This paper reviews several initiatives in sub-Saharan Africa to implement community-based distribution (CBD) of family planning services. Although research suggests that community-based service delivery can contribute to contraceptive use, the magnitude of impact is often in doubt. This report reviews reasons for the limited impact of CBD in Africa, compared with similar … [Read more...] about Lessons from Community-based Distribution of Family Planning in Africa
Reproductive Health/Family Planning
Contraceptive Injections by Community Health Workers in Uganda
This study compared the safety and quality of contraceptive injections given by community-based health workers with those given by clinic-based nurses in a rural Nakasongola District, Uganda. A nonrandomized community trial compared provision of injectable Depo Provera (DMPA) by community reproductive health workers with routine DPMA provision at health units. Ninety-five … [Read more...] about Contraceptive Injections by Community Health Workers in Uganda
Final Report: Safety and Feasibility of Community-Based Distribution of Depo Provera in Nakasongola, Uganda
The goal of this intervention was to improve access to contraceptive services in rural Nakasongola, Uganda, two hours north of the capital, by assessing the safety, quality and feasibility of DMPA provision by community reproductive health workers as compared with DMPA provided in clinics. The findings from this research reinforce the wealth of experience from other regions … [Read more...] about Final Report: Safety and Feasibility of Community-Based Distribution of Depo Provera in Nakasongola, Uganda
Comparing the Effectiveness and Costs of Alternative Strategies for Improving Access to Information and Services for the IUD in Ghana
This report describes a study conducted in Ghana to explore utilizing Community Health Officers (CHOs) and Community Health Volunteers (CHVs) to increase interest in using IUDs and other long-acting and permanent methods. The study utilized a pre- and post-test quasi-experimental design and included two intervention groups (where CHOs and CHVs were given additional training and … [Read more...] about Comparing the Effectiveness and Costs of Alternative Strategies for Improving Access to Information and Services for the IUD in Ghana
Implementing the HMC Resolution on Task Shifting- Focus on Injectables. Evidence Review and Development of Country Workplans
The East, Central and Southern Africa Health Community (ECSA-HC) in collaboration with Family Health International (FHI), held a regional workshop on expanding community-based access to family planning- focus on injectable contraception. … [Read more...] about Implementing the HMC Resolution on Task Shifting- Focus on Injectables. Evidence Review and Development of Country Workplans