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Overcoming Methodological Challenges in Evaluating Health Communication Campaigns

Evidence from Rural Bangladesh

Bibliographic Data

ID10797331
AuthorsDavid K Guilkey (University of North Carolina at Chapel Hill, corresponding author), Paul Hutchinson (0000-0002-5435-7799), Paul L Hutchinson
Year2011
Volume42
Issue2
Pages93-106
Publication date2011-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1728-4465.2011.00269.x
PMID21834411
OpenAlexW2104512479
LanguageEN
Citations received4
References cited28

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

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Unique citing works4
Citations per year0,31
Citation span2013 - 2021 (9)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4
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