Population Council, New Delhi, India.
Patient Educ Couns. 2010 Dec;81(3):395-401. doi: 10.1016/j.pec.2010.10.019. Epub 2010 Nov 18.
Birth spacing intervals are relatively short in India. Healthy spacing of 3-5 years between births is an effective way to prevent maternal and child mortality and morbidities. Socio-cultural and structural barriers, including limited awareness, socio-cultural norms, and misconceptions need to be addressed for behavior change. Hence the objective was to understand these barriers and accordingly develop separate messages for young women, her husband and her mother-in-law.
Data were collected from young women, husbands and mothers-in-law using qualitative methods. Altogether 16 Focus Group Discussions and 30 in-depth interviews were conducted. Beliefs related to need of spacing, disadvantages of closely spaced pregnancies and messages considered suitable for different stakeholders were investigated. Messages were identified for women, husband and mother-in-law; communication aids prepared and community workers trained to appropriately communicate the messages to stakeholders. Quantitative data were collected to measure the effect of the intervention.
Educational campaign resulted in higher use of contraceptives for spacing among registered pregnant women from experimental area compared to control area.
Differential audience specific educational campaign is feasible and effective.
For an effective communication in the community, workers should know how exactly to convey the different health messages to different target population.
印度的生育间隔相对较短。在生育间隔 3-5 年期间保持健康是预防母婴死亡和发病的有效方法。需要解决社会文化和结构障碍，包括意识有限、社会文化规范和误解，以实现行为改变。因此，我们的目标是了解这些障碍，并相应地为年轻妇女、她的丈夫和她的婆婆制定不同的信息。
使用定性方法从年轻妇女、丈夫和婆婆那里收集数据。总共进行了 16 次焦点小组讨论和 30 次深入访谈。调查了与间隔需求相关的信念、密切间隔妊娠的劣势以及认为适合不同利益相关者的信息。为妇女、丈夫和婆婆确定了信息；准备了沟通辅助工具，并培训社区工作者，以向利益相关者适当地传达信息。收集了定量数据来衡量干预的效果。
与对照区相比，实验区登记孕妇的生育间隔期使用避孕药具的比例更高。
针对不同受众的差异化教育运动是可行且有效的。
为了在社区中进行有效的沟通，工作人员应该知道如何向不同的目标人群传达不同的健康信息。
