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Impacto de un programa de comunicación sobre mutilación genital femenina en el este de Nigeria
Author(s) -
Babalola Stella,
Brasington Angela,
Agbasimalo Ada,
Helland Anna,
Nwanguma Edith,
Onah Nkechi
Publication year - 2006
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2006.01701.x
Subject(s) - behavior change communication , logistic regression , environmental health , discontinuation , medicine , socioeconomics , intervention (counseling) , government (linguistics) , psychological intervention , local government , psychology , demography , geography , nursing , population , surgery , health services , sociology , linguistics , philosophy , archaeology
Summary Objectives This study describes a female genital cutting (FGC) elimination communication programme in Enugu State and assesses its impact in changing relevant knowledge, attitudes and behavioural intentions. Methods The FGC programme combined a community mobilization component with targeted advocacy and mass media activities. Data for assessing the impact of the programme derived from baseline and follow‐up surveys in three intervention local government areas (LGA) in Enugu State and three comparison LGAs in Ebonyi State. An ideation model of behaviour change guided the analyses of the impact of the programme on personal advocacy for FGC, perceived self‐efficacy to refuse pressure to perform FGC, perceived social support for FGC discontinuation, perceived benefits of FGC, perceived health complications of FGC and intention not to perform FGC on daughters. The analytical methods include comparing change in pertinent outcome variables from baseline to follow‐up in the two study states and using logistic regression on follow‐up data for the intervention state to assess the link between programme exposure and the relevant outcome indicators. Results The data show that while the pertinent ideational factors and the intention not to perform FGC either worsened or remained stagnant in Ebonyi State, they improved significantly in Enugu State. The logistic regression results show that programme exposure is associated with the expected improvements in all the pertinent indicators. Conclusion The multimedia communication programme has been effective in changing FGC‐related attitudes and promoting the intention not to perform FGC.