Feasibility testing of a community dialogue approach for promoting the uptake of family planning and contraceptive services in Zambia

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Abstract Background Community dialogues have been used in various participatory approaches in various health prevention and awareness programs, including family planning interventions to increase understanding and alignment of particular issues from different peoples’ perspectives. The feasibility testing comprised of the implementation of a community dialogue intervention which generated discussion on key issues that needed to be addressed to decrease the unmet need for family planning- in this instance improving Quality of Care; and an evaluation thereof. The aim of this paper is to document the evaluation of the feasibility testing of a community dialogue approach, as part of formative phase research, in order to increase community and health care provider dialogue about family planning and contraceptives. Methods The operational and cultural feasibility of the community dialogue was evaluated through participant observations during the dialogue, using a standardised feasibility testing tick-list, and through focus group discussions with three different groups of stakeholders who participated in the community dialogue. Results Overall, 21 of the 30 invited participants attended the meeting. The approach created dialogue on family planning and QoC as per the objectives of the feasibility testing. There was a dialogue about how the quality of care could be achieved in family planning from the divergent stakeholders, guided by the agreed-upon ground rules. A need for more time for discussion and representation from the adolescents and other stakeholders in family planning such as the nutritionist was noted. Some participants were not comfortable with the language used, while others felt the other participants had more knowledge about the topics discussed. Conclusion Generally, the community dialogue was well received by the community members and the healthcare providers, as was seen from the positives sentiment expressed by both categories. Some key considerations for refining the approach included soliciting maximum participation from otherwise marginalized groups like the youths would provide stronger representation.

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