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Development, Testing and Health Effects of a Multilevel Family Planning Intervention

Development, Testing and Health Effects of a Multilevel Family Planning Intervention
多层次计划生育干预措施的开发、测试和健康影响
批准号:
9894336
负责人:
Susan Maria Kiene
金额:
$21.02万
依托单位国家:
美国
项目类别:
财政年份:
2020
资助国家:
美国
项目状态:
已结题
起止时间:
2020-01-01 至 2021-12-31

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项目成果

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中文摘要
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摘要
英文摘要
Abstract In 2018, 32.6% of women of reproductive age had an unmet need for family planning in Uganda, meaning they wanted to avoid pregnancy but were not using a modern contraceptive method. Filling the unmet need for family planning has important public health implications, including reductions in pregnancy-related health risks and deaths, and infant mortality. While Uganda is scaling up efforts to reduce supply-side barriers in rural areas, such as community distribution of contraceptives, couples are still faced with multi-level demand-side barriers to contraceptive use. In addition to misinformation and fear of contraceptive side-effects, relationship dynamics, peer and family influence, and broader community norms promoting large family size and traditional gender roles influence family planning. We propose to develop and pilot test a multi-level, community-based intervention, which employs transformative community dialogues to alter individual attitudes and the perception of community norms that discourage family planning. Community dialogues are delivered to groups of couples over 4-sessions enhanced to simultaneously address individual and interpersonal-level determinants of family planning and link couples to family planning services. The aims of our project are to: Aim 1) Develop a multi- level intervention that engages couples in transformative community dialogues to reduce unintended pregnancy by increasing modern contraceptive use. We will develop the intervention through qualitative research with women and men with an unmet need and community stakeholders and through the formation of a community intervention steering committee; Aim 2) Conduct a pilot quasi-experimental controlled trial with 70 couples (intervention n=35, control n=35), randomizing one village to the multi-level intervention (n=35 couples) and one village to the control condition (n=35 couples, attention-matched control intervention). We will assess acceptability and feasibility of the trial procedures (Aim 2a) and intervention content (Aim 2b), with the exploratory aim (2c) of assessing the intervention's potential efficacy on contraceptive uptake and continuation and intermediate outcomes (knowledge, attitudes, perceived community norms, partner communication and equity) through 6-month follow up.
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Communities Fighting COVID!: Returning Our Kids Back to School Safely
  • 批准号:
    10611108
  • 项目类别:
  • 资助金额:
    $100.0万
  • 财政年份:
    2021
  • 负责人:
    Susan Maria Kiene
  • 依托单位:
Communities Fighting COVID!: Returning Our Kids Back to School Safely
  • 批准号:
    10406100
  • 项目类别:
  • 资助金额:
    $300.0万
  • 财政年份:
    2021
  • 负责人:
    Susan Maria Kiene
  • 依托单位:
海外基金