BACKGROUND
Segmented-client communication approach for improving the use of long acting reversible contraceptives (LARC) and permanent methods (PM) in Bangladesh the study explored whether segmenting couples according to their family planning (FP)needs and providing them with timely and right information could improve the utilization of long-acting reversible contraceptives (LARC) and permanent methods (PM)of FP. The study developed an app and registered couples through it. The registered couples were then segmented, and the app sent out customized text messages to these couples informing them about different effective FP methods. Family welfare assistants (FWAs) visited the homes of these eligible couples and conducted courtyard sessions using customized behavior change communication (BCC) materials to inform them about LARC and PM. Family welfare visitors (FWVs) pro-actively followed up with couples within 72 hours of adapting LARC/PM to provide counseling and immediate treatment for side effects.
The study found that a segmented-client communication approach helped to increase ARC use significantly in the intervention area but not in the comparison area. Additionally, LARC and PM use increased by 2.2% in the intervention area compared to a 0.4% decline in the comparison area.
OBJECTIVES
- Increase client-worker contact through technology-based communication and electronic messaging system.
- Examine if the electronic messages tailored to the needs of segmented clients help improve acceptance and continuation of methods.
- Increase the use of LARC/PM through a segmented-client communication approach in the government family planning service delivery system.
STUDY AREA
Gurudaspur Upazila (intervention)
Lalpur Upazila (comparison) under Natore District
PARTNERS
- Directorate General of Family Planning
- MEASURE Evaluation
STATUS
Completed
DATE OF RESULTS DISSEMINATION
2 July 2020
FOCAL PERSON
Dr Md Jasim Uddin jasim@icddrb.org
RESOURCES
Segmented client communication intervention for improving the use of LARC and PM in Bangladesh study report
Segmented client communication intervention for improving the use of LARC and PM in Bangladesh findings presentation
Improving the Use of Long-Acting Reversible Contraceptives and Permanent Methods in Rural Bangladesh through a Segmented-Client Communication Intervention