Nepal Knowledge, Attitudes, and Practices Survey

Background:

The SHOPS Plus Nepal program implemented a pair of baseline and endline knowledge, attitudes, and practices (KAP) surveys to evaluate the effectiveness of health promotion and education activities implemented by the Nepal CRS Company in the Ghar Ghar Maa Swasthya (GGMS) Project. The Nepal CRS Company implements GGMS activities in 49 hill and mountain districts. In four districts, CRS implemented a program called the Remote Area Initiative (RAI), a component of GGMS that includes more intensive behavior change activities. GGMS focuses on improving health outcomes related to family planning and maternal and child health. RAI activities worked on family planning and maternal and child health, but also addressed a wider range of issues that are not addressed by CRS in all GGMS districts, including antenatal care, safe delivery, and personal hygiene. All GGMS activities began before 2017 and were ongoing while the RAI activities began in 2018 after SHOPS Plus completed the KAP baseline survey. The KAP survey collected baseline and endline data to measure the effectiveness of GGMS and RAI activities as well as to inform CRS project improvements throughout the period of SHOPS Plus work with CRS (2017-2020).

Objectives/research questions:

The overall objective of this research effort was to understand the effectiveness of the GGMS and Remote Area Initiative interventions at improving KAP in key health areas among women ages 15-49.

Methods:

The study used two surveys to obtain the required information. A baseline survey assessed current KAP related to key GGMS and RAI outcomes and provided CRS with information to inform management of its GGMS and RAI activities. An endline survey provided data that could be used to evaluate the effectiveness of GGMS and RAI interventions during the period that SHOPS Plus worked with CRS (2017 – 2020) and measured changes in key outcomes, including modern contraceptive prevalence rate and use of oral rehydration salts in GGMS and RAI districts as well as attendance at antenatal care visits and institutional deliveries in RAI districts.

Relevant resources:

• Informing Reproductive and Child Health Social and Behavior Change Programs: Findings from a household survey in Nepal
• Use of the opportunity, ability, and motivation behavior change framework to generate family planning demand in rural settings: Findings from Nepal
• Using data to design an evidence-based social and behavior change program in rural Nepal
• Executive Summary: Knowledge, Attitudes, and Practices Surveys in Nepal

Status: Completed
Date of last update: November 2020

Learn more about our work in Nepal, pharmaceutical partnerships and social marketing, family planning, and child health.

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