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How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda

Voluntary, rights-based family planning upholds women’s right to determine freely the number and spacing of their children. However, low-resource settings like Uganda still face a high unmet need for family planning. And, while urban areas are often indicated to have better access to health services...

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Autores principales: Ssanyu, Jacquellyn Nambi, Kananura, Rornald Muhumuza, Birabwa, Catherine, Kizito, Felix, Namutamba, Sarah, Akongo, Dorothy, Namara, Elizabeth, Kyangwa, Moses, Kaula, Henry, Nakimuli, Doreen, Magunda, Andrew, Kakaire, Othman, Waiswa, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540946/
https://www.ncbi.nlm.nih.gov/pubmed/37773920
http://dx.doi.org/10.1371/journal.pgph.0002421
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author Ssanyu, Jacquellyn Nambi
Kananura, Rornald Muhumuza
Birabwa, Catherine
Kizito, Felix
Namutamba, Sarah
Akongo, Dorothy
Namara, Elizabeth
Kyangwa, Moses
Kaula, Henry
Nakimuli, Doreen
Magunda, Andrew
Kakaire, Othman
Waiswa, Peter
author_facet Ssanyu, Jacquellyn Nambi
Kananura, Rornald Muhumuza
Birabwa, Catherine
Kizito, Felix
Namutamba, Sarah
Akongo, Dorothy
Namara, Elizabeth
Kyangwa, Moses
Kaula, Henry
Nakimuli, Doreen
Magunda, Andrew
Kakaire, Othman
Waiswa, Peter
author_sort Ssanyu, Jacquellyn Nambi
collection PubMed
description Voluntary, rights-based family planning upholds women’s right to determine freely the number and spacing of their children. However, low-resource settings like Uganda still face a high unmet need for family planning. And, while urban areas are often indicated to have better access to health services, emerging evidence is revealing intra-urban socio-economic differentials in family planning utilization. To address the barriers to contraceptive use in these settings, understanding community-specific challenges and involving them in tailored intervention design is crucial. This paper describes the use of co-design, a human-centred design tool, to develop context-specific interventions that promote voluntary family planning in urban settings in Eastern Uganda. A five-stage co-design approach was used: 1) Empathize: primary data was collected to understand the problem and people involved, 2) Define: findings were shared with 56 participants in a three-day in-person co-design workshop, including community members, family planning service providers and leaders, 3) Ideate: workshop participants generated potential solutions, 4) Prototype: participants prioritized prototypes, and 5) Testing: user feedback was sought about the prototypes. A package of ten interventions was developed. Five interventions targeted demand-side barriers to family planning uptake, four targeted supply-side barriers, and one addressed leadership and governance barriers. Involving a diverse group of co-creators provided varied experiences and expertise to develop the interventions. Participants expressed satisfaction with their involvement in finding solutions to challenges in their communities. However, power imbalances and language barriers were identified by the participants as potential barriers to positive group dynamics and discussion quality. To address them, participants were separated into groups, and medical terminologies were simplified during brainstorming sessions. These changes improved participation and maximized the contributions of all participants. It is therefore important to consider participant characteristics and their potential impact on the process, especially when engaging diverse participant groups, and implement measures to mitigate their effects.
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spelling pubmed-105409462023-10-01 How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda Ssanyu, Jacquellyn Nambi Kananura, Rornald Muhumuza Birabwa, Catherine Kizito, Felix Namutamba, Sarah Akongo, Dorothy Namara, Elizabeth Kyangwa, Moses Kaula, Henry Nakimuli, Doreen Magunda, Andrew Kakaire, Othman Waiswa, Peter PLOS Glob Public Health Research Article Voluntary, rights-based family planning upholds women’s right to determine freely the number and spacing of their children. However, low-resource settings like Uganda still face a high unmet need for family planning. And, while urban areas are often indicated to have better access to health services, emerging evidence is revealing intra-urban socio-economic differentials in family planning utilization. To address the barriers to contraceptive use in these settings, understanding community-specific challenges and involving them in tailored intervention design is crucial. This paper describes the use of co-design, a human-centred design tool, to develop context-specific interventions that promote voluntary family planning in urban settings in Eastern Uganda. A five-stage co-design approach was used: 1) Empathize: primary data was collected to understand the problem and people involved, 2) Define: findings were shared with 56 participants in a three-day in-person co-design workshop, including community members, family planning service providers and leaders, 3) Ideate: workshop participants generated potential solutions, 4) Prototype: participants prioritized prototypes, and 5) Testing: user feedback was sought about the prototypes. A package of ten interventions was developed. Five interventions targeted demand-side barriers to family planning uptake, four targeted supply-side barriers, and one addressed leadership and governance barriers. Involving a diverse group of co-creators provided varied experiences and expertise to develop the interventions. Participants expressed satisfaction with their involvement in finding solutions to challenges in their communities. However, power imbalances and language barriers were identified by the participants as potential barriers to positive group dynamics and discussion quality. To address them, participants were separated into groups, and medical terminologies were simplified during brainstorming sessions. These changes improved participation and maximized the contributions of all participants. It is therefore important to consider participant characteristics and their potential impact on the process, especially when engaging diverse participant groups, and implement measures to mitigate their effects. Public Library of Science 2023-09-29 /pmc/articles/PMC10540946/ /pubmed/37773920 http://dx.doi.org/10.1371/journal.pgph.0002421 Text en © 2023 Ssanyu et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ssanyu, Jacquellyn Nambi
Kananura, Rornald Muhumuza
Birabwa, Catherine
Kizito, Felix
Namutamba, Sarah
Akongo, Dorothy
Namara, Elizabeth
Kyangwa, Moses
Kaula, Henry
Nakimuli, Doreen
Magunda, Andrew
Kakaire, Othman
Waiswa, Peter
How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda
title How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda
title_full How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda
title_fullStr How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda
title_full_unstemmed How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda
title_short How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda
title_sort how a co-design process led to more contextually relevant family planning interventions in emerging urban settings in eastern uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540946/
https://www.ncbi.nlm.nih.gov/pubmed/37773920
http://dx.doi.org/10.1371/journal.pgph.0002421
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