MARCH Outcome Evaluation
Box 1. Items (questions) used to define exposure to the MARCH intervention
Operational definition of exposure to the MARCH Intervention
In the past year, did you participate in MARCH discussion groups, led by a peer educator or community based reproductive health agent from CARE?
1-Not at all
2-Only went to 1 or 2 meetings and then stopped going
3-Missed more than half of the meetings
4-Missed about half of the meetings
5-Missed only a few of the meetings
6-Never missed one of the meetings
. Did you listen to the drama (Yeken Kegenet) in a CARE listening and discussion groups?
. In the past year, did you attend community drama (Yeken Kegenet) presentation by CARE?
Non-exposed: --------------- Q1=1 and Q2=2 and Q3=2
Moderately-exposed: ------- Q1< = 3 or Q2=1 or Q3=1
To assess the actual impact of the MARCH intervention as opposed to changes that may have happened over time even in the absence of this particular set of interventions, we examined differences between respondents (i.e. of the outcome survey) who exposed to the intervention and those who did not. Since the level of exposure to the MARCH intervention varies among respondents, we categorized respondents as “Non-exposed”, “Moderately exposed” and “Highly exposed”, as defined in Box 1.
Accordingly, for an individual respondent to be considered “highly-exposed”, he/she must have participated in the MARCH discussion group regularly (i.e. participated in at least half of the meetings). Whereas those individuals who have irregularly participated to the MARCH discussion group or those who listened to the drama (i.e. Yeken Kegenet) in a Care meeting and discussion group or those who attended the community drama presentation by Care were considered as “moderately-exposed”. The “non-exposed” are those who did not participate (or exposed) in any of the MARCH related intervention activities.
Socio-demographic characteristics of the non-, moderately-and highly-exposed respondents
Table 3 contrasts the background characteristics of the non-, moderately-and highly-exposed respondents. The majority of respondents in both areas were not at all exposed to MARCH (56.6% in Addis Ababa and 71.1% in West Hararghe). On the other hand, 43.4% and 28.9% of the respondents from Addis Ababa and West Hararghe, respectively, reported that they had been exposed to the MARCH intervention at varying levels, with most having been exposed moderately. Only 4.6% and 13.8% of the respondents from the two sites, respectively, were
Addis Ababa and West Hararghe