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Evaluation of 2 Intervention Models to Integrate Family Planning Into Worker Health and Livelihood Programs in Egypt:
Nahla Abdel Tawab1, Elizabeth Tobey2, Maryam Essam3
1Population Council, Cairo, Egypt. ntawab@popcouncil.org.
Family planning (FP) interventions in Egypt improved young people's knowledge and attitudes but did not increase FP use. These findings highlight the need for tailored approaches to boost demand for reproductive health services.
Area of Science:
- Public Health
- Reproductive Health
- Social and Behavioral Sciences
Background:
- Egypt faces rising fertility rates and increased desired fertility among young, unmarried individuals.
- There is a critical need to enhance family planning (FP) and reproductive health (RH) awareness and demand among youth.
- Previous interventions may not have adequately addressed the specific needs and contexts of young Egyptians.
Purpose of the Study:
- To evaluate two distinct intervention models aimed at increasing awareness of and demand for FP/RH services among young Egyptians (18-35 years).
- To assess the impact of integrating FP/RH information into livelihood training and workplace peer education programs.
- To analyze changes in knowledge, attitudes, and behaviors related to FP/RH services.
Main Methods:
- Two intervention models were tested in Souhag (livelihood training) and Port Said (peer educators, social media) governorates.
- A difference-in-differences analysis compared intervention and comparison groups using pre- and post-intervention phone interviews.
- Data collected from over 3,000 participants in each governorate assessed exposure to FP messages, knowledge, attitudes, and behaviors.
Main Results:
- The Souhag intervention showed significant improvements in knowledge and attitudes towards FP/RH compared to the control group.
- The Port Said intervention demonstrated less significant changes in knowledge and attitudes between groups.
- Neither intervention model resulted in a statistically significant increase in family planning use among participants.
Conclusions:
- Integrating FP/RH information into livelihood and workplace programs can positively influence young people's knowledge and attitudes.
- Tailoring interventions to specific contexts and target groups is crucial for maximizing impact.
- Further research is needed to identify effective strategies for translating increased awareness and positive attitudes into actual family planning use.
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