247079 Expanding Access to Family Planning in Non-Traditional Settings: Offering the Standard Days Method in Small Shops (“Boutiques”) in Rural Mali

Wednesday, November 2, 2011

Justine A. Kavle, PhD, MPH, CPH , Department of OB/GYN, School of Medicine and Institute for Reproductive Health, Georgetown University, Washington, DC
Susana Mendoza Birdsong , Institute for Reproductive Health, Georgetown University, Washington, DC
Mamadou Bah , Population Services International (PSI) Mali, Bamako, Mali
Sekou Traore, MD , Institute for Reproductive Health, Mali, Bamako, Mali
Rebecka Lundgren, MPH , Institute for Reproductive Health, Georgetown University, Washington, DC
Victoria Jennings, PhD , Dept of OB/GYN, School of Medicine; Institute for Reproductive Health, Georgetown University, Washington, DC
Lack of availability and limited access to health services, contraceptive commodities and/or health providers can be a deterrent to utilizing family planning (FP) services. In rural areas of Mali, small stores or “boutiques” provide families access to household supplies and can also be a source of contraceptives. This two-phase study examines the provision of CycleBeads®, the visual tool used with Standard Days Method® (SDM) to communities through boutiques. The objectives of Phase I were to: 1) revise the package insert explaining how to use SDM without provider assistance and 2) assess potential users' understanding of the insert. We randomly selected men and women attending local markets in Koulikoro and Segou districts (N=100) for four rounds of insert testing in Phase 1. The pictorial side (images only) of the insert was eliminated, as participants better understood the messages accompanied by explanations. Recruitment was restricted to men and women with at least primary level education for Rounds 2-4. Over the course of insert testing with adaptations to text/images, our findings revealed increases in comprehension scores of the following concepts: “who can use CycleBeads,” “what to do the first day of the menstrual period,” “what to do when a woman forgets to move the ring,” and “when to see a provider.” Future direct-to-consumer approaches should target men and women with basic literacy skills, as it is critical that users are able to read and understand the text that is used to explain how to use the SDM/CycleBeads.

Learning Areas:
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related research

Learning Objectives:
1) Participants can describe a direct-to-consumer approach to reach couples with reproductive health/ family planning in rural areas through non-traditional venues. 2) Participants will understand the process of testing an insert that allows clients to teach themselves how to use a family planning product.

Keywords: Access and Services, International Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked in family planning and reproductive health research for the past three years and in international public health research for the past 8 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.