Entertainment Education Programs
Russia: The "Care For Health" Campaign
The first
national family planning promotion effort in Russia, the Care
for Health campaign, helped to increase use of modern
contraceptives by 12 percentage points in the targeted oblast
(region) of Ekaterinburg in 1998. The campaign was one element
of the larger Womens Reproductive Health Program (WRHP)
that included training for health care providers and pharmacists,
advocacy and research. Together these activities also resulted
in increased family planning counseling for women in the postpartum
period, longer contraceptive continuation
rates, and a 10-50% increase in family planning clinic attendance
in the three oblasts where data were collected.
The
Womens Reproductive Health Program was initiated in
1994 by the US Agency for International Development/Moscow.
The goal was to improve the health of women and children by
promoting change in the current family planning communication
and service delivery systems, leading to a greater use of
modern contraceptive methods: condoms, injectables, intrauterine
devices and pills. The Johns Hopkins University Center for
Communication Programs (JHU/CCP) provided technical assistance
to the campaigns behavior change communication component,
including the Care for Health campaign. JHU/CCP collaborated
closely with a consortium of public and private Russian organizations
including the Ministry of Health (MOH), the Russian Family
Planning Association (RFPA), the University of Moscow, a commercial
public relations firm and film production company, and several
other agencies.
The Care for Health communication campaign used a strategic
approach to increase demand for contraception as a desirable,
healthy alternative
. It brought family planning
into the public arena and highlighted its importance to women
and families. The campaigns specific objectives included
increasing knowledge and positive attitudes toward modern
contraceptives, attendance at clinics, and contraceptive use.
The multimedia campaign, which ran from February to July 1998,
focused mainly on women ages 18 to 30.
Campaign
Activities
Originally designed to reach only six oblasts, the Care
for Health campaign became a national project with
direct involvement and ongoing support from the Ministry
of Health. Then Prime Minister Chernomyrdin subsequently
wrote a directive to national television stations resulting
in approximately $200,000 worth of donated airtime for
the campaign. The family planning message ultimately reached
women not only in the program oblasts, but also throughout
Russia, and in neighboring countries.
A Russian commercial firm worked with JHU/CCP to develop
television and radio spots, a family planning logo and
slogan and campaign posters and souvenirs. Other activities
included press conferences, a traveling lecture series,
a telephone hotline, clinic open houses and disco events.
Russias first major independent press syndicate,
Globe, published over 120 articles on womens health
and family planning and a weekly newspaper column, Ask
Dr. Olga.
Impact
The impact of the Care for Health Campaign was
evaluated by comparing a 1996 baseline survey with a 1998
follow-up survey among women in among women in Perm (a
comparison site) and women in Ekaterinburg (an intervention
site) where local media, community activities and print
materials accompanied national television and radio exposure
as well as other WRHP activities. Clinic attendance was
monitored as well.
Results
showed a dramatic jump in modern contraceptive use from 46%
in 1996 to 58% in 1998 in Ekaterinburg. Respondents were also
significantly more likely than those in Perm to report that
they had talked to a doctor or nurse about family planning
after their most recent birth
and more likely
to have left the maternity
clinic with either
a prescription or the choice of family planning method.
There
has also been a positive impact on contraceptive attitudes.
Among those women interviewed in the two surveys, almost half
of the non-users in Ekaterinburg, compared to one-third of
the non-users in Perm, adopted a modern contraceptive method.
In addition to these survey results, statistics collected
from other regions show dramatic increases in clinic attendance.
A
consortium of agencies formed during the campaign gave women
throughout Russia the opportunity to see and hear the campaigns
message: Family Planning: Care for Health. Using the
powerful medium of television, such widespread delivery of
the message has helped the MOH recognize the need to work
closely with the media and with collaborating agencies. The
effort has prompted the MOH to include public health communication
as a line item in its annual budget.
The Care for Health campaign demonstrates that a
well developed and managed health communication program
can be effective in changing behavior. The data show that
Russian women are willing to accept alternatives
as long as family planning information and services are
made available.
|