifer

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objectives: This paper presents the impact of key components of the Senegal Urban Reproductive Health Initiative, including radio, television, community-based activities, Muslim religious-leader engagement and service quality improvement on modern contraceptive use by all women and the sub-sample of poor women. Study design: This study uses baseline (2011) and endline (2015) longitudinal data from a representative sample of urban women first surveyed in 2011 to examine the impact of the Initiative's demand- and supply-side activities on modern contraceptive use. Results: By endline, there was increased exposure to radio and television programming, religious leaders speaking favorably about contraception, and community-based initiatives. In the same period, modern contraceptive use increased from 16.9% to 22.1% with a slightly larger increase among the poor (16.6% to 24.1%). Multivariate analyses demonstrate that women exposed to community-based activities were more likely to use modern contraception by endline (marginal effect (ME): 5.12; 95% confidence interval (CI): 2.50–7.74) than those not exposed. Further, women living within 1 km of a facility with family planning guidelines were more likely to use (ME: 3.54; 95% CI: 1.88–5.20) than women without a nearby facility with guidelines. Among poor women, community-based activities, radio exposure (ME: 4.21; 95% CI: 0.49–7.93), and living close to program facilities (ME: 4.32; 95% CI: 0.04–8.59) impacted use. Conclusions: Community-based activities are important for reaching urban women, including poor women, to achieve increased contraceptive use. Radio programming is also an important tool for increasing demand, particularly among poor women. Impacts of other program activities on contraceptive use were modest. Implications: This study demonstrates that community-based activities led to increased modern contraceptive use among all women and poor women in urban Senegal. These findings can inform future programs in urban Senegal and elsewhere in francophone Africa.

AB - Objectives: This paper presents the impact of key components of the Senegal Urban Reproductive Health Initiative, including radio, television, community-based activities, Muslim religious-leader engagement and service quality improvement on modern contraceptive use by all women and the sub-sample of poor women. Study design: This study uses baseline (2011) and endline (2015) longitudinal data from a representative sample of urban women first surveyed in 2011 to examine the impact of the Initiative's demand- and supply-side activities on modern contraceptive use. Results: By endline, there was increased exposure to radio and television programming, religious leaders speaking favorably about contraception, and community-based initiatives. In the same period, modern contraceptive use increased from 16.9% to 22.1% with a slightly larger increase among the poor (16.6% to 24.1%). Multivariate analyses demonstrate that women exposed to community-based activities were more likely to use modern contraception by endline (marginal effect (ME): 5.12; 95% confidence interval (CI): 2.50–7.74) than those not exposed. Further, women living within 1 km of a facility with family planning guidelines were more likely to use (ME: 3.54; 95% CI: 1.88–5.20) than women without a nearby facility with guidelines. Among poor women, community-based activities, radio exposure (ME: 4.21; 95% CI: 0.49–7.93), and living close to program facilities (ME: 4.32; 95% CI: 0.04–8.59) impacted use. Conclusions: Community-based activities are important for reaching urban women, including poor women, to achieve increased contraceptive use. Radio programming is also an important tool for increasing demand, particularly among poor women. Impacts of other program activities on contraceptive use were modest. Implications: This study demonstrates that community-based activities led to increased modern contraceptive use among all women and poor women in urban Senegal. These findings can inform future programs in urban Senegal and elsewhere in francophone Africa.

KW - Evaluation

KW - Family planning

KW - Longitudinal

KW - Senegal

KW - Urban

UR - http://www.scopus.com/inward/record.url?scp=85044510156&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044510156&partnerID=8YFLogxK

U2 - 10.1016/j.contraception.2018.01.003

DO - 10.1016/j.contraception.2018.01.003

M3 - Article

JO - Contraception

JF - Contraception

SN - 0010-7824

ER -