Understanding your body matters: Effects of an entertainment-education serial radio drama on fertility awareness in Rwanda
- 3 August 2018
- journal article
- research article
- Published by Taylor & Francis Ltd in Journal of Health Communication
- Vol. 23 (8), 761-772
- https://doi.org/10.1080/10810730.2018.1527873
Abstract
Given widespread misunderstanding of pregnancy risk, awareness of one’s fertility has the potential to influence sexual and reproductive health behaviors. This mixed-methods study examined the impact of a serial radio drama in Rwanda, Impano n’Impamba, on fertility awareness and other factors related to family planning uptake by comparing listeners and non-listeners in a nationally representative household survey (n = 1477) and analyzing in-depth interviews with 32 listeners. Listeners had higher fertility awareness than non-listeners for key concepts, including the menstrual cycle, onset of fertility, and postpartum pregnancy risk. Qualitative interviews suggest discussion groups provided an invaluable opportunity to ask questions to a knowledgeable facilitator and clarify the fertility awareness information. No significant differences in modern family planning use or intention to use were found between listeners and non-listeners, but listeners reported greater supportive norms, self-efficacy, and discussion of family planning. Qualitative interviews suggest that increased discussion about family planning occurred because the drama emboldened people to talk about uncomfortable and taboo topics. Post-broadcast, listeners of Impano n’Impamba had greater fertility awareness then non-listeners and were more likely to experience intermediate outcomes related to family planning such as perception of positive family planning norms, a feeling of self-efficacy, and increased communication with others related to family planning. The study provides lessons for future interventions with the aim of increasing fertility awareness to improve sexual and reproductive health.Keywords
Funding Information
- United States Agency for International Development (AID-OAA-A-13-00083)
This publication has 12 references indexed in Scilit:
- Communicating About Cancer Through Facebook: A Qualitative Analysis of a Breast Cancer Awareness PageJournal of Health Communication, 2014
- Effectiveness of entertainment education in communicating health information: a systematic reviewAsian Journal of Communication, 2014
- Getting to 70%: Barriers to modern contraceptive use for women in RwandaInternational Journal of Gynecology & Obstetrics, 2013
- Conversation and Compliance: Role of Interpersonal Discussion and Social Norms in Public Communication CampaignsJournal of Health Communication, 2012
- Comparing the Effects of Entertainment and Educational Television Programming on Risky Sexual BehaviorHealth Communication, 2011
- Where the education system and women's bodies collide: The social and health impact of girls' experiences of menstruation and schooling in TanzaniaJournal of Adolescence, 2010
- When (and Why) Interpersonal Talk Matters for CampaignsCommunication Theory, 2009
- Entertainment–education and rice pest management: A radio soap opera in VietnamCrop Protection, 2008
- Reproductive Health Awareness Among Adolescent Girls in Rural BangladeshAsia-Pacific journal of public health, 2008
- The Contextual Effects of Gender Norms, Communication, and Social Capital on Family Planning Behaviors in Uganda: A Multilevel ApproachHealth Education & Behavior, 2006