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Related Experiment Videos

Using network analysis to understand community-based programs: a case study from highland Madagascar.

Kirsten Stoebenau1, Thomas W Valente

  • 1Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.

International Family Planning Perspectives
|December 11, 2003
PubMed
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Community-based distribution (CBD) of family planning services in Sub-Saharan Africa shows mixed results. Network analysis reveals communication with CBD agents and discussion partners influences family planning knowledge and modern method use.

Area of Science:

  • Public Health
  • Social Network Analysis
  • Family Planning

Background:

  • Community-based distribution (CBD) programs for family planning in Sub-Saharan Africa have yielded inconsistent outcomes.
  • Understanding the factors influencing the success or failure of these programs remains a challenge.

Purpose of the Study:

  • To investigate the association between communication patterns and family planning knowledge and use within a CBD program.
  • To apply network analysis to understand the role of community-based distributors (CBDs) in family planning service delivery.

Main Methods:

  • A 1999 study interviewed 159 reproductive-aged individuals in highland Madagascar with an active CBD family planning program.
  • Network analysis, including chi-square tests and multiple regression, examined communication with CBD agents and discussion partners.

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Main Results:

  • CBD agents were central to the village family planning network, with significant direct or indirect communication links.
  • Family planning knowledge was associated with direct or indirect links to CBD agents.
  • Modern method use was linked to discussing family planning outside the village or with CBD agents within the village.

Conclusions:

  • Network analysis offers valuable insights into community-based program dynamics.
  • It helps identify information flow and influence from CBD agents within the community.