Stud Fam Plann. 2017 Sep;48(3):253-268. doi: 10.1111/sifp.12027. Epub 2017 Jun 16.
Gaps remain in understanding whether family planning (FP) programs can change urban women's FP behaviors. Even less is known about what works among poor urban women. This article presents results of the impact evaluation of the Nigerian Urban Reproductive Health Initiative (NURHI). Findings are based on recently collected longitudinal data from women and facilities in six cities in Nigeria. Over the four-year follow-up period, there was an increase of about ten percentage points in modern method use. Impact evaluation analyses using fixed-effects regression methods indicate that both demand- and supply-side program activities increased modern method use. Radio, television, community events, and living near program-enrolled health facilities all significantly increased modern method use or were related to a desire for no more children among all women and among poor women. Results are discussed with an eye toward the design and scale-up of future family planning programs in urban Nigeria and elsewhere in sub-Saharan Africa.
在理解计划生育（FP）项目是否能够改变城市妇女的 FP 行为方面仍然存在差距。对于贫困城市妇女而言，这方面的了解就更少了。本文介绍了尼日利亚城市生殖健康倡议（NURHI）的影响评估结果。研究结果基于最近在尼日利亚六个城市收集的妇女和设施的纵向数据。在四年的随访期间，现代方法的使用率增加了约十个百分点。使用固定效应回归方法进行的影响评估分析表明，需求方和供应方的项目活动都增加了现代方法的使用。广播、电视、社区活动以及居住在项目所覆盖的卫生设施附近，所有这些都显著增加了现代方法的使用，或者与所有妇女以及贫困妇女中不再希望生育更多孩子的愿望有关。研究结果在考虑到未来在尼日利亚城市和撒哈拉以南非洲其他地区计划生育项目的设计和扩大时进行了讨论。
