Evaluating the relative effectiveness of high-intensity and low-intensity models of behaviour change communication interventions for abortion care-seeking in Bihar and Jharkhand, India: a cross-sectional study
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Authors
Banerjee, Sushanta K.
Andersen, Kathryn
Pearson, Erin
Warvadekar, Janardan
Khan, Danish U.
Batra, Sangeeta
Issue Date
2017-02-24
Type
Article
Language
en_US
Keywords
Abortion , Behaviour Change , India , Knowledge , Post Abortion
Alternative Title
Abstract
Background:
This study aimed to compare the effectiveness of a high-intensity model (HIM) and a low-intensity model (LIM) of behaviour change communication interventions in Bihar and Jharkhand states of India designed to improve women's knowledge and usage of safe abortion services, as well as the dose effect of intervention exposure.
Methods:
We conducted two cross-sectional household surveys among married women aged 15–49 years in intervention and comparison districts. Difference-in-difference models were used to assess the efficacy of the intervention, adjusting for sociodemographic characteristics.
Results:
Although both intervention types improved abortion knowledge, the HIM intervention was more effective in improving comprehensive knowledge about abortion. In particular, there were improvements in knowledge on legality of abortion (AOR=2.2; 95% CI 1.6 to 2.9) and nearby sources of safe abortion care (AOR=1.7; 95% CI 1.2 to 1.3).
Conclusions:
Higher level of exposure to abortion-related messages was related to more accurate knowledge about abortion within both intervention groups. Evidence was mixed on changes in abortion care-seeking behaviour. More work is needed to ensure that women seek safe abortion services in lieu of informal services that may be more likely to lead to postabortion complications.
Description
Citation
Banerjee, S. K., Andersen, K., Pearson, E., Warvadekar, J., Khan, D. U., & Batra, S. (2017). Evaluating the relative effectiveness of high-intensity and low-intensity models of behaviour change communication interventions for abortion care-seeking in Bihar and Jharkhand, India: a cross-sectional study. BMJ open, 7(2), e012198. https://doi.org/10.1136/bmjopen-2016-012198
Publisher
BMJ Open