Table 5 Overview of finalized content of the family health = family wealth intervention, organized by the three areas of “Family Health”: physical health, relationship health, and economic health
Session | Outlined content |
|---|---|
Pre-intervention health worker capacity building | • Needs assessment conducted at public health facilities in intervention village to assess gaps in contraceptive knowledge and skills among health workers conducted in partnership with District Health Team. • Tailored family planning refresher training provided in partnership with the District Health Team to address training gaps. |
Session 1 | |
Men’s Only Session ~ 90 min | • Guided discussion to identify gender-specific definitions of “family wealth,” interpersonal and community barriers to family health and wealth, and redefine group norms on a “successful” family. Content tailored to the norms relevant to men and women’s separate groups. • Program and family planning endorsed by a community leader |
Women’s Only Session ~ 90 min | |
Session 2 | |
Men’s Only Session ~ 2 h | • Relationship Health: Discussion on healthy relationships and family planning (partner violence, communication, decision-making, caregiver roles, gender norms); role modeling of gender equitable couples • Economic Health: Business skill training co-facilitated with a local business expert (male expert) |
Women’s Only Session ~ 2 h | • Physical Health: Contraceptive education co-facilitated with a health worker • Economic Health: Business skill training co-facilitated with a local business expert (female expert) |
Session 3 | |
Couples’ Session ~ 2 h | • Physical Health: Contraceptive education co-facilitated with a local health worker; Health worker to provide family planning/linkages to care; create a “Family Action Plan” – setting family size and contraception goals • Relationship Health: Communication skills building activities; create a Family Action Plan – setting relationship goals (take home assignment) • Economic Health: Family budgeting |
Session 4 | |
Couples’ Session ~ 2 h | • Relationship Health: Communication skills building activity • Revisit Family Action Plan goals as a couple • Guided discussion to identify community barriers and solutions for family planning access/uptake co-facilitated with community leader (e.g., Community Development Officer) • Introduction to a “Community Action Plan” co-facilitated • Local health worker to provide family planning/linkages to care • Program and family planning endorsed by a community leader |