Overcoming Methodological Challenges in Evaluating Health Communication Campaigns

In this study, we examine the effectiveness of the Smiling Sun multimedia health communication campaign in encouraging women to use family health services in rural Bangladesh. We control for endogenous program placement and address the potential endogeneity of self‐reported campaign exposure in health‐behavior equations by estimating a set of exposure, contraceptive‐use, and antenatal‐care equations by full information maximum likelihood (FIML). We find that evaluation methods that do not take into account these nonrandom characteristics of communication and program exposure may produce underestimates of program benefits. Relative to the exposure effect of 3.7 percentage points in the simple model of contraceptive use, the exposure effect in the FIML model is a larger 5.5 percentage points, corresponding to as many as 40,000 additional contraceptive users. We conclude that evaluations of health communication campaigns would benefit from methods such as estimation by FIML that address nonrandom exposure and program targeting

Behavior change communication · Developing country · Econometrics · Economic growth · Economics · Endogeneity · Environmental health · Estimation · Health services · Population · Program evaluation · Set (abstract data type · Statistics · Computer Science · Global Maternal and Child Health · Mathematics · Media Influence and Politics · Medicine · Poverty, Education, and Child Welfare

• Understanding family planning outcomes in northwestern Nigeria

  Open Access•Paul Hutchinson, Paul L Hutchinson et al.•BMC Public Health•2021

  Incluir item

• Exposure of mobile phones and mass media in maternal health services use in developing nations

  Raaj Kishore Biswas, Nusma Rahman et al.•Contemporary South Asia•2020

  Incluir item

• The Impact of Mass Media‐Delivered Family Planning Campaigns in Low‐ and Middle‐Income Countries

  Open Access•Dana Rogers, Leslie B Snyder et al.•Studies in Family Planning•2021

  Incluir item

• Does antenatal care matter in the use of skilled birth attendance in rural Africa

  Open Access•Vissého Adjiwanou, Thomas Legrand•Social Science & Medicine•2013

  Incluir item

• Limited information estimators and exogeneity tests for simultaneous probit models

  Open Access•Douglas Rivers, Quang Vuong et al.•Journal of Econometrics•1988

  Incluir item

• Systematic review of the effectiveness of mass communication programs to change HIV/Aids-related behaviors in developing countries

  J T Bertrand•Health Education Research•2005

  Incluir item

• A Method for Minimizing the Impact of Distributional Assumptions in Econometric Models for Duration Data

  James J Heckman, J Heckman et al.•Econometrica•1984

  Incluir item

• The Determinants and Consequences of the Placement of Government Programs in Indonesia

  Mark M Pitt, Mark R Rosenzweig et al.•The World Bank Economic Review•1993

  Incluir item

• Instrumental Variables Regression with Weak Instruments

  Douglas O Staiger, Douglas Staiger et al.•Econometrica•1997

  Incluir item

• Handbook Of Development Economics

  T Paul Schultz•Handbook Of Development Economics•2008

  Incluir item

• Mostly Harmless Econometrics

  Jorn‐steffen Pischke, Jörn-Steffen Pischke et al.•Mostly Harmless Econometrics•2009

  Incluir item

• The Sensitivity of an Empirical Model of Married Women's Hours of Work to Economic and Statistical Assumptions

  Thomas A Mroz•Econometrica•1987

  Incluir item

• What Works in Family Planning Interventions

  Open Access•Lisa Mwaikambo, Ilene S Speizer et al.•Studies in Family Planning•2011

  Incluir item

• Women's lives and rapid fertility decline

  Open Access•Sajeda Amin, Cynthia B Lloyd•Population Research and Policy…•2002

  Incluir item

• How Economic Development and Family Planning Programs Combined to Reduce Indonesian Fertility

  Open Access•Paul Gertler, Paul J Gertler et al.•Demography•1994

  Incluir item

• Contraceptive Use in Matlab, Bangladesh in 1990

  Michael A Koenig, Michael Koenig et al.•Studies in Family Planning•1992

  Incluir item

• Advanced Methods for Evaluating the Impact of Family Planning Communication Programs

  Open Access•Paul Hutchinson, Jennifer Wheeler•Studies in Family Planning•2006

  Incluir item

• Associations of Mass Media Exposure with Family Planning Attitudes and Practices in Uganda

  Open Access•Neeru Gupta, Charles Katende et al.•Studies in Family Planning•2003

  Incluir item

• Beyond Supply

  Ruth Simmons, Laila Baqee et al.•Studies in Family Planning•1988

  Incluir item

• Social Learning, Social Influence, and New Models of Fertility

  Mark R Montgomery, John B Casterline•Population and Development Review•1996

  Incluir item