Using Mobile Phones to Share Youth Voices for Informed Contraceptive Choice
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Youth face several barriers to accessing long-acting reversible contraceptives (LARCs), safe and effective contraceptive options that fit with young people’s unpredictable lifestyles. These barriers include: lack of proper information, limited youth-friendly services, and mistrust between clients and providers. In response, the Health Communication Capacity Collaborative (HC3) has developed a “mobile first,” youth-specific approach called Youth Voices that reaches this population where they are – their mobile phones. Using a “for youth, by youth” strategy, Youth Voices encourages young people to address the barriers to LARCs by producing videos using their smart phones and promoting the videos using social media. Youth Voices videos highlight key information and model essential skills, such as talking to partners or providers. This presentation will introduce this evidence-based, adaptable approach to those interested in using mobile phones to improve informed contraceptive choice. It will also highlight lessons learned from the partnership with a Nigerian youth organization.
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Using Mobile Phones to Share Youth Voices for Informed Contraceptive Choice
- 1. Using Mobile Phones to Share Youth Voices for Informed Contraceptive Choice Cori Fordham, Program Officer Johns Hopkins Center for Communication Programs
- 2. Roadmap • Background • FP INFOcus Approach & Guide • Partnering with HACEY Health Initiative • Next Steps
- 3. BACKGROUND
- 4. • $100 M, 5-year USAID-funded health communication project • Strengthen country capacity to develop and implement social and behavior change communication activities • Technical areas include: FP, Malaria, HIV/AIDS, Ebola, Zika and Nutrition
- 5. COPPER-T IUD • Small piece of plastic that fits inside the uterus • Hormone free option that can work up to 12 years • Chance of getting pregnant is less than 1% IMPLANT • Small soft rod that goes under the skin of the inner upper arm • Hormone is released for three to five years • Chance of getting pregnant is less than 0.05% Focus on LARCs
- 6. Barriers to Youth LARC Use Lack knowledge of LARCs •Highly effective, convenient, cost-effective Beliefs and misconceptions about who can use LARCs •Age eligibility, parity, safety, side effects Youth uncomfortable with and distrust providers Providers lack skills providing LARC methods and counseling young people
- 7. HC3’s Adaptable LARC Materials
- 8. Pretest of HC3’s LARC Materials • Preferred accessing information privately • Wanted to learn about others’ experiences • Preferred receiving info via mobile phones, radio soap opera and Facebook
- 9. FP INFOcus APPROACH & GUIDE
- 11. Go Mobile First • More youth use mobile phones to get information • Format matches the way youth are viewing content • Going mobile means more can participate & view
- 12. Use Participatory Video • Bring together groups to explore an issue • Identify local perspectives and appropriate solutions • Ensure messages connect with intended audience • Build group of “champions” who can mobilize others
- 13. ...Giving Youth the Tools They Need
- 14. ...Building Capacity of Young Champions
- 15. The FP INFOcus Guide PREPARE PRODUCE PROMOTE
- 16. The FP INFOcus Guide PREPARE PRODUCE PROMOTE • Assemble Team • Identify Local Issues & Stories • Draft Creative Brief • Develop Interview Guide or Script • Get Consent • Complete Storyboard • Create Pre-Production Plan
- 17. The FP INFOcus Guide PREPARE PRODUCE PROMOTE • Film on Mobile Phones • Edit on Phones or Computers
- 18. The FP INFOcus Guide PREPARE PRODUCE PROMOTE • Promote Videos • Engage with Viewers • Monitor Reach & Impact • Adapt Content
- 19. PARTNERING WITH HACEY HEALTH INITIATIVE
- 20. Pilot with HACEY
- 21. FP INFOcus Workshop • Pilot approach for Nigerian context • Collect feedback and refine the Guide • Produce videos
- 22. Pilot with HACEY “The FP INFOcus approach helps us to build capacity, innovate and sustain impact of our family planning program for young people who need it most." - HACEY Health Initiative
- 24. What else is in the FP INFOcus Guide? • LARC case study with HACEY • Sample worksheets/templates • Video ideas • Resource/equipment lists • Contraceptive method fact sheets
- 25. NEXT STEPS
- 26. Looking Ahead HACEY will produce/promote series of videos HACEY and HC3 will document lessons learned HC3 will launch the FP INFOcus Guide with webinar and Springboard discussion in July
- 29. Questions and Comments? Email Cori Fordham at cfordham@jhu.edu healthcommcapacity.org @healthcommcap #fpINFOcus
Editor's Notes
- My name is Cori Fordham. Program Officer, developed approach and wrote guide. - Excited to talk about FP INFOcus CCP’s 4YBY’s approach to sharing voices/stories and contraceptive information Promote informed Contraceptive Choice
- Before I jump into the guide and the approach: How we decided to create FP INFOcus Guide The resulting FP INFOcus approach and guide – group can follow process on own Experience with our pilot partner HACEY Health Initiative – testing guide and developing videos. Next Steps
- Part of the Johns Hopkins Center for Communication Programs in Baltimore CCP is part of Bloomberg School of Public Health, One of the largest centers at the school, with ~600 staff/35 countries. Communication is the most powerful/fundamental human interaction. Programs use a number of channels – mass media, interpersonal, digital - to to inspire healthy behaviors, mobilize community action, shape social norms, and inform the way health care is provided. HC3 is a five-year, $100 M dollar globally funded project by USAID Flagship SBCC Project Working in 34 countries, on a number of technical areas
- Focus of FP portfolio is using strategic communication to increase young people’s demand for the IUD and implant – or LARCs
- -Research shows that despite being the most effective reversible methods… LARCs are underutilized or inaccessible to young people in LMIC. An evidence scan on youth use gap found several barriers Lack of knowledge Misinformation about side effects, like IUDs causing infertility Attitude that LARCs are not appropriate for young, unmarried women who have not had children – providers not offering, youth not asking - No examples of communication materials to encourage LARC acceptance.
- - Team developed a suite materials to increase demand and use of LARCs Posters and brochures for young people Video and discussion guide for providers Motivate youth to talk to providers and improve quality of conversations Materials available for you to use and adapt, have been requested by 18 countries
- Participants expressed an interest in new ways to learn about LARCs Privately via the Internet Currently use Facebook, Twitter, Instagram and WhatsApp Wanted to hear experiences from other young people who use LARCs Thought dispelling side effects would increase interest Ranked the ways they preferred to receive health information: Mobile phones Radio soap opera and Facebook
- - Combine their interests and preferences - Deliver ENTERTAINMENT EDUCATION via mobile phones.
- Decided to build another tool that groups of young SRH advocates could use to communicate directly with their peers. Many groups interested in/already running activities for their communities FP INFOcus Guide – embraces 4YBY approach to health promotion Guide encourages groups of SRH advocates between the ages of 18-24 To develop, produce and promote short videos Real voices and perspectives from their communities – all using their mobile phones Teams will share trustworthy FP info and real life experiences with the various methods - unscripted and in their own words - By viewing/engaging, audience understand their options – including LARCs - More equipped to chose method
- Guide is developed around a mobile first approach Videos to be filmed, shared and viewed on mobile phones. Adapted to larger screens if needed. Why put emphasis on mobile phones? Phones common for information, communication or entertainment. File size and layout are planned with the way people are viewing content in mind More people can create and view FP INFOcus videos. Approach is meant to be quick, easy, low budget and use technology many have in their pockets Still allows for powerful stories to shine
- Guide also uses participatory video Brings together a group of people with something in common Explore an issue by Identifying local perspectives that represent them Developing solutions to issues that come up Videos/messages will connect with others like them Builds a group of “champions” can mobilize others around an issue
- Shift in the way we usually do business Rather than creating SRH content for young people Young people have power to create the content themselves To tell stories as they’d like
- Using the guide, strengthens skills of teams Ability to promote SRH strategically Adds another skillset to their toolkit Strengthens existing champions, and also creates them
- The guide is broken down into three steps. - Meant to be self-facilitated and practical. - Contains guidance and key considerations at each stage
- Identifying local issue and stories Developing content and messages Preparing video Emphasis on getting informed consent Includes informed consent form Recommends getting consent at various stages of video-making Filming stories of those who are over 18
- - Filming and editing on mobile phones and computers
- - Promoting videos using community events or social media Engaging with respondents and dealing with negative comments Adapting next round of content based on responses
- After we made the draft guide, really wanted to work with a youth partner in the field To get real world experiences using the guide To identify ways to strengthen draft guide and approach
- HACEY: Established in 2007, working toward a social and productive Nigerian society Fortunate to learn from experiences: SRH work in this context Innovative spirit Video-making skills HACEY is developing videos using the process Focus on LARCs Creating and promoting videos on social media Capturing lessons they learned, to be incorporated into the Guide
- Workshop in February Walked through the Prepare – Produce – Promote – Process steps - Talked to LARC users and looked at the barriers to LARCs in their community - Discussed which barriers could be addressed with videos Started filming videos and planned for additional video topics Provided feedback at each step
- HACEY’s excitement around the project was infectious – Responded well to the youth-led, practical and interactive nature Found skill-building beneficial – making this project stand out Excited by ability to tell their story and incorporate social media Felt peers would want to learn info this way Strengthen champions/create new ones Simple act of being at the table Discussing barriers and solutions Shaping and crafting the content not only strengthened existing champions, but also created new ones. 14 participants – range of backgrounds – some had reservations Became advocates at the end
- Something unexpected that I want to share: role of selfies and WhatsApp Clear young people loved selfies, so we decided to play on this in fun way. Had a challenge to keep everyone’s interest in workshop. People uploaded their selfies to WhatsApp WhatsApp group has continued – first started by us, now run by group Check in Share resources Continue momentum Share selfies Plus, provides great “behind the scenes photos” which will be used for promotion
- Experiences from HACEY will be included in the guide as a case study
- HC3 will launch the FP INFOcus Guide for everyone to adapt and use in webinar and Springboard discussion in July.
- Springboard is a social platform for sharing SBCC knowledge, experiences and resources with other health communication professionals. Group discussions are among the many features We’ll be hosting an online chat to discuss launch of the FP INFOcus Guide, as well as general topics Improving youth’s access to contraceptive information Using digital storytelling We’d love to see you there.
- Thank the American People and USAID HACEY and the Workshop Participants Liz Futrell & David Alexander from K4Health, another project at CCP