Impact Evaluation of the Keneya Jemu Kan Integrated Health Project in Mali
Summary:
Keneya Jemu Kan was a five-year USAID funded integrated health project aimed at increasing the adoption of high-impact health behaviors in Mali (2014-2019). The project developed an umbrella communication platform, called JIGISIGI or Hope for Families, which positioned women as a pillar of health in the family and community. The platform employed multiple synergistic social and behavior change communication (SBCC) strategies. To evaluate those strategies, we conducted a longitudinal study in five project regions Bamako, Koulikoro, Sikasso, Mopti, and Kayes with a representative sample of 4,000 households. The baseline was conducted in July-August 2015 and the endline in October-December 2019. The survey covered family planning, maternal and child health, malaria, HIV, water and sanitation, ideational factors, and exposure to project activities. The objective of the study was to evaluate the impact of project activities in the five regions by answering the following questions: Did key behavioral indicators change over time in the desired direction? Did people who reported exposure to project activities experience greater overtime changes than people who did not report exposure? Did changes in measured ideational factors mediate the changes in behavior? Which approaches worked best, for which population groups and under what conditions? And how did the various approaches work together to drive overall behavior change? By answering these questions using a longitudinal evaluation design, we contribute to the knowledge base of effective SBCC approaches.
Background/Objectives:
Keneya Jemu Kan was a five-year USAID funded integrated health project aimed at increasing high-impact health behaviors in Mali (2014-2019). The project developed an umbrella communication platform, called JIGISIGI or Hope for Families, which positioned women as a pillar of health. The platform employed multiple synergistic strategies including a musical comedy for family planning; a mini-series, community communication, and interactive voice response system for maternal and child health; facilitated community dialogues to promote couple's communication; a reproductive health mobile phone app for youth; and a new condom brand, among others.
Description of Intervention and/or Methods/Design:
A longitudinal study was conducted in five project regions Bamako, Koulikoro, Sikasso, Mopti, and Kayes with a representative sample of 4,000 households. The baseline was conducted in July-August 2015 and the endline in October-December 2019. The survey covered family planning, maternal and child health, malaria, HIV, water and sanitation, ideational factors, and exposure to project activities. The objective of the study was to evaluate the impact of project activities in the five regions by answering the following questions: Did key behavioral indicators change over time in the desired direction? Did people who reported exposure to project activities experience greater overtime changes than people who did not report exposure? Did changes in measured ideational factors mediate the changes in behavior? Which approaches worked best, for which population groups and under what conditions? And how did the various approaches work together to drive overall behavior change?
Results/Lessons Learned:
Of JIGISIGI's multiple synergistic social and behavior change communication strategies to promote healthy behaviors and products, which approaches were successful in changing the behaviors they targeted? How? And for whom? Mid-term analyses suggested that among women interviewed at both baseline and midterm, use of a modern contraceptive method increased from 17% at baseline to 22% at midterm and that exposure to the JIGISIGI family planning campaign was significantly associated with use of a modern contraceptive method even when controlling for baseline behavior. Analyses also showed significant overtime increases in determinants of family planning including knowledge, couple communication, and approval of the use of family planning for both birth spacing and limiting. Further analyses will examine changes between the baseline and endline on key ideational and behavioral indicators and whether changes can be linked to exposure to the JIGISIGI platform.
Discussion/Implications for the Field:
Through a longitudinal design and a comprehensive representative survey, we can explore the impact of the various approaches of JIGISIGI on attitudes and behaviors among Malian men and women. By teasing apart which program interventions were impactful, how, and for whom, we contribute to the knowledge base of effective SBCC approaches. Findings can be used to inform the development of future integrated health strategies.
Abstract submitted by:
Danielle Naugle - Johns Hopkins Bloomberg Center for Communication Programs
Aoua Konare - Johns Hopkins Bloomberg Center for Communication Programs/KJK Communications
Mohamed Sangare - Breakthrough ACTION/KJK Communications
Issiaga Dafee - Johns Hopkins Bloomberg Center for Communication Programs
Jorie Nana - Johns Hopkins Bloomberg Center for Communication Programs
Keneya Jemu Kan was a five-year USAID funded integrated health project aimed at increasing the adoption of high-impact health behaviors in Mali (2014-2019). The project developed an umbrella communication platform, called JIGISIGI or Hope for Families, which positioned women as a pillar of health in the family and community. The platform employed multiple synergistic social and behavior change communication (SBCC) strategies. To evaluate those strategies, we conducted a longitudinal study in five project regions Bamako, Koulikoro, Sikasso, Mopti, and Kayes with a representative sample of 4,000 households. The baseline was conducted in July-August 2015 and the endline in October-December 2019. The survey covered family planning, maternal and child health, malaria, HIV, water and sanitation, ideational factors, and exposure to project activities. The objective of the study was to evaluate the impact of project activities in the five regions by answering the following questions: Did key behavioral indicators change over time in the desired direction? Did people who reported exposure to project activities experience greater overtime changes than people who did not report exposure? Did changes in measured ideational factors mediate the changes in behavior? Which approaches worked best, for which population groups and under what conditions? And how did the various approaches work together to drive overall behavior change? By answering these questions using a longitudinal evaluation design, we contribute to the knowledge base of effective SBCC approaches.
Background/Objectives:
Keneya Jemu Kan was a five-year USAID funded integrated health project aimed at increasing high-impact health behaviors in Mali (2014-2019). The project developed an umbrella communication platform, called JIGISIGI or Hope for Families, which positioned women as a pillar of health. The platform employed multiple synergistic strategies including a musical comedy for family planning; a mini-series, community communication, and interactive voice response system for maternal and child health; facilitated community dialogues to promote couple's communication; a reproductive health mobile phone app for youth; and a new condom brand, among others.
Description of Intervention and/or Methods/Design:
A longitudinal study was conducted in five project regions Bamako, Koulikoro, Sikasso, Mopti, and Kayes with a representative sample of 4,000 households. The baseline was conducted in July-August 2015 and the endline in October-December 2019. The survey covered family planning, maternal and child health, malaria, HIV, water and sanitation, ideational factors, and exposure to project activities. The objective of the study was to evaluate the impact of project activities in the five regions by answering the following questions: Did key behavioral indicators change over time in the desired direction? Did people who reported exposure to project activities experience greater overtime changes than people who did not report exposure? Did changes in measured ideational factors mediate the changes in behavior? Which approaches worked best, for which population groups and under what conditions? And how did the various approaches work together to drive overall behavior change?
Results/Lessons Learned:
Of JIGISIGI's multiple synergistic social and behavior change communication strategies to promote healthy behaviors and products, which approaches were successful in changing the behaviors they targeted? How? And for whom? Mid-term analyses suggested that among women interviewed at both baseline and midterm, use of a modern contraceptive method increased from 17% at baseline to 22% at midterm and that exposure to the JIGISIGI family planning campaign was significantly associated with use of a modern contraceptive method even when controlling for baseline behavior. Analyses also showed significant overtime increases in determinants of family planning including knowledge, couple communication, and approval of the use of family planning for both birth spacing and limiting. Further analyses will examine changes between the baseline and endline on key ideational and behavioral indicators and whether changes can be linked to exposure to the JIGISIGI platform.
Discussion/Implications for the Field:
Through a longitudinal design and a comprehensive representative survey, we can explore the impact of the various approaches of JIGISIGI on attitudes and behaviors among Malian men and women. By teasing apart which program interventions were impactful, how, and for whom, we contribute to the knowledge base of effective SBCC approaches. Findings can be used to inform the development of future integrated health strategies.
Abstract submitted by:
Danielle Naugle - Johns Hopkins Bloomberg Center for Communication Programs
Aoua Konare - Johns Hopkins Bloomberg Center for Communication Programs/KJK Communications
Mohamed Sangare - Breakthrough ACTION/KJK Communications
Issiaga Dafee - Johns Hopkins Bloomberg Center for Communication Programs
Jorie Nana - Johns Hopkins Bloomberg Center for Communication Programs
Source
Approved abstract for the postponed 2020 SBCC Summit in Marrakech, Morocco. Provided by the International Steering Committee for the Summit. Image credit: Johns Hopkins Bloomberg Center for Communication Programs