Overhead Template

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Juntos Decidimos Cuando
(Together We Decide When)
Connecting With Youth in Nicaragua
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Nicaragua
Nicaragua
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Population Age Distribution in Nicaragua
Source 1995 Population Census. Resumen Censal .
Instituto Nacional de Estadisticas y Censos
Nicaragua 1996
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Total Fertility Rates in Nicaragua and Other
Central American Countries
TFR
Costa Rica
El Salvador
Honduras
Nicaragua
Guatemala
Source Population Reference Bureau, 1999. World
Population Data Sheet.
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Percentage of Women 15 - 19 Giving Birth Each
Year. Nicaragua and Other Selected Countries in
Central America
Percent
Costa Rica
El Salvador
Guatemala
Nicaragua
Honduras
SourcePopulation Reference Bureau, 1998. World
Population Data Sheet.
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Collaboration for Reproductive Health

• Interagency Commission for Reproductive Health
• 18-20 governmental and non-governmental agencies
  working on reproductive health at the national
  level with an emphasis on youth
• Ministry of Health

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Campaign Goal

• Contribute to the reduction of unwanted pregnancy
  and early fertility by
• Providing reproductive health information
• Promoting reproductive health services

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Behavior Change Objectives

• Recognition of campaign logo as a symbol of
  reproductive health services
• Reinforce positive attitudes towards postponing
  union and first pregnancy.
• Increase adoption of spacing as a way of caring
  for the first child.

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Intended Audiences and Messages

• Unmarried adolescents and young adults, between
  the ages of 15 and 24
• Benefits of delaying first sexual intercourse
• Married young adults, between the ages of 15 and
  24
• Benefits of delaying first child and spacing

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Campaign Communication Channels

• Mass media
• TV (3 spots)
• Radio (4 spots)
• Clinic signs
• Brochures
• Bus billboard
• Posters
• T-shirts

• Enter-educate
• Street Theater
• 2 Songs

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Youth Mobilization Responding to the needs of
youth

• Campaign addition in response to questions from
  youth
• How can we become involved?
• How can we become promoters of the campaign?

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Youth Mobilization

• Ownership of the campaign
• Redesign of the Logo
• Launch Managua wide mobilization
• Formed youth commissions at local level
• Local launches of Juntos

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Mobilization
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Local Launchings of Juntos
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Evaluation of Campaign

• ENDESA98 (Nicaragua DHS)
• Total Sample size
• 13,634 women 15-49
• 2,919 men 15-59
• Sample 15-24
• 5,800 women
• 1,179 men

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Recognition of Logo by Age Group
Men and Women 15-44
Percent
Age Group
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Media Type of Exposure to Logo
Percent
Men and Women (15-24)
TV
Buses
Printed
Health services
Others
Type of Media
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Association of Logo to Reproductive Health or
Family Planning
Percent
15-19
25-29
35-39
45-49
55-59
Age Group
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Population who Heard the Campaign Slogan by Age
Group
Percent
15-19
25-29
35-39
45-49
55-59
Age Group
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Interpretations of Slogan by Intended Audience
Men and Women (15-24)
Percent
When sex
When to marry
Spacing children
RH/ Womens health
No children if young
Other
children
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Recall of Logo and/or Slogan by Intensity of
Campaign
Men and Women (15-24)
Percent
Level of Exposure
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Actions Taken as a Consequence of Exposure to
Campaign
Women 15-24
Percent
Avoid Pregnancy
Talk to someone
Avoid sex
Delay union
Discuss FP with partner
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Actions Taken as a Consequence of Exposure to
Campaign
Men 15-24
Percent
Talk to someone
Avoid sex
Avoid Pregnancy
Delay union
Discuss FP with partner
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Who Did They Talk To?
Men and Women 15-24
Percent
Partner boy/girl friend
Female friends
Male friends
Father
Mother
Other relative
Others
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Action Taken by Number of Communication Channels
Men and Women 15-24
Percent
Number of Communication Channels
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Conclusions

• High exposure to campaign logo and slogan among
  all age groups
• Strong association of logo and slogan with RH and
  FP issues
• Exposure to campaign prompted interpersonal
  communication particularly among peers and
  partners

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Conclusions

• Being cautious to avoid pregnancy was the second
  most important action taken by married young
  adults 15-24
• Postponing union and avoiding sex were also
  actions taken by single young adults 15-24 as a
  result of beign exposed to the campaign