The impact of an educational program based on BASNEF model on the selection of a contraceptive method in women

Abstract

ABSTRACT

Background: Quality of services, making communications with target groups, and educating them are among the most important success factors in implementation of family planning programs. Provision of public access to contraception and related methods, counseling services, and paying attention to social specification and cultures are important in promotion of service quality. With regard to applicability of health education theories and models, the present study aimed to find the impact of an educational program based on BASNEF model to choose contraceptive methods in women referring to health care centers in Minoodasht in 2012.

Materials and Methods: This is a quasi-experimental study. Data were collected using BASNEF questionnaire by the researcher from women referring to health care centers in two groups of study and control (n = 100 in each group). Educational intervention (in the form of four educational 1-h sessions once a week during 1 month and two additional review sessions) was conducted in the form of group and face-to-face discussions and educational booklets were distributed. Data were analyzed by Chi-square, analysis of covariance (ANCOVA), paired t-test, and t-test through SPSS version 14.

Results: After intervention, mean score of knowledge was significantly higher in the study group compared to control (P < 0.003). Intervention led to a better attitude in the study group (P < 0.0001). Mean score of subjective norms and enabling factors after intervention was significantly higher in the study group compared to control (P < 0.0001). The change in practice had a significant increase in the study group (54%) compared to control (9%).

Conclusions: BASNEF-based educational intervention was effective in increasing women’s knowledge, attitude, and practice. As family and educational facilities are among the influencing factors on contraceptive method selection, interventional planning is hoped to be based on educational model.

Key words: BASNEF model, contraceptive method, withdrawal