Development of an educational video on family planning for migrant women: a qualitative participatory co-design study in Northern Morocco.
7 affiliations
- 1Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco.
- 2Department of Public Health and Clinical Research, Mohammed VI Center for Research and Innovation, Rabat, Morocco.
- 3Higher Institute of Nursing Professions and Health Techniques, Rabat, Morocco.
- 4Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Health Sciences and Technologies, Settat, Morocco.
- 5Faculté de médecine et de pharmacie de Rabat, Université Mohammed V, Rabat, Morocco.
- 6Ministry of Health and Social Protection, Rabat, Morocco.
- 7Faculté de médecine et de pharmacie, University Hassan II, Casablanca, Morocco.
Abstract
Introduction
Migrant populations often face poorer sexual and reproductive health outcomes, including limited uptake of contraception. Morocco has become a country of transit and destination for thousands of sub-Saharan African (SSA) migrant women. Although these women are entitled to free contraception, they encounter informational barriers such as lack of knowledge about contraceptive options and limited access to trusted and culturally fit sources of information. Drawing on participatory research and design thinking approaches, this study aimed to co-design interventions to address informational barriers limiting family planning awareness and contraceptive use among SSA migrant women in Morocco.Methods
This participatory co-design study engaged 13 French-speaking SSA migrant women aged 18-49, recruited through a local non-governmental organisation (NGO) in Tangier, Morocco. A 1-day co-design workshop was conducted using the five-stage Design Thinking model: empathise, define, ideate, prototype and test. Participants used visual and interactive tools to propose, prioritise and shape educational interventions. The workshop session and post-feedback interviews were recorded, transcribed and analysed using rapid thematic analysis to identify intervention categories and themes.Results
Participants identified four approaches to address information gaps: culturally adapted educational materials, engagement of health professionals or community actors for direct counselling, outreach educational activities and embedding educational activities with vocational training or direct support activities (eg, provision of food items). They prioritised the first approach based on its feasibility, potential reach, sustainability and ability to directly engage users. Participants co-designed a short-animated video which was prototyped. The video included tailored content on contraceptive methods, information on entitlements to free services and pathways to family planning services. Design features were chosen such as relatable voiceover, skin tone representation, language and a preferred colour palette, in addition to preferred dissemination channels.Conclusions
This study shows that co-design is a feasible and meaningful method for developing culturally relevant educational interventions on contraception for migrant women. The next phase will focus on refining, implementing and testing the educational intervention, incorporating user feedback. There is also potential to adapt and expand the content to address a broader range of sexual and reproductive health needs in this community.
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BibTeX
@article{khalis2026development,
title = {{Development of an educational video on family planning for migrant women: a qualitative participatory co-design study in Northern Morocco.}},
author = {Mohamed Khalis and Oumnia Bouaddi and Maryam Hamidi and Hafida Charaka and Samira Harchaoui and Hanane Rassimi and Abdelhakim Yahyane and Radouane Belaouali},
journal = {BMJ public health},
year = {2026},
month = oct,
doi = {10.1136/bmjph-2025-003458},
url = {https://europepmc.org/article/MED/42921183},
note = {CC BY},
}
RIS
TY - JOUR
TI - Development of an educational video on family planning for migrant women: a qualitative participatory co-design study in Northern Morocco.
AU - Mohamed Khalis
AU - Oumnia Bouaddi
AU - Maryam Hamidi
AU - Hafida Charaka
AU - Samira Harchaoui
AU - Hanane Rassimi
AU - Abdelhakim Yahyane
AU - Radouane Belaouali
PY - 2026
DA - 2026/10/21
JO - BMJ public health
DO - 10.1136/bmjph-2025-003458
UR - https://europepmc.org/article/MED/42921183
AB - Introduction Migrant populations often face poorer sexual and reproductive health outcomes, including limited uptake of contraception. Morocco has become a country of transit and destination for thousands of sub-Saharan African (SSA) migrant women. Although these women are entitled to free contraception, they encounter informational barriers such as lack of knowledge about contraceptive options and limited access to trusted and culturally fit sources of information. Drawing on participatory research and design thinking approaches, this study aimed to co-design interventions to address informational barriers limiting family planning awareness and contraceptive use among SSA migrant women in Morocco.Methods This participatory co-design study engaged 13 French-speaking SSA migrant women aged 18-49, recruited through a local non-governmental organisation (NGO) in Tangier, Morocco. A 1-day co-design workshop was conducted using the five-stage Design Thinking model: empathise, define, ideate, prototype and test. Participants used visual and interactive tools to propose, prioritise and shape educational interventions. The workshop session and post-feedback interviews were recorded, transcribed and analysed using rapid thematic analysis to identify intervention categories and themes.Results Participants identified four approaches to address information gaps: culturally adapted educational materials, engagement of health professionals or community actors for direct counselling, outreach educational activities and embedding educational activities with vocational training or direct support activities (eg, provision of food items). They prioritised the first approach based on its feasibility, potential reach, sustainability and ability to directly engage users. Participants co-designed a short-animated video which was prototyped. The video included tailored content on contraceptive methods, information on entitlements to free services and pathways to family planning services. Design features were chosen such as relatable voiceover, skin tone representation, language and a preferred colour palette, in addition to preferred dissemination channels.Conclusions This study shows that co-design is a feasible and meaningful method for developing culturally relevant educational interventions on contraception for migrant women. The next phase will focus on refining, implementing and testing the educational intervention, incorporating user feedback. There is also potential to adapt and expand the content to address a broader range of sexual and reproductive health needs in this community.
SN - 2753-4294
ER -