Abstract
Journal of Health Communication. 1999. 4(4): 271-94.This paper examines the impact of the Radio Communication Project (RCP), a theory-based multimedia campaign on reproductive health on health care providers and clients in Nepal. This project consists of two entertainment-education serials, including a soap opera for the general public and a dramatized distance education serial for health workers, radio spot advertisements and promotions, and complementary print materials. To determine the project's impact, a pre- and post-panel survey of 1905 currently married women was conducted. Moreover, three waves of clinic-based observations of client-health worker interaction (240 interactions per wave), as well as exit interviews (N = 240 per wave) were undertaken. Two years of clinic statistics were also utilized in order to establish inferences about the separate and combined impacts of the RCP components. The study revealed increased health worker interpersonal interaction skills, as well as an improvement in client-provider interaction quality. Self-efficacy of clients in dealing with health care providers also increased significantly. There was also an improved client attitude towards health services and family planning and enhanced family planning service utilization. Direct implications of the study for future entertainment education projects and project evaluations are also discussed.
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