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Social networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis

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  • Kincaid, D. Lawrence
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    Abstract

    Longitudinal survey data from a panel of married women in Bangladesh is used to estimate the impact of a social network approach to family planning field worker communication and to test a theoretical model of behavior change that explains why women adopt modern contraceptives. Government field workers were trained to organize group discussions with women in the homes of opinion leaders located at central points in each village's social network. A set of intervening variables, referred to collectively as 'ideation', are derived from diffusion of innovation and social network theory to explain how the social network approach affects contraceptive behavior. The rate of increase in modern contraceptive use was found to be five times greater among women in the social network approach than among women who were visited by field workers at home. The impact of the social network approach on modern contraceptive use was almost double that of conventional field worker visits after controlling for the effects of prior contraceptive use and intention, prior home visits, and selected socio-demographic characteristics. Both approaches had the same degree of impact on ideation. The results confirm the influence of ideation on fertility change and suggest that family planning programs would benefit from training field workers to use a social network approach.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 50 (2000)
    Issue (Month): 2 (January)
    Pages: 215-231

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    Handle: RePEc:eee:socmed:v:50:y:2000:i:2:p:215-231

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    Keywords: Social networks Communication Family planning Ideation Evaluation;

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    Cited by:
    1. Mertens, Frédéric & Saint-Charles, Johanne & Mergler, Donna, 2012. "Social communication network analysis of the role of participatory research in the adoption of new fish consumption behaviors," Social Science & Medicine, Elsevier, vol. 75(4), pages 643-650.
    2. YOUM Yoosik, 2011. "A Network Approach to the Economic Models of Fertility," Discussion papers 11062, Research Institute of Economy, Trade and Industry (RIETI).
    3. Godlonton, Susan & Thornton, Rebecca, 2012. "Peer effects in learning HIV results," Journal of Development Economics, Elsevier, vol. 97(1), pages 118-129.

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