Supported by:

Implementing by:

Final Report on Baseline Survey Bini Shutor Mala Under the project

Nirapod-Saving Women from Unwanted Pregnancy and Unsafe MR (Menstrual Regularities)

Submitted To:

Bangladesh NGOs Network for Radio and Communication (BNNRC) House # 13/3 (3rd Floor), Road # 02, Shamoli, Dhaka-1207.

Funded by: Embassy of the Kingdom of the Netherlands

Submitted By: Mohammad Kamruzzaman, Freelance Consultant Cell: + 88 0171290 35 73. e-mail: [email protected]

October, 2014

Table of Contents Executive Summary ........................................................................................ i Chapter 1: Introduction ...................................................................................1 1.1

Background of the project ....................................................................................................... 1

1.1.1

Main objective of the project ......................................................................................... 1

1.1.2

Specific Objectives .......................................................................................................... 1

1.1.3

Outcomes ........................................................................................................................ 1

1.2

Objective of the Baseline Survey ............................................................................................ 2

1.3

Methodology ........................................................................................................................... 2

1.3.1

Study Area ....................................................................................................................... 2

1.3.2

Study Approach ............................................................................................................... 2

Chapter 2: Findings .......................................................................................3 2.1

Basic Demographics of the Respondents ................................................................................ 3

2.2

Information as a Listener of Community Radio ..................................................................... 3

2.3

Preference about the Radio Program ...................................................................................... 5

2.3

Knowledge about Child Marriage ........................................................................................... 6

2.4

Awareness about the Services of Marie Stopes ...................................................................... 8

2.5

Knowledge about health rights ............................................................................................... 9

2.6

Knowledge about HIV/AIDS ................................................................................................ 11

2.7

Knowledge about Adolescence Reproductive Health and Puberty ....................................... 13

2.8

Knowledge about STI/STDs ................................................................................................. 14

2.9

Knowledge about Adolescent friendly health care services.................................................. 15

2.10

Obstacles to get health services ............................................................................................ 16

Chapter 3: Conclusion and Recommendations ....................................................... 18

List of Tables Table 1: Table 2: Table 3: Table 4:

Percentage Distribution of the Respondents According to Their Demographics Characteristics 3 Percentage Distribution of the Respondents about the Source of Community Radio ............ 4 Percentage Distribution of the Respondents by their Preference of Programs by Radio Channels 5 Percentage Distribution of the Respondents by the programs they want to listen by Radio Channels ................................................................................................................................. 6 Table 5: Percentage Distribution of the Respondents by Knowledge about Child Marriage by Radio Channels (Need to check data and change the knowledge level of CM)................................ 6 Table 6: Percentage Distribution of the Respondents by their Perception on the Preventive Measure of child Marriage by Radio Channels .................................................................................................. 7 Table 7: Percentage Distribution of the Respondents by their Awareness about Marie Stopes Services by Radio Channels ....................................................................................................................... 8 Table 8: Percentage Distribution of the Respondents by the reasons for not using Marie Stopes Services Radio Channels ....................................................................................................................... 8 Table 9: Percentage Distribution of the Respondents by the reasons for not aware about Health Rights 9 Table 10: Percentage Distribution of the Respondents by their Knowledge about the mode of transmission of HIV and AIDS by Radio Channels....................................................................................... 11 Table 11: Percentage distribution of the respondents based on their knowledge about protective measures against HIV and AIDS .......................................................................................................... 12 Table 12: Percentage Distribution of the Respondents by their Knowledge about the Physical changes in Adolescence by Radio Channels .......................................................................................... 13 Table 13: Percentage Distribution of the Respondents by their Knowledge about the Mental Changes in Adolescence by Radio Channels .......................................................................................... 14 Table 14: Percentage Distribution of the Respondents by their perception about the care during menstruation by Radio Channel ................................................................................................................. 14 Table 15: Percentage Distribution of the Respondents by their Knowledge about Transmission of Sexual Diseases ................................................................................................................................ 15 Table 16: Percentage Distribution of the Respondents by their Knowledge about Adolescent friendly health care services by Radio Channel ............................................................................................ 15 Table 17: Percentage Distribution of the Respondents by the Obstacles of Receiving Service ........... 16

List of Figures Figure 1: Figure 2:

Percentage Distribution of the Respondents known Community Radio ............................................. 3 Percentage Distribution of the Respondents by their frequency of listen to the radio programs by Radio Channels.............................................................................................................................................. 4 Figure 3: Percentage Distribution of the Respondents by their participation at Radio Program ........................ 6 Figure 4: Percentage Distribution of the Respondents by their knowledge about the way to prevent Child Marriage ............................................................................................................................................................ 7 Figure 5: Percentage Distribution of the Respondents by their Knowledge about Health Rights by Radio Channels 9 Figure 6: Percentage Distribution of the Respondents by their initiative against violation of Health Rights by Radio Channels............................................................................................................................................ 10 Figure 7: Percentage Distribution of the Respondents by the knowledge about Help Line by Radio Channels10 Figure 8: Percentage distribution of the respondents by their knowledge about transmission of HIV and AIDS11 Figure 9: Percentage Distribution of the Respondents by their Knowledge about prevention of HIV and AIDS by Radio Channels ................................................................................................................................. 12 Figure 10 Percentage Distribution of the Respondents by their Knowledge about the Physical changes in Adolescence .......................................................................................................................................................... 13 Figure 11: Percentage Distribution of the Respondents by their Knowledge about Sexual Diseases ................ 15 Figure 12: Percentage Distribution of the Respondents by their Experience of Problems to Receive Health Care Services by Radio Channel ............................................................................................................... 16

Executive Summary Bangladesh NGOs Network for Radio and Communication (BNNRC) has been implementing a short term project– BiniShutor Mala under the project Nirapod-Saving Women from Unwanted Pregnancy and Unsafe MR. Main objective of the project is to improve Sexual and Reproductive health status of young people of Bangladesh and to popularize the project activities Nationwide. To assess the program result and progress (pre and post) of the status of FP (Family Planning), ASRHR (Adolescent Sexual Reproductive Health Rights), VAW (Violence Against Women), RBA (Right Based Approach) and MR (Menstrual Regularities) of selected CR Station a baseline survey had been conducted with the listeners of community radio stations broadcasting area prior to the start of the project. The study was conducted in the 7 areas where seven (7) Community Radio Stations directly broadcasted the project will be implemented. Primary data had been collected using the quantitative data collection approach of face-to-face interview with 105 community people covering the areas in 7 radio channels (15 each). Average age of the respondents was just above 18 during the survey among the respondents both married and unmarried male and female from different occupation. Seventy eight percent are aware about the community radio activity through different sources highest by radio people (34.3%), relatives (31.4%). Form the listener entertains or magazine type programs are the highest and health (26%), educational programs (21%). Around 68% of the respondents know about the child marriage and 77% are not aware about the punishment of child marriage. Prevention way of child marriage 85% suggested to raising awareness to prevent child marriage and increasing access to education 50%. Knowledge about the Help Line is also found poor8%. Among all the respondents none can correctly answered all modes of transmission and way of transmission of HIV/AIDS. Comprehensive knowledge is essential to prevent the transmission of HIV/AIDS is found absent in the area and recommended as the area of concentration for the intervention. Knowledge about the physical changes in adolescent period physical growth 83%, and the mental changes in adolescence period 58% “Feeling Confused”. During menstruation 61% mentioned self-cleanliness and 52% of the respondents said about using sanitary pad/dry and clean cloth or tissue. About STDs/STIs, 58% of them aware about sexual diseases and mode of transmission and 55% mentioned about unsafe sexual activities 32.4% followed by unsafe blood transfusion 31.4% sharing Middles and Syringe 24.8%. Around 28% claimed that they experienced some kind of problem to avail the health care services half of them mentioned reasons of obstacles to getting the health services feeling shame or was afraid to take the services they need. From the findings of the survey BTL communication of Community Radio activity in the community to increase awareness about Community Radio, participatory programs – Quiz competition and/or Reality shows to increase regular listenership, ensure the message should be developed considering the entertainment first, broadcasting programs related with the child marriage and consequences could be a good initiative to prevent child marriage in the community, communication regarding the help line could be done through the radio channels as well, comprehensive knowledge about HIV/AIDS and other STDs/STIs ground absent among the respondents. Therefore, this is recommended that, the radio channels need to give emphasis on communicating the complete knowledge about STDs/STIs including HIV and AIDS. Frequent broadcast of programs about the ASRH issues can make the listener aware about the issue. Communication about the Help Line could be ensured by the Community Radio Channels also and the community radio channels need to communicate the availability and attributes of AFHSs in the locality and can encourage the listeners to use the facility as well.

i

Chapter 1: Introduction 1.1

Background of the project

Baseline Survey on the Radio Program – BiniShutor Mala under the project Nirapod-Saving Women from Unwanted Pregnancy and UnsafeMRwas established in April 2000 as per Article 19 charter of UN bill of rights and registered as trust in the Ministry of Law, Justice and Parliamentary Affairs. BNNRC is an NGO in Special Consultative Status with the UN Economic and Social Council from 2010. The organization is promoting the advocacy with the government in relations to community radio with other organizations since its emergence from 2000. BNNRC has been addressing the community radio and community TV access issue for over a decade, helping to bridge the information gap of rural Bangladesh. Presently BNNRC has been implementing a short term project Named "NIRAPOD-Saving Women from Unwanted Pregnancy and Unsafe MR"Supported by: Marie Stopes Bangladesh. 1.1.1

Main objective of the project

To improve Sexual and Reproductive health status of young people of Bangladesh and to popularize the project activities Nationwide. 1.1.2

Specific Objectives

The specific objective of the project is: 1. To create awareness amongst the young community people to help them having answers for their day to day quarries on FP (Family Planning), ASRHR (Adolescent Sexual Reproductive Health Rights), VAW (ViolenceAgainst Women), RBA (Right Based Approach), and MR (Menstrual Regularities). 2. To ensure the best use of resource. 3. To reach to the maximum community People with the massages in an innovative and interesting way. 4. Health Right establishment of Listeners. 1.1.3

Outcomes

The outcomes of the project are: 1. 80% of the community people are well – aware about FP (Family Planning), ASRHR (Adolescent Sexual Reproductive Health Rights), VAW (Violence Against Women), RBA (Right Based Approach) and Safe MR (Menstrual Regularities) 2. 80% of the community people are motivated to choose the safe path for having a safe and planned reproductive life. 3. The community people feel free to share their Reproductive and Sexual health related issues with the right service providers.

Page | 1

1.2

Objective of the Baseline Survey

The objective of the baseline survey is to assess the status of the listeners of community radio stations broadcasting area prior to the start of the project and completion of the project in the field of FP (Family Planning), ASRHR (Adolescent Sexual Reproductive Health Rights), VAW (Violence Against Women), RBA (Right Based Approach), and MR (Menstrual Regularities) of selected CR Station broadcasting areas area before starting the project activities and after completion the project activities.

1.3

Methodology

1.3.1

Study Area

The study was conducted in the 7 areas where the project will be implemented. The project activities (Radio Program) will be directly broadcasted by seven (7) Community Radio Stations i.e., Radio Padma (Rajshahi), Radio Nalta (Kaligonj, Satkhira), Radio SagarGiri (Sitakunda, Chittagong), Radio Jhenuk (Jhinidah), Radio Naf (Teknaf, Cox's bazar), Radio Bikrampur (Munshigonj) and Borendro Radio (Naongaon). 1.3.2

Study Approach

Primary data had been collected using the quantitative data collection approach of face-to-face interview with the community people covering the 7 intervention area. The sample size of the study was 105, which was equally distributed in 7 intervention area by radio channels. Following is the distribution of sample of the study: Radio Channels Sample Radio Padma 15 Radio Nalta 15 Radio SagarGiri 15 Radio Jhenuk 15 Radio Naf 15 Radio Bikrampur 15 Borendro Radio 15 Total 105 All seven have been covered by the Baseline study and the interviews took place in the catchment areas of the project. Seven catchment areas of the 7 upazillas were considered as the study area. Operational definition of the catchment area was finalized in consultation with BNNRC. Considering the population size, the catchment areas were divided into blocks. Each block contained 100-120 households. One block from each area was selected randomly. After selecting the PSUs, one staring point (SP) was selected for the ease of operation and allocation of job among the interviewers. Each alternative household were selected from the SPs. In the last stage, 15 respondents were selected from each catchment area from the randomly selected households.

Page | 2

Chapter 2:Findings 2.1

Basic Demographics of the Respondents

Average age of the respondents was just above 18 during the survey. The age of the respondents was high in the Radio Padma and Radio Nafareas (20) and lower Radio Bikrampur area (15). Among the respondents, 57% was female and 43% were male and 17% of them were married and 83% were unmarried. However, almost fifty percent of the respondents are unemployed, 11.4% are day labour, 10.5% are farmer, 9.5% housewife, 9.5% rickshaw/van puller, 7.6% small business (like small shop or eat stall) and only 6.7% were students. Table 1 Percentage Distribution of the Respondents According to Their Demographics Characteristics

Indicators Total Padma Average Age 18.5 20 (in years) Sex of Respondents Male 42.9 7.6 Female 57.1 6.7 Marital status of Respondents Married 18.1 Unmarried 81.9 14.3 Profession of the respondents Student 6.7 Farmer 10.5 1.0 Small business 7.6 Day labour 11.4 4.8 Housewife 9.5 Rickshaw/van 9.5 1.0 puller Unemployed 44.8 7.6 N 105 15

2.2

Nalta 18.4

SagarGiri 19

Jhenuk 18.9

Naf 20

Bikrampur 15.1

Borendro 17.9

8.6 5.7

4.8 9.5

8.6 5.7

4.8 9.5

2.9 11.4

5.7 8.6

4.8 9.5

14.3

3.8 10.5

6.7 7.6

1.0 13.3

1.9 12.4

2.9 1.9 2.9 2.9 2.9

1.9 1.0 1.9

1.9 4.8 1.0 1.0 1.0

1.0 1.9 1.9 4.8 1.0

1.0 2.9 -

1.0 1.9 1.9 1.9

1.0 15

9.5 15

4.8 15

3.8 15

10.5 15

7.6 15

Information as a Listener of Community Radio

Seventy eight percent of the respondents are aware about the community radio activity at their area. About the source of awareness, 34.3% said that they have learned that from the radio people, 31.4% said that thy heard from relatives, 5.7% hard from neighbor 11.4% from the market place 6.7% from community radio poster and leaflet and 22% do not listen radio. Source

Yes No N

Total

78.1 21.9 105

Padma

14.3 15

Nalta

12.4 1.9 15

SagarGiri

14.3 15

Jhenuk

10.5 3.8 15

Naf

1.9 12.4 15

Bikrampur

13.3 1.0 15

Figure 1: Percentage Distribution of the Respondents known Community Radio

Page | 3

34.3 31.4

21.9

11.4 6.7

5.7

Through radio people

From relatives

From neighbor

From market place

From the poster Not applicable and leaflet

*Multiple Responses Therefore, the main identified sources are – the activity from the people working in radio,relatives of the TG, local markets and from the poster and leaflets which is disseminated by the community radio. Table 2: Percentage Distribution of the Respondents about the Source of Community Radio Source

Through radio people From relatives From neighbor From market place From the poster and leaflet Not applicable N

*Multiple responses

Total

34.3 31.4 5.7 11.4 6.7 21.9 105

Padma

7.6 2.9 1.0 2.9 .0 .0 15

Nalta

4.8 5.7 1.9 2.9 1.0 1.9 15

SagarGiri

10.5 3.8 .0 1.9 3.8 .0 15

Jhenuk

1.0 5.7 1.0 1.0 1.9 3.8 15

Naf

1.9 .0 .0 1.0 .0 12.4 15

Bikrampur

4.8 7.6 .0 1.0 .0 1.0 15

The respondents said that 92% of the them are listen to radio and only 7.6% did not listen to radio. While they were questioned about the frequency of their listening,37.1% said that they used to listen radio programs regularly. However, the rest 55.2% said that they used to listen to the programs infrequently. Regular listenership is higher in the Nalta, Padma, SagarGiri, Jhenuk and Naf areas. However, it was found that, the respondents of the Radio Bikrompur and Borendro Radio area are listening to the radio programs irregular basis.

Figure 2: Percentage Distribution of the Respondents by their frequency of listen to the radio programs by Radio Channels

Page | 4

55 37

8

11

7 8

4

0 Total

Padma

2.3

0

Nalta Regular

6 9

13 6 5 4

5 7 3

Jhenuk

Naf

0

Sagar Giri Irregular

1

11 0

3

1

Bikrampur Borendro

Did not listen any radio

Preference about the Radio Program

The respondents were then asked about the programs they like. Most of the respondents said that they like the programs that entertains or magazine type programs (38%) followed by Songs (25%), Health related Programs (24%), Educational Programs (21%) and News (19%). Table 3 Percentage Distribution of the Respondents by their Preference of Programs by Radio Channels

Programs

Total

Radio Padma

Entertainment/magaz ine program Song Health program Educational program News

38.1

5.7

2.9

Radio SagarG iri 7.6

25.7 23.8 21.0 19.0

7.6 .0 .0 9.5

8.6 9.5 6.7 1.0

1.9 5.7 10.5 1.0

1.9 2.9 1.9 .0

1.0 .0 .0 1.0

4.8 5.7 1.0 .0

.0 .0 1.0 6.7

N

105

15

15

15

15

15

15

15

Radio Nalta

3.8

Radio Bikram pur 1.0

Borend ro Radio 11.4

Radio Jhenuk

Radio Naf

5.7

*Multiple Responses. ** Top 5 Answering the question about the programs they want to listen from the community Radio, the respondents also mentioned a long list of program names and type. Following is the top 5 list of the programs they want to hear from community radio. From the list it was found that they generally want listen entertainment programs.

Page | 5

Table 4: Percentage Distribution of the Respondents by the programs they want to listen by Radio Channels Programs

Total

Radio Padma

Radio Nalta

Cine Bangla Rajshahi Express Friends circle Entertainment/magaz ine program Agricultural program

29.5 22.9 21.0 15.2

6.7 1.0 1.9 6.7

5.7 8.6 1.0 2.9

Radio SagarG iri 3.8 4.8 3.8 1.9

15.2

.0

1.0

N

105

15

15

.0 1.0 .0 3.8

Radio Bikram pur 3.8 .0 2.9 .0

Borend ro Radio 6.7 1.0 1.9 .0

8.6

1.0

.0

4.8

15

15

15

15

Radio Jhenuk

Radio Naf

2.9 6.7 9.5 .0

.0 15

*Multiple Responses. ** Top 5 While asking their preference of their program, the respondents answered a long list of program and program names. Around 22% of the respondents have found have ever participated in any radio program. Participation rate is higher among the audience of Radio Jhenuk (9.5%) and in Radio SagarGiri (5.7%) and lower in the other area. It was found that, no participator was selected as a respondent in the survey in Radio Bikrompur area. Figure 3: Percentage Distribution of the Respondents by their participation at Radio Program 78.1

21.9 12.4 1.9 Total

Padma

12.4 1.9 Nalta

5.7 8.6 Sagar Giri

Every attend in any program in radio

9.5

14.3

13.3 4.8

Jhenuk

1 Naf

12.4 1.9

0 Bikrampur

Borendro

Never attend in any program in radio

Among the programs, the SMS program of Radio Jheenuk (BondhuBinodon) andIccheGhuri were the top programs that the respondents had participated.

2.3

Knowledge about Child Marriage

In Bangladesh, the legal age of marriage for a Male is 21 years and for Female 18 years. Marriage before that age is called child marriage. It was found that, around 68% of the respondents knows about the child marriage. However, the knowledge about the punishment of child marriage as per the act is lower to 33.3%. Table 5: Percentage Distribution of the Respondents by Knowledge about Child Marriage by Radio Channels (Need to check data and change the knowledge level of CM) Status

Total

Padma

Nalta

Sagar

Jhenuk

Naf

Bikra

Boren

Page | 6

Giri Know about child marriage Know about the punishment N

mpur

dro

67.6

13.3

10.5

11.4

10.5

12.4

1.9

7.6

33.3

9.5

7.6

1.9

4.8

2.9

1.0

5.7

105

15

15

15

15

15

15

15

In the radio Padma (13.3%), Naf (12.4%), SagarGiri (11.4%), Nalta and Jhenuk knowledge about child marriage is (10.5%) on the other hand it’s lower in Radio Borendro (7.6%) and Bikrampur(1.9%). On the other hand, knowledge about the punishment is lower in Radio Bikrampur (1.0%) and higher in Padma (9.5%) and Nalta (7.6%) areas. The respondents were also asked about the way of prevention about the child marriage. In response, 85% of them said that making people aware about the issue is the key to prevent child marriage. Raising awareness of guardian about the bad effect child marriage (56.2%), increasing the access to education (50.5%) and increasing knowledge about the act (42.9%) and proper implementation of law and Act. (33.3%) are the other major responses by the respondents of the survey. Figure 4: Percentage Distribution of the Respondents by their knowledge about the way to prevent Child Marriage

Don't know

1.9

Raising awareness of guardian about child marriage

56.2

Child marriage should be include in the academic …

21

Proper implementation of law/act

33.3

Taken initiative to remove poverty

13.3

Increasing education facility

50.5

Know about act

42.9

Make people aware

84.8 0

10

20

30

40

50

60

70

80

90

Similar findings had been observed in the different areas of the study. However, as to prevent child marriage, comprehensive knowledge is required; the programs of the channels need to be focused on every mode of prevention.

Table 6: Percentage Distribution of the Respondents by their Perception on the Preventive Measure of child Marriage by Radio Channels

Preventive measure Make people aware Raising awareness of guardian

Padma

Nalta

84.8 56.2

10.5 9.5

SagarG iri 13.3 9.5

Jhenuk

Naf

11.4 3.8

14.3 9.5

Bikram pur 9.5 6.7

Borend ro 13.3 10.5 Page | 7

about child marriage Increasing education facility Know about act Proper implementation of law/act Child marriage should be include in the academic book Taken initiative to remove poverty Don't know N

2.4

50.5 42.9 33.3

10.5 4.8 6.7

5.7 11.4 4.8

1.9 3.8 2.9

12.4 7.6 7.6

6.7 4.8 5.7

2.9 4.8 1.0

21.0

1.0

4.8

1.0

5.7

3.8

1.0

13.3

3.8

4.8

-

3.8

-

-

1.9 105

15

15

1.9 15

15

15

15

Awareness about the Services of Marie Stopes

A number of questions were asked to the respondents to know their awareness about the services of Marie Stopes. It was found that 31% of the respondents knows about the services of Marie Stopes. The rate is comparatively higher in the Radio Naf (7.6%) and Radio Padma (6.7%) areas and lower in Radio Nalta and SagarGiri (1.0%). Around 3% of the respondents received services from Marie Stopes who were from Radio Jhenuk, Naf and Borendro areas (1.0%). Table 7: Percentage Distribution of the Respondents by their Awareness about Marie Stopes Services by Radio Channels

Response Knows about Marie Stopes Received Service of Marie Stopes N

Tota l 30.5

Padm a 6.7

Nalt a 1

SagarGi ri 1

Jhenu k 3.8

Na f 7.6

Bikrampu r 5.7

Borendr o 4.8

2.9

0.0

0.0

0.0

1.0

1.0

0.0

1.0

105

15

15

15

15

15

15

15

In response about their knowledge about MarieStopes services. The respondents mentioned the following services:        

Family planning service (9.5%) Women health services (5.7%) Child health service (4.8%) Safe motherhood service (3.8%) All types of services (1.0%) Service of pregnant mother (1.0%) Adolescent friendly service (1.0%) and Don’t know what type of service Marie Stopes provided (7.6%)

Therefore, Marie Stopes should plan to develop communication strategy to increase the awareness about their services through all community radio channels. Table 8: Percentage Distribution of the Respondents by the reasons for not using Marie Stopes Services Radio Channels

9.5 -

Sagar Giri 4.8 -

Jhenu k 10.5 -

-

1.0

2.9

1.9

-

3.8

Response

Total

Padma

Nalta

No need to go there Far from house Go to the government service Go to the private service

68.6 1.0

11.4 -

10.5 8.6

11.4 -

Bikra mpur 11.4 -

Boren dro 9.5 1

-

1

2.9

2.9

1.9

-

-

-

Naf

Page | 8

Go to the NGO clinic service Go to the village doctor Not applicable N

3.8

1.0

1.9

-

1.0

-

-

-

7.6 2.9 105

15

2.9 15

4.8 15

1.0 15

1.0 15

15

1.0 15

The respondents, who never took any services from Marie Stopes, further asked about the reason/s for not taking Marie Stopes services. In response thy have said that they actually didn’t ever need of the services that Marie Stopes provide (68.6%). Some of them took services from the government facility (10.5%) followed by Private Facility (8.6%) and went to the village doctor if they need any health service (7.6%) as well as only 1.0% of the respondents were mentioned that Marie Stopes Clinic is situated far from their house.

2.5

Knowledge about health rights

Around 8%of the respondents said that they are aware about their own Health Rights. This rate is higher in the Padma (11.4%), Nalta and Bikrampur (10.5%) and Barandro (9.5%). Figure 5: Percentage Distribution of the Respondents by their Knowledge about Health Rights by Radio Channels 11.4

10.5

10.5

8.4

7.6

7.6

Jhenuk

Naf

9.5

2.9

Total

Padma Total

Padma

Nalta Nalta

Sagar Giri Sagar Giri

Jhenuk

Naf

Bikrampur Bikrampur

Borendro

Borendro

When the respondents were asked about the reasons for their non-awarenessabout the Health rights, thy have mentioned a number of answers which are as follows:

Table 9 Percentage Distribution of the Respondents by the reasons for not aware about Health Rights

Reasons for not aware about Health Rights No one provide any information Cause of under age Was not interested Not essential Not applicable N

Total

Padma

Nalta

Sagar Giri

Jhenu k

Naf

Bikra mpur

Boren dro

15.2

1.0

1.9

-

3.8

5.7

2.9

-

3.8 16.2 4.8 60.0 105

1.9 11.4 15

1.9 10.5 15

7.6 3.8 2.9 15

2.9 7.6 15

1.0 7.6 15

1.0 10.5 15

1.9 1.9 1.0 9.5 15

The main cause of unawareness of health rights was lack of source as 15.2% of the respondents said that there was no one who could give information about Health Rights. Another 16.2% of the Page | 9

respondents also said that they were not interested about Health Rights which is actually consequences of the 1st point they have raised. The respondentswere further asked, whether they have taken any initiatives if their health rights have violated ever. Around 8% of the respondents said that they have taken any action for the violation of the health rights. Figure 6: Percentage Distribution of the Respondents by their initiative against violation of Health Rights by Radio Channels 92.4

13.3

7.6

1.0

Total

Padma

2.9

13.3

11.4

Nalta

1.0 Sagar Giri

14.3

12.4 1.9 Jhenuk

0.0 Naf

14.3

13.3 1.0 Bikrampur

0.0 Borendro

Taken any initiative while health rights violated Do not take any initiative after violated health rights

This rate is bit higher in Nalta (2.9%) and Jhenuk (1.9%) but lower in all other areas. They had further asked about the points of communications they have used to report the violation of health rights. They have mentioned three points – they have reported to the respective higher officials and their own relatives and law enforcement agencies. This is to be noted that they did not mention any Humanitarian organizations or NGOs. Seeking help from local leaders and civil society is lower as well. Direct to the service provider (3.8%) Respective high officials (2.9%) To the law enforcement agencies (1.9%) Relatives/friends (1.9%) Local leaders (1.0%) To the relatives/friends (1.0%)

The knowledge about the Help line regarding the Health Rights is low. Around 4% of the respondents are aware about the Help Line, which is higher in Radio Nalta Area (1.9%). Figure 7: Percentage Distribution of the Respondents by the knowledge about Help Line by Radio Channels Page | 10

96.2

14.3 3.8

0.0

Total

Padma

14.3

12.4 1.9

1.0

0.0

Nalta

Sagar Giri

14.3

13.3 1.0

0.0

Jhenuk

Know about the health related help line

2.6

14.3

13.3

Naf

Bikrampur

0.0 Borendro

Don't know about the health related help line

Knowledge about HIV/AIDS

Though, ninety two percent of the respondents mentioned at least 1 right ways of getting infected by HIV. However, only 6% of them correctly answered at least 3 modes of transmission of HIV and AIDS. Most important observation is that none of them mentioned all the correct mode of transmission of HIV and AIDS.

Figure 8:Percentage distribution of the respondents by their knowledge about transmission of HIV and AIDS 92 62

6 0 Total

1413

2 0

Padma

1410

2 0

Nalta

1310

1411

0 0

Sagar Giri

0 0

1111

Jhenuk

1 0

Naf

11

1 0 0

Bikrampur

Can say at least 1 reason

Can say at least 2 reasons

Can say at least 3 reasons

Can say all reasons

13 8

1 0

Borendro

Among the mode of transmissions, the respondents are more aware about unsafe sex (41.9%) and unsafe blood transfusion (84%). Comprehensive knowledge is essential to prevent the transmission of HIV and AIDS. Table 10: Percentage Distribution of the Respondents by their Knowledge about the mode of transmission of HIV and AIDS by Radio Channels

Mode of Transmission

Total

Padm a

Nalta

Sagar Giri

Jhen uk

Naf

Bikra Bore mpur ndro Page | 11

Mode of Transmission Unsafe sex with the affected person (without condom) Taking drugs using same needle & syringe for more than one person Through affected blood transmission Child of an affected pregnant mother can be affected (during pregnancy period, during delivery, through breastfeeding Don't know N

Total

Padm a

Nalta

Sagar Giri

Jhen uk

Naf

Bikra mpur

Bore ndro

41.9

10.5

8.6

1.9

4.8

7.6

2.9

5.7

29.5

3.8

3.8

9.5

5.7

3.8

0

2.9

86.7

14.3

13.3

11.4

14.3

10.5

9.5

13.3

1.9

1

0

0

0

1

0

0

7.6 105

0 15

0 15

1 15

0 15

2.9 15

2.9 15

1 15

The right knowledge of protecting oneself from HIV and AIDS includes using condom, testing blood before receiving, using sterilized medical equipment’s, using sterilized disposable injection syringe, staying loyal to spouse, and staying away from illegal relation. However, no respondents reported to know all the measures to protect oneself from HIV and AIDS and34% reported to know at least reported to know at least 3 measures to protect oneself from HIV and AIDs.

Figure 9: Percentage Distribution of the Respondents by their Knowledge about prevention of HIV and AIDS by Radio Channels 92 61 34 1413 10 Total

3

0

1411 9

Padma

1310 0

Nalta

4

1411 0

Sagar Giri

6

0

1110 7

Jhenuk

13

11 0

Naf

11

0

Bikrampur

Can say at least 1 prevention

Can say at least 2 preventions

Can say at least 3 preventions

Can say all preventions

76

0

Borendro

The respondents answered a number of preventive measures. However, knowing all preventive behavior is important to reduce HIV and AIDS and which is found absent analyzing the responses of the survey. Table 11: Percentage distribution of the respondents based on their knowledge about protective measures against HIV and AIDS Mode of Prevention of HIV and AIDS Stop unsafe sexual relation Husband-wife or sexual partner

Total 17.1 8.6

Padm a 7.6 1.0

Nalta 2.9 1.9

Sagar Giri 1.0 1.0

Jhenu k -

Naf 3.8 3.8

Bikra mpur 1.0 -

Boren dro 1.0 1.0

Page | 12

Mode of Prevention of HIV and AIDS should be faithful to each other To avoid sexual relationship before getting marriage and out of marriage Using condom in case of multiple sexual relation/ partner To avoid gay and polygamy Blood should be HIV tasted before transmitted To avoid same needle and syringe Blood should be tested before getting marriage Following social and religious norms Don't know N

2.7

Total

Padm a

Nalta

Sagar Giri

Jhenu k

Naf

Bikra mpur

Boren dro

4.8

-

1.0

-

-

2.9

-

1.0

12.4

1.0

2.9

1.0

1.0

4.8

-

1.9

1.9

-

-

1.0

-

1.0

-

-

67.6

5.7

12.4

9.5

14.3

3.8

9.5

12.4

43.8

7.6

8.6

7.6

10.5

2.9

1.0

5.7

1.0

1.0

-

-

-

-

-

-

39.0

7.6

6.7

6.7

5.7

6.7

1.9

3.8

7.6 105

15

15

1.0 15

15

2.9 15

2.9 15

1.0 15

Knowledge about Adolescence Reproductive Health and Puberty

In response to the knowledge about the physical changes in adolescent period of boy and girl, the respondents mentioned about the physical growth (83%) followed by vocal sound change (67.6%), start of menstruation and wet dreams (63%) and some other changes. This is to note that, the respondents mention more about the visual changes, but rate of response about the Pubic Hair Growth (47%) and Sexual Sensation (45%) is lower.However, only 1.9% of the respondents did not mentioned any physical changes. Figure 10 Percentage Distribution of the Respondents by their Knowledge about the Physical changes in Adolescence

Did not mentioned

1.9

Sexual sensation

44.8

Pubic hair growth

46.7

Menstruation/ wet dream

62.9

Physical growth

82.9

Vocal sound change

67.6

Almost similar finds had been observed as well. However, special attention is required in Radio Nalta, Naf and Bikrompur area as the knowledge of different changes in adolescent is comparatively lower in those areas. Table 12: Percentage Distribution of the Respondents by their Knowledge about the Physical changes in Adolescence by Radio Channels Physical Changes in Adolescence

Total

Padma

Nalta

Sagar Giri

Jhenuk

Naf

Bikra mpur

Borend ro

Page | 13

Vocal sound change

67.6

12.4

4.8

11.4

12.4

4.8

9.5

12.4

Physical growth

82.9

13.3

13.3

8.6

13.3

10.5

10.5

13.3

Menstruation/ wet dream

62.9

13.3

4.8

11.4

8.6

8.6

6.7

9.5

Pubic hair growth

46.7

12.4

4.8

8.6

7.6

1.0

1.9

10.5

Sexual sensation

44.8

9.5

5.7

6.7

6.7

4.8

2.9

8.6

Did not mentioned

1.9

-

-

1.9

-

-

-

-

N

105

15

15

15

15

15

15

15

The respondents were also asked about their knowledge about the mental changes in adolescence period. In response, 58.1% of the respondents said that the adolescents are “Feeling Confused” in that special period, whereas, 52.4% mentioned about liberal attitude, curiosity about sex 51.4%. Knowledge about the mental changes in different areas are almost similar, however, special attention is required in RadioNafand Bikrompur Radio areas. Table 13: Percentage Distribution of the Respondents by their Knowledge about the Mental Changes in Adolescence by Radio Channels

Mental Changes in Adolescence Exhaustion Liberal attitude Feeling confused Curiosity about sex Don't know N

Total 30.5 52.4 58.1 51.4 7.6 105

Padm a 3.8 10.5 12.4 11.4 15

Nalta 4.8 6.7 2.9 7.6 15

Sagar Giri 4.8 7.6 6.7 8.6 3.8 15

Jhenu k 5.7 3.8 11.4 4.8 1.9 15

Naf 2.9 6.7 10.5 4.8 1.0 15

Bikra mpur 1.9 8.6 4.8 5.7 1.0 15

Boren dro 6.7 8.6 9.5 8.6 15

In response to the care during menstruation, 61% of the respondents mentioned about the selfcleanliness. This is to be noted that 52% of the respondents said about using sanitary pad/dry and clean cloth or tissue. Total 18% of the respondents said that they do not know or can’t say anything about the care during menstruation which is also anarea of work of the areas. Table 14: Percentage Distribution of the Respondents by their perception about the care during menstruation by Radio Channel

Care During Menstruation Eat all types of nutritious food including fish and meat Regular work Self-cleanliness Using sanitary pad/dry and clean cloth or tissue Don't know N

Total

Pad ma

Nalta

Saga rGiri

Jhen uk

Naf

Bikr amp ur

Bore ndro

48.6

3.8

10.5

5.7

11.4

6.7

5.7

4.8

23.8 61.0

1.9 12.4

1.0 4.8

3.8 9.5

4.8 9.5

5.7 10.5

4.8 7.6

1.9 6.7

52.4

9.5

7.6

7.6

11.4

5.7

2.9

7.6

18.1 105

15

2.9 15

4.8 15

1.0 15

1.9 15

1.0 15

6.7 15

Special communication regarding the care during menstruation is required in the Radio Borendro and SagarGiriareas as the knowledge is comparatively lower.

2.8

Knowledge about STI/STDs

When the respondents were asked if they know about STDs/STIs, 58% of them responds that they are aware about sexual diseases. Page | 14

Figure 11: Percentage Distribution of the Respondents by their Knowledge about Sexual Diseases

58.1 41.9

Total

12.4 1.9

10.5 3.8

12.4 1.9

11.4 2.9

8.6 5.7

10.5 3.8

9.5 4.8

Padma

Nalta

Sagar Giri

Jhenuk

Naf

Bikrampur

Borendro

Know about STI/STD

Don't know about STI/STD

The knowledge about sexual diseases is higher in radio Padma area (12.4%) followed by Jhenuk, Nalta and Borendro Radio areas are 11.4%, 10.5% and 9.5% respectively and lower in other radio station areas. The respondents were further asked about the mode of transmission of STDs. In response, 55% of the respondents mentioned about unsafe sexual activities (32.4%) followed by unsafe blood transfusion (31.4%) sharing Middles and Syringe (24.8%) using unsterilized instruments after using for the affected person. Table 15: Percentage Distribution of the Respondents by their Knowledge about Transmission of Sexual Diseases Transmission of STDs Through unsafe sex/not using condom during intercourse with an affected person Through transmission of untested blood Sharing same needle or syringe of an affected person Using unsterilized instruments after using for the affected person Child can be affected from a affected mother Through polygamy sex (possibly) Not applicable N

2.9

Total

Padm a

Nalta

Sagar Giri

Jhenu k

Naf

Bikra mpur

Boren dro

55.2

12.4

10.5

1.9

9.5

7.6

3.8

9.5

32.4

6.7

6.7

1.0

9.5

1.9

1.9

4.8

31.4

6.7

7.6

1.0

8.6

1.0

1.9

4.8

24.8

5.7

1.0

-

9.5

1.9

1.9

4.8

18.1 21.9 41.9 105

4.8 5.7 1.9 15

1.9 4.8 3.8 15

1.0 12.4 15

4.8 4.8 2.9 15

1.0 5.7 15

1.9 1.0 10.5 15

3.8 4.8 4.8 15

Knowledge about Adolescent friendly health care services

In response to the answer regarding the location of the Adolescent friendly health care services, the respondents mainly mentioned the government facility – UHC (36.2%), Community Clinics (33.3%), District Hospitals (21.0%) and Union Health Complex (26.7%) are the mostly mentioned places of AFHSs. Twenty-one percent of the respondents also mentioned about the NGO clinics as well. However, almost 31% of the respondents are not aware about the place of adolescent friendly health care services. Table 16: Percentage Distribution of the Respondents by their Knowledge about Adolescent friendly health care services by Radio Channel Location of AFHS

Total

Padma

Nalta

Upazila Health Complex Community Clinic

36.2 33.3

7.6 8.6

6.7 4.8

Sagar Giri 3.8 6.7

Jhenu k 3.8 5.7

Naf 6.7 1.9

Bikra mpur 2.9 1.0

Boren dro 4.8 4.8

Page | 15

3.8 1.9 2.9 6.7 0.0 0.0 3.8

Sagar Giri 2.9 1.9 1.9 3.8 0.0 0.0 2.9

Jhenu k 3.8 5.7 5.7 4.8 2.9 2.9 3.8

15

15

15

Location of AFHS

Total

Padma

Nalta

Union Health Complex Marie Stopes Clinic Dist. Hospital Specific NGO Clinic Medical College Hospital Don't know

26.7 21.9 21.0 21.0 4.8 4.8 30.5

9.5 1.9 4.8 5.7 1.9 1.0 1.0

N

105

15

Maternal and Child Welfare Center

2.10

1.9 6.7 1.9 0.0 0.0 0.0 2.9

Bikra mpur 1.0 1.0 1.0 0.0 0.0 0.0 10.5

Boren dro 3.8 2.9 2.9 0.0 0.0 1.0 5.7

15

15

15

Naf

Obstacles to get health services

The respondents of the survey also asked about whether they have faced any obstacles to receive the health care services. Around 28% of the respondents claimed that they have experienced some kind of problem to avail the health care services. Figure 12: Percentage Distribution of the Respondents by their Experience of Problems to Receive Health Care Services by Radio Channel 72.4

27.6 5.7 8.6

Total

Padma

13.3

5.7 8.6

6.7 7.6

Sagar Giri

Jhenuk

1 Nalta

Yes

14.3

10.5 3.8 Naf

4.8

0 Bikrampur

9.5

Borendro

No

The rate is higher in Radio Jhenuk (6.7%), Padma and SagarGiri (5.7%) moderate in Borendro (4.8%) and Naf (3.8%) areas and low in Nalta (1.0%) and Bikrompur (0%) area. To explain the reasons of obstacles to getting the health services, 9.5% of the respondents said that they were feeling shame or was afraid to take the services they need. The other mentioned reasons are basically leads to the fact that unawarenessabout the service and service providers and lack of knowledge were the factors of not getting the health services smoothly. Table 17: Percentage Distribution of the Respondents by the Obstacles of Receiving Service Obstacles of Receiving Service Feeling shame or afraid Unaware about the disease and symptoms Not effectively aware of getting treatment Most of the cases they avoid as

1

Sagar Giri 1.9

Jhenu k 3.8

1

0

1.9

4.8

1.9

0

3.8

1.9

0

Total

Padma

Nalta

9.5

0

5.7

1

Bikra mpur 0

Boren dro 1.9

0

1.9

0

1

1.9

1

0

0

0

0

1.9

0

0

0

Naf

Page | 16

Obstacles of Receiving Service

Total

Padma

Nalta

Sagar Giri

Jhenu k

Naf

Bikra mpur

Boren dro

2.9

0

0

0

0

1

0

1.9

treated personal matter Do not know the place of service Do not get proper treatment or lisenting negative about the treatment Not applicable

1

1

0

0

0

0

0

0

72.4

8.6

13.3

8.6

7.6

10.5

14.3

9.5

N

105

15

15

15

15

15

15

15

Page | 17

Chapter 3: Conclusion and Recommendations The respondents were foundmore or less aware about the community radio network from the people of the radio channel and their regular practice of listening radio programs. Therefore, communicating the availability of community radio at their area will increase the listenership. Posters and signboard in the broadcasting area, especially in the marketplace may bring good channels of communication. Frequency of listening radio channels also need to be taken care of as half of the respondents found not listening to the channels regularly. Quiz competition and participatory reality shows could be options to increase awareness and listenership of community radio in the locality. This is also found that the respondents are mainly listening to the radio for entertainment. However, some of them also interested for educational and health related programs. As the objective of the intervention to aware people with some health and right issues, the programs should be prepared keep the entertainment in mind. Though, the definition of child marriage is somewhat known to the respondents, the awareness of punishment for child marriage is not very well known to the respondents. The respondents also believe that, the child marriage could be preventing by making people more aware about the act. Broadcasting drama and programs related with the child marriage and consequences could be a good initiative to prevent child marriage in the community. The respondents were found not very well aware about the services of Marie Stopes. Considering the situation, special sponsored program of MarieStopes about their services needs to be broadcast. The knowledge about health rights was found not very high in the intervention area. As per the respondents, the main reason of poor knowledge about health rights is the absence of proper source at the community. Communication regarding the help line could be done through the radio channels as well. About HIV and AIDS, comprehensive knowledge is absent among the respondents. Therefore, this is recommended that, the radio channels need to give emphasis on communicating the complete knowledge about the all mode of transmission and prevention of HIV and AIDS. The respondents were found feeling shame in the issues of ASRH. Well organized and frequent broadcast of programs on the ASRH issues can break the ice and make them aware about the important issue. Programs should be designed to cover the natural changes (physical and mental) in adolescence and menstruation management. Only few of the respondents were found known about using sanitary napkin during menstruation Radio Commercialsof sanitary napkin producing company could be broadcast in the community radio. Few of the respondents were found aware about the sexually transmitted diseases (STDs), they are also found not fully aware about the modes of transmission of the STD/STIs. Along with HIV and AIDS, customized messages needs to develop addressing the other STI and STDs. The ideas about AFHSs were not visible among the respondents. The community radio channels need to communicate the availability and attributes of AFHSs in the locality and can encourage the listeners to use the facility as well. Page | 18

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