Montpellier Interdisciplinary center on Sustainable Agri-food systems (MoISA), University of Montpellier, CIRAD, CIHEAM-IAMM, INRAE, Institut Agro, IRD, Montpellier, France.
Laboratoire des Transformations Économiques et Sociales - Institut Fondamental d'Afrique Noire- Ch.A. Diop, University of Cheikh Anta Diop, Dakar, Senegal.
BMC Public Health. 2022 Jun 10;22(1):1165. doi: 10.1186/s12889-022-13570-6.
Edutainment aims to spread educational messages in an entertaining way, and often reaches large audiences. While studies increasingly report the impacts of edutainment interventions, there is limited context-specific evidence on the underlying processes and barriers to effective delivery, especially in rural areas. This article presents results from a process evaluation of a community-based edutainment intervention designed to improve knowledge, attitudes, and practices on gender-based violence (GBV), sexual and reproductive health (SRH), and maternal and child health. The intervention focused on the television series, C'est la Vie!, screened through biweekly film clubs in rural Senegal and included post-screening discussions and thematic workshops, meant to reinforce messages, increase knowledge, and change social norms. The objectives of this study were to assess intervention adaptation, implementation fidelity, participants' responsiveness or engagement, and series appropriateness.
The intervention was implemented from December 2019 to March 2020 in 120 villages in Kaolack and Kolda regions of Senegal, and targeted adolescent girls and young women aged 14 to 34. The process evaluation was carried out in March 2020 in 14 villages using: i) individual semi-structured interviews with implementers (n = 3), village chiefs (n = 8), married women (n = 9), adolescent girls (n = 8), and men (n = 8); ii) focus groups with men (n = 7, 29 participants) and women (n = 10, 100 participants); and iii) observations of screening sessions (n = 4) and post-screening discussions (n = 2). Data were analyzed using thematic and content analysis.
The results highlight that adaptation of the intervention helped reach the target population and improved participant attendance, but might have compromised fidelity to original design, as intervention components were shortened and modified for rural delivery and some facilitators made ad hoc modifications. The screenings coverage and frequency were adequate; however, their duration was shortened due to COVID-19 restrictions in Senegal. Participant responsiveness was excellent, as was the series appropriateness for most topics, including GBV. SRH remains a sensitive topic for youth, especially when the film clubs included non-peers, such as slightly older women.
This study showed that using film clubs to deliver sensitive edutainment content in rural areas is feasible and has potential for scale-up.
寓教于乐旨在以娱乐的方式传播教育信息，并且通常能够覆盖大量受众。尽管越来越多的研究报告了寓教于乐干预措施的影响，但对于有效实施的潜在过程和障碍，尤其是在农村地区，相关证据仍十分有限。本文呈现了一项基于社区的寓教于乐干预措施的过程评估结果，该措施旨在提高关于性别暴力（GBV）、性与生殖健康（SRH）以及母婴健康的知识、态度和实践。该干预措施聚焦于电视剧《这就是生活！》（C'est la Vie!），通过在塞内加尔的农村地区每两周举办一次电影俱乐部来播放该电视剧，并包括播放后的讨论和主题研讨会，旨在强化信息、增加知识并改变社会规范。本研究的目的是评估干预措施的适应性、实施的一致性、参与者的反应或参与度以及电视剧的适宜性。
该干预措施于 2019 年 12 月至 2020 年 3 月在塞内加尔的卡奥拉克和科尔达地区的 120 个村庄实施，目标人群为 14 至 34 岁的少女和年轻女性。过程评估于 2020 年 3 月在 14 个村庄进行，使用了以下方法：i）对实施者（n=3）、村长（n=8）、已婚妇女（n=9）、少女（n=8）和男性（n=8）进行个人半结构化访谈；ii）对男性（n=7，29 名参与者）和女性（n=10，100 名参与者）进行焦点小组讨论；iii）观察放映场次（n=4）和放映后的讨论（n=2）。数据采用主题和内容分析法进行分析。
结果表明，干预措施的适应性有助于覆盖目标人群并提高参与者的出勤率，但可能会影响到对原始设计的一致性，因为干预措施的组成部分被缩短并为农村地区的实施进行了修改，一些协调员还进行了临时修改。放映的覆盖率和频率是足够的；然而，由于塞内加尔的 COVID-19 限制，放映时间被缩短了。参与者的反应非常好，电视剧的适宜性也非常高，大多数主题都很合适，包括 GBV。SRH 仍然是年轻人的一个敏感话题，尤其是当电影俱乐部包括非同龄人，如稍年长的女性时。
本研究表明，在农村地区使用电影俱乐部来提供敏感的寓教于乐内容是可行的，并且具有扩大规模的潜力。
