Handbook for Research on the Family Planning Market—Volume 1: Using Data to Inform a Total Market Approach to Family Planning

A “total market approach” (TMA) to family planning promotes access to family planning for individuals and couples through coordination and collaboration among government health care services, nonprofit health care services, and the business/commercial sector for family planning products. While many countries are interested in the TMA approach to family planning policies and strategies, it’s difficult to know what steps to take first to inform plans and programs. MEASURE Evaluation, in collaboration with the Evidence Project (both funded by USAID), has developed several resources, including a planning tool (Planning Guide for a Total Market Approach to Increase Access to Family Planning—Module 2: In-depth Analyses of the Family Planning Market) and a two-volume handbook (in addition to this one, Handbook for Research on the Family Planning Market—Volume 2: Tool and Resources for an In-depth Analysis of the Family Planning Market), to standardize a best-practice guide for countries to assess their particular need and readiness for TMA. These resources are part of a larger toolkit, which also includes a Landscape Assessment (Planning Guide for a Total Market Approach to Increase Access to Family Planning—Module 1: Landscape Assessment) and Toolkit (Planning Guide for a Total Market Approach to Increase Access to Family Planning: Toolkit and Glossary) produced by PATH, and a joint publication by all three projects (Guide for Assessing the Impact of a Total Market Approach to Family Planning Programs)

Handbook for Research on the Family Planning Market—Volume 2: Tool and Resources for an In-depth Analysis of the Family Planning Market

A “total market approach” (TMA) to family planning promotes access to family planning for individuals and couples through coordination and collaboration among government health care services, nonprofit health care services, and the business/commercial sector for family planning products. While many countries are interested in the TMA approach to family planning policies and strategies, it’s difficult to know what steps to take first to inform plans and programs. MEASURE Evaluation, in collaboration with the Evidence Project (both funded by USAID), has developed several resources, including a planning tool (Planning Guide for a Total Market Approach to Increase Access to Family Planning—Module 2: In-depth Analyses of the Family Planning Market) and a two-volume handbook (in addition to this one, Handbook for Research on the Family Planning Market. Volume 1: Using Data to Inform a Total Market Approach to Family Planning), to standardize a best-practice guide for countries to assess their particular need and readiness for TMA. These resources are part of a larger toolkit, which also includes a Landscape Assessment (Planning Guide for a Total Market Approach to Increase Access to Family Planning—Module 1: Landscape Assessment) and Toolkit (Planning Guide for a Total Market Approach to Increase Access to Family Planning: Toolkit and Glossary) produced by PATH, and a joint publication by all three projects (Guide for Assessing the Impact of a Total Market Approach to Family Planning Programs)

Planning Guide for a Total Market Approach to Increase Access to Family Planning—Module 2: In-depth Analyses of the Family Planning Market

A “total market approach” (TMA) to family planning promotes access to family planning for individuals and couples through coordination and collaboration among government health care services, nonprofit health care services, and the business/commercial sector for family planning products. While many countries are interested in the TMA approach to family planning policies and strategies, it’s difficult to know what steps to take first to inform plans and programs. MEASURE Evaluation, in collaboration with the Evidence Project (both funded by USAID), has developed several resources, including this planning tool and a two-volume handbook (Handbook for Research on the Family Planning Market. Volume 1: Using Data to Inform a Total Market Approach to Family Planning and Handbook for Research on the Family Planning Market Volume 2: Tool and Resources for an In-depth Analysis of the Family Planning Market), to standardize a best-practice guide for countries to assess their particular need and readiness for TMA. These resources are part of a larger toolkit, which also includes a Landscape Assessment (Planning Guide for a Total Market Approach to Increase Access to Family Planning—Module 1: Landscape Assessment) and Toolkit (Planning Guide for a Total Market Approach to Increase Access to Family Planning: Toolkit and Glossary) produced by PATH, and a joint publication by all three projects (Guide for Assessing the Impact of a Total Market Approach to Family Planning Programs)

Piloting a digital campaign to promote awareness of the Louisiana TelePrEP program among sexual and gender minority young adults.

Despite the proven efficacy of pre-exposure prophylaxis (PrEP) in preventing HIV acquisition, PrEP is underutilized by sexual and gender minority young adults in the 13 states in the United States "South." In this paper, we describe the process we used to develop a digital campaign to promote awareness and engagement of sexual and gender minority young adults in the Louisiana Department of Health's TelePrEP Program and provide campaign performance metrics. In Phase 1, we conducted formative research that informed campaign development and strategy. In total, 109 sexual and gender minority young adults completed a survey of PrEP constructs (e.g., facilitators, barriers). We also conducted three, sequential focus groups to iteratively generate, revise and refine the digital material. In collaboration with our strategic marketing partner (SMP), we developed 3 different ads and 1 video ad to promote on web and mobile-in app display, as well as Facebook, Instagram, and YouTube. Phase 2 focused on campaign implementation and evaluation (e.g., number of impressions, user activities on LA TelePrEP landing page). In the first few weeks of the campaign, data from tracking pixels indicated minimal activities on the landing page. We paused to revamp the campaign. Our SMP determined that a more young adult-focused landing page could bolster engagement. We created a new landing page and reran the campaign for 33 days. We saw substantially more user activities on the new landing page (n = 382) compared to the LA TelePrEP landing page (n = 185). Overall, we had 730,665 impressions and 475 link clicks. By collaborating with our SMP, we effectively and efficiently translated our community-engaged formative research into relevant and engaging digital content. This pilot study is one of the first to demonstrate the importance of using tracking pixels to monitor real-time user data to optimize performance of a digital PrEP campaign

Piloting a digital campaign to promote awareness of the Louisiana TelePrEP program among sexual and gender minority young adults.

Despite the proven efficacy of pre-exposure prophylaxis (PrEP) in preventing HIV acquisition, PrEP is underutilized by sexual and gender minority young adults in the 13 states in the United States South. In this paper, we describe the process we used to develop a digital campaign to promote awareness and engagement of sexual and gender minority young adults in the Louisiana Department of Health\u27s TelePrEP Program and provide campaign performance metrics. In Phase 1, we conducted formative research that informed campaign development and strategy. In total, 109 sexual and gender minority young adults completed a survey of PrEP constructs (e.g., facilitators, barriers). We also conducted three, sequential focus groups to iteratively generate, revise and refine the digital material. In collaboration with our strategic marketing partner (SMP), we developed 3 different ads and 1 video ad to promote on web and mobile-in app display, as well as Facebook, Instagram, and YouTube. Phase 2 focused on campaign implementation and evaluation (e.g., number of impressions, user activities on LA TelePrEP landing page). In the first few weeks of the campaign, data from tracking pixels indicated minimal activities on the landing page. We paused to revamp the campaign. Our SMP determined that a more young adult-focused landing page could bolster engagement. We created a new landing page and reran the campaign for 33 days. We saw substantially more user activities on the new landing page (n = 382) compared to the LA TelePrEP landing page (n = 185). Overall, we had 730,665 impressions and 475 link clicks. By collaborating with our SMP, we effectively and efficiently translated our community-engaged formative research into relevant and engaging digital content. This pilot study is one of the first to demonstrate the importance of using tracking pixels to monitor real-time user data to optimize performance of a digital PrEP campaign

Reaching the 'first 90': Gaps in coverage of HIV testing among people living with HIV in 16 African countries.

UNAIDS has recently proposed a set of three ambitious targets that, if achieved, are predicted to end the AIDS epidemic by 2030. The targets, known as 90-90-90, call for 90% of people living with HIV (PLHIV) to know their status, 90% of PLHIV to receive antiretroviral therapy, and 90% of those on antiretroviral therapy to achieve viral suppression by the year 2020. We examine the first of these targets, focusing on sub-Saharan Africa, the region of the world most affected by HIV, to measure the proportion of PLHIV estimated to know their HIV status, and to identify background and behavioral characteristics significantly associated with gaps in ever testing among PLHIV.We analyze cross-sectional population-based data from the Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS) fielded since 2010 in 16 sub-Saharan African countries where voluntary serological testing was recently conducted: Burkina Faso, Cameroon, Chad, Cote d'Ivoire, Ethiopia, Gabon, Lesotho, Malawi, Namibia, Rwanda, Sierra Leone, Tanzania, Togo, Uganda, Zambia, and Zimbabwe. Survey response rates averaged 95.0% (range 89.3-99.5%), while consent to serotesting averaged 94.9% (range 88.7-99.6%). This study, which includes more than 14,000 respondents living with HIV, finds that 69% of PLHIV in the average study country have ever been tested for HIV (range 34-95%). Based on timing of the last test and on ART coverage, we estimate that 54% of PLHIV in the average country are aware of their status (range 26-84%). Adjusted logistic regression finds that men (median adjusted odds ratio [AOR] = 0.38), adults with less than primary education (median AOR = 0.31), and adolescents (median AOR = 0.32) are consistently less likely to have ever been tested for HIV than women, adults with secondary and above education, and adults age 30-39, respectively. In most countries unadjusted logistic regression also finds significant gaps in testing among the poorest groups and those reporting never having had sex.The fact that an average of 54% of PLHIV in these 16 countries are estimated to know their status reflects encouraging progress. However, not only is this average far short of the 90% target set by UNAIDS for 2020, but it also implies that in the average study country nearly one-half of PLHIV are unable to access lifesaving care and treatment because they are unaware that they are HIV-positive. Several gaps in HIV testing coverage exist, particularly among adolescents, the least educated, and men. While the need to target demographic groups at greatest risk of HIV continues, additional interventions focused on reaching men and on reaching socially vulnerable populations such as adolescents, the poorest, and the least educated are essential

Adjusted socio-demographic and risk factors associated with ever being tested for HIV among PLHIV, by country.

<p>Adjusted socio-demographic and risk factors associated with ever being tested for HIV among PLHIV, by country.</p

percentage distribution of selected characteristics among PLHIV Age 15–49, by country.

<p>percentage distribution of selected characteristics among PLHIV Age 15–49, by country.</p

Unadjusted socio-demographic and risk factors associated with ever being tested for HIV among PLHIV, by country.

<p>Unadjusted socio-demographic and risk factors associated with ever being tested for HIV among PLHIV, by country.</p

Response rate and HIV prevalence.

<p>Response rate and HIV prevalence.</p