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Social and Behavior Change Communication to Address Family Planning Uptake in an Integrated Program in Zambia

Publication Date: 

Zambia SBCC and Family Planning endline reportThis report summarizes evaluation findings on the effectiveness of a series of social and behavior change communication (SBCC) interventions to increase uptake of modern family planning (FP) services within an integrated program in the catchment area of the Mwase Lundazi Zonal Rural Health Center, Eastern Province, Zambia. The CARE and C-Change study used qualitative interviews and community-based surveys to assess FP acceptance and uptake, as well as changes in underlying social norms that influence FP behaviors, including those concerning ideal family size. Between baseline and endline, reported use and approval of modern FP methods increased significantly for most respondents. Women reported greater knowledge of FP sources and methods and a greater proportion reported they wanted no more children. Perceived norms of ideal family size also shifted downward for male and female respondents, and a shift was indicated in some attitudes and beliefs related to desired number of children and joint decision-making on FP.