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Twende na Wakati: Effects on Family Planning Behavior
- Evidence from five independent data sources indicates
that the educational content of Twende na Wakati (Let's
Go with the Times) had measurable effects on listeners'
adoption of contraceptive methods and played an important
role in the early stage of Tanzania's transition from very
high to lower fertility rates.
- Twende na Wakati is the first entertainment-education
project to be evaluated in a national field experiment and
only the second to promote the inter-related health issues
of family planning and HIV/AIDS prevention through the same
mass communication intervention. The study, "Effects
of an Entertainment-Education Radio Soap Opera on Family
Planning Behavior in Tanzania," appears in the September
1999 issue of Studies in Family Planning, a peer-reviewed
journal published by The Population Council.
- Married women who listened to Twende na Wakati were more
than twice as likely to adopt family planning than those
who did not listen to the program. Non-listeners were only
half as likely to engage in frequent discussions about family
planning.
- Survey data from over 2,700 respondents each in the comparison
and treatment areas for Twende na Wakati indicate that listening
to the program stimulated the factor known as "self-efficacy"
related to family size determination, increasing Tanzanians'
ideal age at marriage for women, approval of contraceptive
use, spousal communication about family planning, and current
practice of family planning.
- From 1993 to 1995, Tanzanians' belief in their ability
to determine family size increased 11 percentage points
in the program's treatment area, versus a six point increase
in the comparison area. After the soap opera was broadcast
in the Dodoma comparison region from 1995-97, such self-efficacy
increased there by 19 percentage points.
- Data from 79 family planning clinics indicate that Twende
na Wakati increased both new and continuing family planning
visits to Ministry of Health clinics in Tanzania, and provide
direct evidence that the soap opera was the source of referral
for approximately 25 percent of all new clients.
- Approximately 23 percent of Tanzania's adult population
listened regularly to Twende na Wakati, with the average
listener tuning in at least once a week. Among the research
sample, regular listenership increased from 47 percent in
1994 to 58 percent in 1997.
- Individual women's greater involvement in listening to
and discussing the program paralleled increases in discussing
family planning with her spouse and using a contraceptive
method.
- Tanzania's population grew from 7.7 million in 1948 to
27.4 million in 1992, when the government implemented a
comprehensive family planning strategy aiming to reduce
the country's population growth rate to less than 2 percent
per year by 2010, mainly by increasing contraceptive prevalence.
The government program provided free contraceptive services
at 2,700 Ministry of Health clinics, but national contraceptive
prevalence averages remained low at an average of ten percent.
This figure increased to 18 percent by 1996.
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