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ORIGINAL ARTICLE
Open Access

Leveraging Responsive Feedback to Redesign a Demand Generation Strategy: Experience From the IntegratE Project in Lagos State, Nigeria

Emeka Emmanuel Okafor, Bolaji Gbenuade Oladejo, Michael Alagbile, Sikiru Baruwa, David O. Ayinde, Jennifer Anyanti and Toyin O. Akomolafe
Global Health: Science and Practice December 2023, 11(Supplement 2):e2200244; https://doi.org/10.9745/GHSP-D-22-00244
Emeka Emmanuel Okafor
aIntegratE Project, Society for Family Health Nigeria, Abuja, Nigeria.
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  • For correspondence: eokafor@sfhnigeria.org
Bolaji Gbenuade Oladejo
aIntegratE Project, Society for Family Health Nigeria, Abuja, Nigeria.
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Michael Alagbile
aIntegratE Project, Society for Family Health Nigeria, Abuja, Nigeria.
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Sikiru Baruwa
bPopulation Council, Abuja, Nigeria.
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David O. Ayinde
aIntegratE Project, Society for Family Health Nigeria, Abuja, Nigeria.
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Jennifer Anyanti
cSociety for Family Health, Abuja, Nigeria.
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Toyin O. Akomolafe
bPopulation Council, Abuja, Nigeria.
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    FIGURE

    Interpersonal Communication Agent Mobilization Strategy and Redeemed Referrals, July 2020 to June 2021, Ikorodu Local Government Area, Lagos State, Nigeria

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    TABLE 1.

    Insights on Interpersonal Communication Strategy Gathered Through Responsive Feedback Approach

    LearningActions TakenOutcome/Benefits
    IPCAs moving singly do not generate as much curiosity and attention of community members as when they move in groups.IPCAs were grouped together to conduct community awareness.Increased awareness of IPCAs' activities in communities visited.
    One IPCA working in a given community at a time does not have enough time for premobilization activities to the necessary community gatekeepers and local chiefs to create an enabling environment.IPCAs working as a group are assigned responsibilities that are previously carried out by 1 IPCA.Group mobilization affords the IPCAs the opportunity to carry out more detailed premobilization activities to necessary gatekeepers.
    Nonavailability of trained providers during mobilization of clients to CP/PPMV outlets. Trained providers were not contacted to ascertain times they will be available to provide FP services, so most referred clients were not attended to, leading to missed opportunities for family planning.There was shared understanding at the pause-and-reflect (break after and-) sessions of the need to schedule mobilization activities in collaboration with CPs and PPMVs to ascertain their availability and nature of other additional health services they provide aside from FP before mobilization.Stronger relationship between IPCAs and trained providers.
    Potential clients referred to CPs and PPMVs had access to trained providers.
    Number of clients referred does not match the number of clients reporting to the CPs' and PPMVs' outlets.It was suggested that during mobilization, some IPCAs should provide FP counseling while some IPCAs accompany referred clients to trained providers.Increased number of clients that completed the referral process.
    • Abbreviations: CP, community pharmacist; FP, family planning; IPCA, interpersonal communication agent; PPMV, patent and proprietary medicine vendor.

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    TABLE 2.

    Rate of Referral Success per 100 Clients Referred for Each Quarter

    QuarterClients Referred, No.Redeemed Referrals, No.Rate of Referral Success per 100 Clients, % (95% CI)
    13,78654114.3 (13.2, 15.4)
    24,92355211.2 (10.3, 12.1)
    34,49390320.1 (18.9, 21.3)
    45,0081,53530.6 (29.4, 31.9)
    • Abbreviation: CI, confidence interval.

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Global Health: Science and Practice: 11 (Supplement 2)
Global Health: Science and Practice
Vol. 11, No. Supplement 2
December 18, 2023
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Leveraging Responsive Feedback to Redesign a Demand Generation Strategy: Experience From the IntegratE Project in Lagos State, Nigeria
Emeka Emmanuel Okafor, Bolaji Gbenuade Oladejo, Michael Alagbile, Sikiru Baruwa, David O. Ayinde, Jennifer Anyanti, Toyin O. Akomolafe
Global Health: Science and Practice Dec 2023, 11 (Supplement 2) e2200244; DOI: 10.9745/GHSP-D-22-00244

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Leveraging Responsive Feedback to Redesign a Demand Generation Strategy: Experience From the IntegratE Project in Lagos State, Nigeria
Emeka Emmanuel Okafor, Bolaji Gbenuade Oladejo, Michael Alagbile, Sikiru Baruwa, David O. Ayinde, Jennifer Anyanti, Toyin O. Akomolafe
Global Health: Science and Practice Dec 2023, 11 (Supplement 2) e2200244; DOI: 10.9745/GHSP-D-22-00244
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  • Article
    • ABSTRACT
    • INTRODUCTION
    • INTEGRATE PROJECT DESCRIPTION
    • PROJECT MANAGEMENT USING A RESPONSIVE FEEDBACK APPROACH
    • WHAT HAVE WE LEARNED?
    • CONCLUSION
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