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Addressing Men’s Concerns About Reproductive Health Services and Fertility Regulation in a Rural Sahelian Setting of Northern Ghana: The “Zurugelu Approach

  • Philip Baba Adongo
  • James F. Phillips
  • Colin D. Baynes
Chapter
Part of the The Springer Series on Demographic Methods and Population Analysis book series (PSDE, volume 33)

Abstract

Convenient, nonclinical, community-based services that use community organization, structure and institutions has emerged as the core strategy to expand access to contraceptive technologies in sub-Saharan Africa. When experimental projects in Asia revealed that this approach, collectively termed “community-based distribution” (CBD), can enhance the quality, appropriateness and impact of family planning programs, lack of convenient access to contraceptives was viewed as the primary barrier to the practice of family planning rather than societal barriers. This paper presents findings from the long term observation of a factorial trial of alternative strategies for CBD, testing the relative effects of professional nurse based strategies versus combining nurse with volunteer roles that target the needs of men. Quantitative and qualitative results attest to the importance of activities that address the needs and concerns of men. Strategies that lacked this focus had no impact, even when CBD made comprehensive family planning services fully accessible.

Keywords

Family Planning Total Fertility Rate Family Planning Service Family Planning Program Community Health Nurse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

 This research was funded by grants to the Mailman School of Public Health, Columbia University from the William and Flora Hewlett Foundation and the Doris Duke Charitable Foundation. The Navrongo Community Health and Family Planning Project was supported by grants to the Population Council from the United States Agency for International Development, the Finnish International Development Agency, and the Mellon Foundation. The Navrongo Demographic Surveillance System was supported by grants to the Ghana Health Service from the Rockefeller Foundation.

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Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • Philip Baba Adongo
    • 1
  • James F. Phillips
    • 2
  • Colin D. Baynes
    • 2
  1. 1.Department of Social and Behavioral Sciences, School of Public HealthUniversity of GhanaAccraGhana
  2. 2.Heilbrunn Department of Population and Family HealthColumbia University, Mailman School of Public HealthNew YorkUSA

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