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The evaluation of the Woman’s Condom marketing approach: What value did peer-led interpersonal communication add to the promotion of a new female condom in urban Lusaka?


Autoři: Jessie Pinchoff aff001;  Christopher B. Boyer aff002;  Rachna Nag Chowdhuri aff003;  Gina Smith aff004;  Namwinga Chintu aff004;  Thoai D. Ngo aff001
Působiště autorů: Population Council, New York, NY, United States of America aff001;  Innovations for Poverty Action, New York, NY, United States of America aff002;  Innovations for Poverty Action, Lusaka, Zambia aff003;  Society for Family Health, Lusaka, Zambia aff004
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0225832

Souhrn

During a mass media campaign accompanying the launch of the Maximum Diva Woman’s Condom (WC) in Lusaka, Zambia, a cluster-randomized evaluation was implemented to measure the added impact of a peer-led interpersonal communication (IPC) intervention on the awareness and uptake of the new female condom (FC). The WC and mass media campaign were introduced simultaneously in 40 urban wards in April 2016; half of the wards were randomly assigned to the treatment (IPC intervention) with cross-sectional surveys conducted before (n = 2,364) and one year after (n = 2,430) the start of the intervention. A pre-specified intention-to-treat (ITT) analysis measured the impact of randomization to IPC at the community level. In adjusted ITT models, there were no statistically significant differences between intervention and control groups. Due to significant implementation challenges, we also conducted exploratory secondary analyses to estimate effects among those who attended an IPC event (n = 66) using instrumental variable and inverse probability weighting analyses. In addition to increases in FC identification (IPC attendees had higher reported use of any condom, improved perceptions of FC’s, and were more likely to have discussed contraceptive use with their partner as compared to non-attendees). The introduction of a new FC product combined with an IPC intervention significantly increased general knowledge and awareness in the community as compared to media alone, but did not lead to detectable community level impacts on other primary outcomes of interest. Observational evidence from our study suggests that IPC attendance is associated with increased use and negotiation. Future studies should explore the intensity and duration of IPC programming necessary to achieve detectable community level impacts on behavior.

Trial Registration: AEARCTR-0000899

Klíčová slova:

Behavior – Contraceptives – Female contraception – Male contraception – Marketing – Mass media – Social communication – Young adults


Zdroje

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