Kim, Y. M., & Marangwanda, C. (1997). Stimulating men’s support for long-term contraception: A campaign in Zimbabwe
Kim, Y. M., & Marangwanda, C. (1997). Stimulating men’s support for long-term contraception: A campaign in Zimbabwe. Journal of Health Communication, 2, 271-297
Abstract:
This study evaluated the impact of a 6-month (1993-94) multimedia campaign, the second to promote male involvement in family planning (FP) in Zimbabwe. The campaign sought to encourage couples to communicate about FP and to improve the image and use of long-term and permanent methods. The analysis of data from household surveys, service statistics, and client interviews determined 1) how many men and women were exposed to the campaign, 2) the effect of the campaign on knowledge and approval of long-term and permanent methods, 3) whether the campaign increased partner communication and joint decision-making, and 4) if the campaign increased use of long-term and permanent methods. It was found that 88% of the men and women in the five campaign areas were exposed to the campaign and that slogan recall was achieved more readily by men, by educated individuals, and by married respondents. Knowledge and approval of some long-term and permanent methods increased among women more than men over the study period. The proportion of men who reported discussing FP with their wives rose from 42% to 51%, while the respective proportion of women increased from 37% to 57%. Exposure to the campaign led to increased use of modern contraceptives, and multivariate logistic regression analysis controlling for gender, marital status, residence, age, education, and socioeconomic status indicated that individuals exposed to three or more campaign elements were 1.6 times more likely to use a modern FP method, 2.5 times more likely to know about at least three modern methods, and 1.6 times more likely to approve of modern method use. The design of effective male motivational campaigns must consider the effect of "macho" messages on entrenched gender inequality and must recognize and address the secondary audience of women in order to foster joint decision making and because most contraceptive methods are designed for use by women.











































