Feasibility of Using Short Message Service and In-Depth Interviews to Collect Data on Contraceptive Use Among Young, Unmarried, Sexually Active Men in Moshi, Tanzania, and Addis Ababa, Ethiopia: Mixed Methods Study With a Longitudinal Follow-Up.

Autor:	Pima FM; Department of Clinical Trials, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania., Oshosen M; Department of Clinical Trials, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania., Ngowi KM; Department of Clinical Trials, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Department of Medical Psychology, University Medical Centre Amsterdam - Amsterdam Medical Centre, Amsterdam, Netherlands., Habte BM; School of Pharmacy, Addis Ababa University, Addis Ababa, Ethiopia., Maro E; Department of Obstetrics and Gynecology, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania., Teffera BE; SEGEL Research and Training Consulting PLC, Addis Ababa, Ethiopia., Kisigo G; Department of Clinical Trials, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania., Swai IU; Department of Clinical Trials, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania., Msangi SS; Department of Clinical Trials, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania., Ermias A; SEGEL Research and Training Consulting PLC, Addis Ababa, Ethiopia., Mmbaga BT; Department of Clinical Trials, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania., Both R; SEGEL Research and Training Consulting PLC, Addis Ababa, Ethiopia., Sumari-de Boer M; Department of Clinical Trials, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Department of International Health, Radboud University Medical Centre, Nijmegen, Netherlands.
Jazyk:	angličtina
Zdroj:	JMIR formative research [JMIR Form Res] 2019 Jun 26; Vol. 3 (2), pp. e12657. Date of Electronic Publication: 2019 Jun 26.
DOI:	10.2196/12657
Abstrakt:	Background: Data on contraceptive needs and use among young unmarried men are limited. Conventional ways of data collection may lead to limited and unreliable information on contraceptive use due to sensitivity of the topic, as many young men feel ashamed to discuss their behavior of using contraceptives. As short message service (SMS) is anonymous and a commonly used means of communication, we believe that if deployed, it will create a promising user-friendly method of data collection. Objective: The objective was to investigate the feasibility of using SMS to collect data on sexually active, young, unmarried men's sexual behavior and contraceptive preferences, practices, and needs in Addis Ababa, Ethiopia, and Moshi, Tanzania. Methods: We enrolled men aged 18-30 years who were students (in Ethiopia and Tanzania), taxi or local bus drivers/assistants (Ethiopia and Tanzania), Kilimanjaro porters (Tanzania), or construction workers (Ethiopia). Young men were interviewed using a topic list on contraceptive use. They were followed up for 6 months by sending fortnightly SMS texts with questions about contraceptive use. If the young men indicated that they needed contraceptives during the reporting period or were not satisfied with the method they used, they were invited for a follow-up interview. At the end of the study, we conducted exit interviews telephonically using a semistructured questionnaire to explore the feasibility, acceptability, and accuracy of using SMS to validate the study findings in both countries. Results: We enrolled 71 young unmarried men-35 in Tanzania and 36 in Ethiopia. In Moshi, 1908 messages were delivered to participants and 1119 SMS responses were obtained. In Ethiopia, however, only 525 messages were sent to participants and 248 replies were received. The question on dating a girl in the past weeks was asked 438 times in Tanzania and received 252 (58%) replies, of which 148 (59%) were "YES." In Ethiopia, this question was asked 314 times and received 64 (20%) replies, of which 52 (81%) were "YES" (P=.02 for difference in replies between Tanzania and Ethiopia). In Tanzania, the question on contraceptive use was sent successfully 112 times and received 108 (96%) replies, of which 105 (94%) were "YES." In Ethiopia, the question on contraceptive use was asked 17 times and received only 2 (11%) replies. Exit interviews in Tanzania showed that SMS was accepted as a means of data collection by 22 (88%) of the 25 interviewed participants. Conclusions: Despite network and individual challenges, the SMS system was found to be feasible in Moshi, but not in Addis Ababa. We recommend more research to scale up the method in different groups and regions. (©Francis Maganga Pima, Martha Oshosen, Kennedy Michael Ngowi, Bruck Messele Habte, Eusebious Maro, Belete Eshete Teffera, Godfrey Kisigo, Iraseni Ufoo Swai, Salim Semvua Msangi, Amha Ermias, Blandina T Mmbaga, Rosalijn Both, Marion Sumari-de Boer. Originally published in JMIR Formative Research (http://formative.jmir.org), 26.06.2019.)
Databáze:	MEDLINE
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