Using the Mentoring Approach to Meet Family Planning Needs of Underserved Youth in Madagascar
Youth aged 10-24 years represent 32% of the total population in Madagascar. The 2008/2009 DHS revealed that among youth 15-19 years, the unmet need for FP is 26.9% (compared to 14.6% among married women) and 26% had at least one child. Madagascar’s Community-Based Integrated Health Program (CBIHP) trains and supports community health volunteers (CHVs) to provide health services, including FP/RH. In select CBIHP communes, youth peer educators (YPE) and CHVs were paired using the community mentoring approach to increase knowledge and utilization of FP/RH services among youth in urban and rural communes.
The panel method was used to monitor FP/RH service provision by CHVs and, where applicable, YPEs, on a monthly basis in 45 communes, supplemented by qualitative interviews. Data was analyzed using excel and SPSS 20 software, with Anova test for significance.
Overall, from January 2013 to December 2014, the use of contraception among youth significantly increased in all communes (p<0.005). Among communes with YPEs, greater increases were seen in rural communes with YPEs than in urban communes with YPEs (p<0.005). The main motivators to use FP services are acknowledgement of FP importance (p =0,000) and friends’ support (p = 0.004).
Providing community-based services through CHVs increased knowledge and use of FP/RH services among youth overall. The community mentoring approach for CHVs and YPEs augmented this effect, especially in rural areas with reduced access to health facilities or other youth-friendly services. The YPE approach is responsive to youth needs for peer support.
Learning Areas:Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Describe the effectiveness of the community mentoring approach for increased utilization of family planning and reproductive health (FP/RH) services among youth in Madagascar.
Keyword(s): Youth, Family Planning
Qualified on the content I am responsible for because: I have been involved in family planning (FP) work in Madagascar since 1994. I have a Doctoral Degree in Medicine from the University of Antananarivo, Madagascar and a Master of Public Health from the National Institute of Public Health. I have published articles on youth and contraception and am part of an FP national advocacy committee. I currently work as the Deputy Chief of Party (Technical) for the USAID-funded Madagascar Community-Based Integrated Health Program (CBIHP).
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.