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A Randomized Community Trial of Enhanced Family Planning Outreach in Rakai, Uganda

Bibliographic Data

ID10796823
AuthorsTom Lutalo (0000-0003-3380-1720, Rakai Health Sciences Program), Godfrey Kigozi (0009-0008-9142-6870, Rakai Health Sciences Program), Edward Kimera (Rakai Health Sciences Program), David Serwadda (0000-0001-6532-6587, Makerere University), Maria J Wawer (0000-0002-3601-4469, Johns Hopkins University, corresponding author), Laurie Schwab Zabin (Johns Hopkins University, corresponding author), Ronald H Gray (0000-0003-1952-6507, Johns Hopkins University, corresponding author)
Year2010
Volume41
Issue1
Pages55-60
Publication date2010-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1728-4465.2010.00224.x
PMID21465722
OpenAlexW2148589918
LanguageEN
Citations received8
References cited7

A randomized community trial of a family planning outreach program was conducted in Rakai District, Uganda. Five communities received standard services; six intervention communities received additional family planning information, counseling, and contraceptive methods from government service providers and community‐based volunteer agents using social marketing and other strategies. Condom use was promoted in all of the communities. The community‐based family planning outreach program was implemented in two phases—1999–2000 (early) and 2001 (late)—and its impact was evaluated by means of population surveys in 2002–03. At follow‐up, hormonal contraceptive prevalence was 23 percent in the intervention communities, compared with 20 percent in the control communities. The differential was greater in the early‐intervention communities than the late‐intervention communities. Pregnancy rates at follow‐up were 15 percent in the control and 13 percent in the intervention communities. No differentials in condom use were found between study arms. Family planning outreach via social marketing can significantly increase hormonal contraceptive use and decrease pregnancy rates, but the impact of this outreach program was modest

Birth control · Condom · Developing country · Economic growth · Environmental health · Family medicine · Family planning · Human immunodeficiency virus (HIV · Intervention (counseling · Outreach · Political science · Population · Program evaluation · Randomized controlled trial · Social marketing · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing

  • Effectiveness of an integrated intimate partner violence and HIV prevention intervention in Rakai, Uganda

    Open Access•Jennifer A Wagman, Ronald H Gray et al.•The Lancet Global Health•2015

  • Family Planning Uptake in Kagera and Mara Regions in Tanzania

    Open Access•Joseph Massenga, Rita Noronha et al.•International Journal of…•2021

  • Contraceptive knowledge, perceptions, and concerns among men in Uganda

    Open Access•Nityanjali Thummalachetty, S Mathur et al.•BMC Public Health•2017

  • Youths’ perceptions of community health workers’ delivery of family planning services

    Open Access•Robert Kalyesubula, Jessica Mitter Pardo et al.•BMC Public Health•2021

  • The effectiveness of social marketing in global health

    Open Access•Rebecca Firestone, Cassandra J Rowe et al.•Health Policy and Planning•2017

  • Community Health Workers’ Provision of Family Planning Services in Low‐ and Middle‐Income Countries

    Open Access•Valerie K Scott, Lindsey B Gottschalk et al.•Studies in Family Planning•2015

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    Open Access•Jonathan F Phillips, James F Phillips et al.•Studies in Family Planning•2012

  • Using Evidence to Drive Impact

    Open Access•Michelle Weinberger, Jessica Williamson et al.•Studies in Family Planning•2019

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    Open Access•Wamucii Njogu•Demography•1991

  • Fertility Levels, Trends, and Differentials in Sub-Saharan Africa in the 1980s and 1990s

    Dudley Kirk, Devin Kirk et al.•Studies in Family Planning•1998

  • Trends and Determinants of Contraceptive Use in Rakai District, Uganda, 1995–98

    Open Access•Thomas Lutalo, Medi Kidugavu et al.•Studies in Family Planning•2000

Unique citing works8
Citations per year0,57
Citation span2012 - 2021 (10)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 8
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