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Assessing changes in knowledge, attitudes, and intentions to use family planning after watching documentary and drama health education films: a qualitative study

Assessing changes in knowledge, attitudes, and intentions to use family planning after watching documentary and drama health education films: a qualitative study
Assessing changes in knowledge, attitudes, and intentions to use family planning after watching documentary and drama health education films: a qualitative study
Background: there is a paucity of literature on the effectiveness of drama or documentary films in changing knowledge, beliefs, attitudes, and behavior of people towards family planning. This study aimed to compare and assess the acceptability of health promotion films based on documentary or drama, and their effect on knowledge, attitudes, and intention to use family planning.

Methods: we developed short documentary and drama films about contraceptive implants, using the person-based approach. Their acceptability was assessed in focus group discussions with younger women below 23 years, women over 23 years, men of reproductive age, and health workers in four different areas of Uganda (Bwindi/Kanungu, Walukuba/Jinja, Kampala, and Mbarara). Transcripts of the focus group discussions were analyzed using thematic analysis, to generate themes and examine the key issues. We assessed changes in knowledge, attitudes, and intentions to use family planning after watching the films.

Results: sixteen focus groups with 150 participants were carried out. Participants said that the documentary improved their knowledge and addressed their fears about side effects, myths, and implant insertion. The drama improved their attitudes towards the implant and encouraged them to discuss family planning with their partner. The final versions of the documentary and the drama films were equally liked.

Conclusions: viewing a short documentary on the contraceptive implant led to positive changes in knowledge, while a short drama improved attitudes and intentions to discuss the implant with their partner. The drama and documentary have complementary features, and most participants wanted to see both.
Documentary, Drama, Family planning, Films, Health promotion, Implant, Post-partum, Uganda
1742-4755
Mubangizi, Vincent
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Plastow, Jane
cc9897d4-3e1b-4f22-967f-5e30e797d70a
Nakaggwa, Florence
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Nahabwe, Haven
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Natukunda, Sylvia
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Atim, Fiona
ab743ecc-48d1-4bc2-bf1c-ff5445c96d6d
Mawere, Brenda
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Laughton, Matthew
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Muller, Ingrid
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Owokuhaisa, Judith
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Coates, Sabine
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Chambers, Isabella
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Goodhart, Clare
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Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
Mubangizi, Vincent
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Plastow, Jane
cc9897d4-3e1b-4f22-967f-5e30e797d70a
Nakaggwa, Florence
53165ca0-0636-442e-a902-411853225eff
Nahabwe, Haven
50fa30c8-99e7-40df-ac99-87793d9a8d9e
Natukunda, Sylvia
9e40812a-6f22-4c02-8f2c-72fee77aefb5
Atim, Fiona
ab743ecc-48d1-4bc2-bf1c-ff5445c96d6d
Mawere, Brenda
16586ccb-fa31-4aff-b165-76188f01e7b2
Laughton, Matthew
30edb77f-449a-4485-ae4b-faffacbc5d24
Muller, Ingrid
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Owokuhaisa, Judith
b0484d76-a718-4a2a-a6c2-81fe6595b2c8
Coates, Sabine
9f881538-0b1d-4aa1-bff4-827e9f6e06dc
Chambers, Isabella
3d2a0d8c-7a7a-4784-979b-1ed58d1de0f0
Goodhart, Clare
6609457f-bc4a-4680-a84c-32fd3f874c57
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea

Mubangizi, Vincent, Plastow, Jane, Nakaggwa, Florence, Nahabwe, Haven, Natukunda, Sylvia, Atim, Fiona, Mawere, Brenda, Laughton, Matthew, Muller, Ingrid, Owokuhaisa, Judith, Coates, Sabine, Chambers, Isabella, Goodhart, Clare and Willcox, Merlin (2022) Assessing changes in knowledge, attitudes, and intentions to use family planning after watching documentary and drama health education films: a qualitative study. Reproductive Health, 19, [65]. (doi:10.1186/s12978-022-01370-5).

Record type: Article

Abstract

Background: there is a paucity of literature on the effectiveness of drama or documentary films in changing knowledge, beliefs, attitudes, and behavior of people towards family planning. This study aimed to compare and assess the acceptability of health promotion films based on documentary or drama, and their effect on knowledge, attitudes, and intention to use family planning.

Methods: we developed short documentary and drama films about contraceptive implants, using the person-based approach. Their acceptability was assessed in focus group discussions with younger women below 23 years, women over 23 years, men of reproductive age, and health workers in four different areas of Uganda (Bwindi/Kanungu, Walukuba/Jinja, Kampala, and Mbarara). Transcripts of the focus group discussions were analyzed using thematic analysis, to generate themes and examine the key issues. We assessed changes in knowledge, attitudes, and intentions to use family planning after watching the films.

Results: sixteen focus groups with 150 participants were carried out. Participants said that the documentary improved their knowledge and addressed their fears about side effects, myths, and implant insertion. The drama improved their attitudes towards the implant and encouraged them to discuss family planning with their partner. The final versions of the documentary and the drama films were equally liked.

Conclusions: viewing a short documentary on the contraceptive implant led to positive changes in knowledge, while a short drama improved attitudes and intentions to discuss the implant with their partner. The drama and documentary have complementary features, and most participants wanted to see both.

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e-pub ahead of print date: 12 March 2022
Additional Information: Funding Information: The work was supported by the Medical Research Council-Arts and Humanities Research Council: Global Public Health: Partnership Awards scheme, Grant number MR/R024693/1. The content of this report is solely the responsibility of the authors and does not necessarily represent the official views of the funder. Funding Information: We are grateful to funders (the Medical Research Council-Arts and Humanities Research Council) for financial support. We would like to thank all the people who helped to make the films (actors, interviewees, and the film-making crews). In particular we would like to thank the ?We Are Walukuba? drama group, Uganda Nursing School Bwindi, Will Nyerere Plastow, Zishan Jiwa, and Gravel and Sugar productions. We also acknowledge the District administrators especially the district health officers and Health Centre administrators in participating districts and all study participants for having made this research possible. We would like to thank the research assistants who moderated focus group discussions with participants. Publisher Copyright: © 2022, The Author(s). Copyright: Copyright 2022 Elsevier B.V., All rights reserved.
Keywords: Documentary, Drama, Family planning, Films, Health promotion, Implant, Post-partum, Uganda

Identifiers

Local EPrints ID: 455981
URI: http://eprints.soton.ac.uk/id/eprint/455981
ISSN: 1742-4755
PURE UUID: 1704292d-6a41-4fc1-8ad4-2575ae8717cd
ORCID for Ingrid Muller: ORCID iD orcid.org/0000-0001-9341-6133
ORCID for Merlin Willcox: ORCID iD orcid.org/0000-0002-5227-3444

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Date deposited: 11 Apr 2022 17:07
Last modified: 28 Apr 2022 02:18

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Contributors

Author: Vincent Mubangizi
Author: Jane Plastow
Author: Florence Nakaggwa
Author: Haven Nahabwe
Author: Sylvia Natukunda
Author: Fiona Atim
Author: Brenda Mawere
Author: Matthew Laughton
Author: Ingrid Muller ORCID iD
Author: Judith Owokuhaisa
Author: Sabine Coates
Author: Isabella Chambers
Author: Clare Goodhart
Author: Merlin Willcox ORCID iD

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