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Contraceptive practices in Armenia: Panel evaluation of an Information-Education-Communication Campaign

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  • Thompson, Michael E.
  • Harutyunyan, Tsovinar L.

Abstract

Induced abortion remains the major form of birth control among Armenian women, contributing to their excess mortality and preventable morbidity. Reliance on abortion is attributed to limited access to information concerning modern methods of contraception and to widely held misinformation among women regarding family planning and reproductive health. Based on the Steps to Behavior Change model, the Green Path Campaign for Family Health, an information-education-communication (IEC) campaign, was launched in June 2000. This multimedia campaign promoted greater awareness, knowledge, acceptance, and adoption of modern contraception through increased utilization of counseling and related services provided at underutilized family planning centers. A representative panel of 1088 married women aged 18-35 were surveyed on reproductive health/family planning knowledge, attitudes, and practices immediately prior to and immediately following the 6-month national campaign. Exposure to the campaign was associated with significant increases in factors associated with contraceptive behavior change: knowledge, favorable attitudes toward modern methods, favorable attitudes toward family planning services, and information seeking and utilization of family planning services. Women who were more educated, more affluent, and slightly older were more likely to use family planning services as well as modern contraceptive methods. New visits to family planning centers increased by 84%. Despite the usual 25% turnover among those using modern methods at the start of the study, use of modern contraceptive methods increased by 4.6%, significantly exceeding the projected 3% increase. The results document changes in underlying behavioral predictors consistent with the Steps to Behavior Change model and highlight the relatively untapped potential of media-based health promotion efforts in post-Soviet Republics.

Suggested Citation

  • Thompson, Michael E. & Harutyunyan, Tsovinar L., 2006. "Contraceptive practices in Armenia: Panel evaluation of an Information-Education-Communication Campaign," Social Science & Medicine, Elsevier, vol. 63(11), pages 2770-2783, December.
  • Handle: RePEc:eee:socmed:v:63:y:2006:i:11:p:2770-2783
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    1. Margaret E. Greene & Ann E. Biddlecom, 2000. "Absent and Problematic Men: Demographic Accounts of Male Reproductive Roles," Population and Development Review, The Population Council, Inc., vol. 26(1), pages 81-115, March.
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    3. Dolian, G. & Lüdicke, F. & Katchatrian, N. & Morabia, A., 1998. "Contraception and induced abortion in Armenia: A critical need for family planning programs in Eastern Europe," American Journal of Public Health, American Public Health Association, vol. 88(5), pages 803-805.
    4. Kincaid, D. Lawrence, 2000. "Social networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis," Social Science & Medicine, Elsevier, vol. 50(2), pages 215-231, January.
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