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Advanced methods for evaluating the impact of family planning communication programs: evidence from Tanzania and Nepal.

Evaluations of national family planning communication campaigns are often complicated by nonrandomized research designs and self-reported measures of exposure to media messages, both of which can bias estimates of campaign effectiveness if suitable analytical methods are not employed. This study uses three methods to address these problems: (1) single-equation multiple regression analysis; (2) propensity score matching (PSM); and (3) maximum-likelihood simultaneous equation models (SEM), namely bivariate probit. We use these methods to evaluate the impact of family planning health-communication campaigns on the use of modern family planning methods, focusing primarily on the radio drama Zinduka! in Tanzania and Ghanti Heri Haad Nilaun in Nepal. We find that these methods led to substantially different estimates of the magnitude of the impact of these communication campaigns. Specifically, we found that self-reported exposure to each radio program was exogenously related to family planning use and that PSM and multiple regression analysis gave similar estimates in those situations. An indicator of exposure to any type of family planning message was found to be endogenous, in which case bivariate probit and PSM gave different estimates of program impact. Researchers should, therefore, pay close attention to the results of tests for endogeneity and identification that guide the appropriate use of the different methods.

Adolescent↗

[Migrants' childrens' academic achievement: the contributions of a mobilization approach].

The academic success of migrants' children in France is explored, with an emphasis on the family characteristics that may determine such an outcome. "How can the surprising academic achievement of a minority of migrants' children who gain admission to university be explained? According to our hypothesis, such an explanation should be found in the families' migration trajectories. Taking them into account allows one to correct the well-known deficient indicator of social origin: father's occupation when in France. Families' strategies and mobilization toward an educational project, part and parcel of their migration project, can thus be explained. This hypothesis has been tested through the interviewing of two [predominantly Algerian] groups of migrants' children of the Lille region, one having experienced school failure, the second having gained admittance to university." (SUMMARY IN ENG)

Achievement↗

Factors affecting Yukon teen pregnancy decline in the mid and late 1990s.

Teen pregnancy has declined throughout North America in the 1990s. In Yukon Territory, Canada, teen pregnancy in the late 1990s was almost 40% lower than in the early 1990s. This rate of decline is significantly greater than most recently reported national rates of teen pregnancy decline in Canada and United States. Identifying possible causes of the Yukon decline may help policy makers and program managers plan and implement teen pregnancy prevention strategies. Data on Yukon teen pregnancy prevention initiatives were collected through numerous discussions and interviews with Yukon service providers, teens, and the general public between 1994 and 2001. Analysis of data demonstrates that multiple new initiatives spanning many sectors were implemented in the mid and late 1990s that could have contributed to the decline in Yukon teen pregnancy. A multi-dimensional approach to teen pregnancy prevention that included researching and evaluating family planning programs and policies before, during, and after implementation, increasing access to longer-acting hormonal contraceptives, providing continuing family planning medical education to health care providers and other youth service providers, subsidization of contraceptives, delivery of innovative family planning mass media campaigns, and delivery of ongoing sexual health education programs may have significantly contributed to the decline in Yukon teen pregnancy. Collaboration among service providers across many service sectors (clinical, public health, education, First Nations, government communication and policy, grassroots) facilitated coordination of the multi-dimensional approach.

Adolescent↗