Revitalizing Underutilized Family Planning Methods: Using Communication and Community Engagement to Stimulate Demand for Vasectomy in Honduras
In 2003, ACQUIRE began a collaboration with the MOH to develop public-sector capacity in no-scalpel vasectomy (NSV) service delivery and, ultimately, to increase NSV service use and prevalence. As vasectomy services were virtually nonexistent in the public sector, their introduction was a significant advance in FP efforts. The ACQUIRE Project introduced its Supply-Demand-Advocacy (SDA) Program Model for FP / RH Service Delivery to coordinate and synchronize mutually reinforcing components -- supply, demand, and advocacy -- that affect the acceptance of FP services. This publication addresses ACQUIRE's country-level work on SDA in promoting NSV in Honduras, focusing particularly on communications for demand creation and advocacy. Lessons learned were that most significant increases in demand for vasectomy correspond to campaign periods where multiple communication channels are used, that supply-side readiness determines whether demand can be met, and that communications efforts need to be sustained over time. Minimal investment and periodic media bursts should be considered to maintain demand for services.