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Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW

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clients. These interviews assessed use of family planning <strong>and</strong><br />

reproductive health services <strong>and</strong> the impact of the radio drama in<br />

increasing uptake of these services.<br />

• Pre-/post-evaluation: A quantitative survey, using pre/post<br />

methodology, was administered <strong>to</strong> evaluate program exposure <strong>and</strong> the<br />

project’s effect on changing 1) <strong>HIV</strong> knowledge, attitudes, <strong>and</strong> behavior,<br />

2) contraceptive knowledge, attitudes, <strong>and</strong> practices <strong>and</strong> 3) perceptions<br />

of gender <strong>and</strong> social norms. Using a stratified, multistage sampling<br />

design, data were collected from residents in two Amhara <strong>and</strong> Oromiya<br />

regions <strong>and</strong> the city of Addis Ababa. Amhara <strong>and</strong> Oromiya regions<br />

served as proxies for all Amharic- <strong>and</strong> Oromiffa-speaking populations in<br />

Ethiopia. Sample size at baseline was 2,250 households <strong>and</strong> 1,875 at<br />

endline. Baseline <strong>and</strong> endline data were compared using crosstabulations.<br />

Also, multivariate analyses using logistic regression were<br />

conducted <strong>to</strong> further assess the relative importance of certain<br />

characteristics in explaining key indica<strong>to</strong>rs, such as spousal<br />

communication about <strong>HIV</strong> <strong>and</strong> AIDS. Differences between listeners <strong>and</strong><br />

nonlisteners on key indica<strong>to</strong>rs also were examined.<br />

• Ethiopian government evaluation: The Disaster Prevention <strong>and</strong><br />

Preparedness Agency <strong>and</strong> the Ministry of Health of Ethiopia spent<br />

three weeks in four major regions appraising the project.<br />

Evaluation Results • Project reach: Approximately half of Ethiopia’s population has listened<br />

<strong>to</strong> at least one of PMC’s radio dramas—about 40 million listeners.<br />

• Facility assessments (client exit interviews): Each succeeding<br />

assessment report showed an increase in the percentage of male <strong>and</strong><br />

female clients citing radio as the primary motivating fac<strong>to</strong>r in seeking<br />

health services. Between the first assessment (February 2003) <strong>and</strong> the<br />

third assessment (November 2004), the proportion of all clients citing<br />

radio as their primary motivation for seeking services rose from<br />

6.3 percent <strong>to</strong> 18.8 percent. Among those who cited radio as the<br />

primary motivation <strong>to</strong> seek services, there was a 16 percentage point<br />

increase in clients who cited the Yeken Kignit radio drama by name. By<br />

the time of the third assessment, 84 percent cited Yeken Kignit as their<br />

primary motivation for seeking services.<br />

• Pre-/post-evaluation: At endline, female respondents reported<br />

increased communication with their spouse/partner on <strong>HIV</strong> <strong>and</strong> AIDS<br />

issues. Significant differences were reported between listeners <strong>and</strong><br />

nonlisteners of Yeken Kignit on condom use: 78 percent of male<br />

listeners of Yeken Kignit felt comfortable in suggesting condom use,<br />

compared <strong>to</strong> 57 percent of male nonlisteners (p

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