RT Journal Article
SR Electronic
T1 Leveraging Responsive Feedback to Redesign a Demand Generation Strategy: Experience From the IntegratE Project in Lagos State, Nigeria
JF Global Health: Science and Practice
JO GLOB HEALTH SCI PRACT
FD Johns Hopkins University- Global Health. Bloomberg School of Public Health, Center for Communication Programs
SP e2200244
DO 10.9745/GHSP-D-22-00244
VO 11
IS Supplement 2
A1 Okafor, Emeka Emmanuel
A1 Oladejo, Bolaji Gbenuade
A1 Alagbile, Michael
A1 Baruwa, Sikiru
A1 Ayinde, David O.
A1 Anyanti, Jennifer
A1 Akomolafe, Toyin O.
YR 2023
UL http://www.ghspjournal.org/content/11/Supplement_2/e2200244.abstract
AB Key FindingsUsing pause-and-reflect sessions promoted learning and allowed project implementers to course correct during activity implementation, resulting in the adaption of the interpersonal communication strategy to better fit the local context.Monthly pause-and-reflect sessions helped build interpersonal communication agents' confidence and improve coordination in contributing toward their shared goal of improving contraceptive method uptake.Adaptation of the individual interpersonal communication agent strategy to a group strategy contributed to the development of a more efficient working relationship between trained providers, interpersonal communication agents, and community gatekeepers, thereby reducing missed opportunities for family planning services for clients referred.Key ImplicationsProject leadership should consider incorporating pause-and-reflect sessions into program design and implementation to facilitate learning that can improve program outcomes.Pause-and-reflect sessions should engage both project staff and external stakeholders to ensure collaboration and group reflection on strengthening project implementation.Use of modern contraceptives in Nigeria is low (12%) despite very high knowledge of modern methods (92%). Knowledge of modern methods of contraception in Lagos and Kaduna is high at nearly 100% and 94%, respectively, yet contraceptive use in Lagos and Kaduna remains low at 29% and 14%, respectively. Demand generation was a key strategy in increasing contraceptive uptake through the involvement of providers in the private sector (community pharmacists and patent and proprietary medicine vendors) in family planning service delivery.We describe how an interpersonal communication strategy was modified using a responsive feedback approach and detail the insights gained in implementing an individual compared with a group interpersonal communication strategy during the implementation of the IntegratE Project in Lagos State, Nigeria. We conducted monthly pause-and-reflect sessions for interpersonal communication agents to pause and reflect on lessons learned and address challenges. Using the responsive feedback approach helped to improve contraceptive uptake by adopting a group strategy. Also, the monthly pause-and-reflect sessions have helped interpersonal communication agents see program implementation as a collective responsibility.