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. 2023 Dec 18;11(Suppl 2):e2200244.
doi: 10.9745/GHSP-D-22-00244. Print 2023 Dec 18.

Leveraging Responsive Feedback to Redesign a Demand Generation Strategy: Experience From the IntegratE Project in Lagos State, Nigeria

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Leveraging Responsive Feedback to Redesign a Demand Generation Strategy: Experience From the IntegratE Project in Lagos State, Nigeria

Emeka Emmanuel Okafor et al. Glob Health Sci Pract. .

Abstract

Use of modern contraceptives in Nigeria is low (12%) despite very high knowledge of modern methods (92%). Knowledge of modern methods of contraception in Lagos and Kaduna is high at nearly 100% and 94%, respectively, yet contraceptive use in Lagos and Kaduna remains low at 29% and 14%, respectively. Demand generation was a key strategy in increasing contraceptive uptake through the involvement of providers in the private sector (community pharmacists and patent and proprietary medicine vendors) in family planning service delivery.We describe how an interpersonal communication strategy was modified using a responsive feedback approach and detail the insights gained in implementing an individual compared with a group interpersonal communication strategy during the implementation of the IntegratE Project in Lagos State, Nigeria. We conducted monthly pause-and-reflect sessions for interpersonal communication agents to pause and reflect on lessons learned and address challenges. Using the responsive feedback approach helped to improve contraceptive uptake by adopting a group strategy. Also, the monthly pause-and-reflect sessions have helped interpersonal communication agents see program implementation as a collective responsibility.

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Figures

FIGURE
FIGURE
Interpersonal Communication Agent Mobilization Strategy and Redeemed Referrals, July 2020 to June 2021, Ikorodu Local Government Area, Lagos State, Nigeria

References

    1. National Population Commission (NPC) and ICF. Nigeria Demographic and Health Survey 2018. NPC and ICF; 2019. Accessed September 1, 2023. https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf
    1. Beyeler N, Liu J, Sieverding M. A systematic review of the role of proprietary and patent medicine vendors in healthcare provision in Nigeria. PLoS One. 2015;10(1):e0117165. 10.1371/journal.pone.0117165. - DOI - PMC - PubMed
    1. Belaid L, Dumont A, Chaillet N, et al. . Effectiveness of demand generation interventions on use of modern contraceptives in low- and middle-income countries. Trop Med Int Health. 2016;21(10):1240–1254. 10.1111/tmi.12758. - DOI - PubMed
    1. Speizer IS, Corroon M, Calhoun L, et al. . Demand generation activities and modern contraceptive use in urban areas of four countries: a longitudinal evaluation. Glob Health Sci Pract. 2014;2(4):410–426. 10.9745/GHSP-D-14-00109. - DOI - PMC - PubMed
    1. Henry EG, Hackett KM, Bawah A, et al. . The impact of a personalized, community-based counselling and referral programme on modern contraceptive use in urban Ghana: a retrospective evaluation. Health Policy Plan. 2021;35(10):1290–1299. 10.1093/heapol/czaa082. - DOI - PMC - PubMed

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