This study in rural Malawi tested a program called Ndingathe (“I Can”) to help community health workers, known as Health Surveillance Assistants (HSAs), improve access to contraception; especially self-injectable options. The program gave HSAs tools like bicycles, lunch allowances, and better planning materials, which helped them hold more and longer outreach clinics. Both HSAs … [Read more...] about Improving Contraception Outreach through Human-Centered Design: A Pilot Study of the Ndingathe (“I Can”) Intervention in Rural Malawi
Contraception
DMPA-SC self-injection experiences of clients and providers in Uganda the role of community health workers in reproductive self-care service delivery
This study in Uganda looked at how community health workers (CHWs) compare to clinic workers in providing family planning counseling and training women to self-inject contraceptives. Interviews with 240 clients and 80 providers showed that many women were interested in self-injection, and CHWs often gave better counseling and training than clinic workers. CHWs were more likely … [Read more...] about DMPA-SC self-injection experiences of clients and providers in Uganda the role of community health workers in reproductive self-care service delivery
Perspectives of stakeholders on enhancing access to self-injectable contraception in rural South Sudan
This study looked at how people in rural South Sudan feel about using self-injectable birth control. Many liked being able to use it privately at home, which helped them avoid cultural and distance-related barriers. However, challenges like stigma, side effects, and family pressure made it hard for some to keep using it. Involving community health workers and local leaders in … [Read more...] about Perspectives of stakeholders on enhancing access to self-injectable contraception in rural South Sudan
Community Health Workers as Key Providers of Easy-to-Use Contraceptive Injectables
This study tested what happens when trained community health workers are allowed to give women a new type of birth control shot during home visits. The number of shots given went up by about 70%. However, overall birth control use didn’t increase much, since many women chose the shots instead of longer-lasting options like implants or IUDs. … [Read more...] about Community Health Workers as Key Providers of Easy-to-Use Contraceptive Injectables
Feasibility, acceptability, and potential effectiveness of a human-centered design-derived intervention to improve community health workers’ contraception outreach in rural Malawi
Health Surveillance Assistants (HSAs) in Malawi play a key role in expanding contraceptive access in rural areas. The Ndingathe intervention was designed to improve outreach by addressing HSA workflow challenges and enhancing self-injection counseling through a mnemonic and peer support from experienced users. During a six-month pilot, Ndingathe increased outreach clinic … [Read more...] about Feasibility, acceptability, and potential effectiveness of a human-centered design-derived intervention to improve community health workers’ contraception outreach in rural Malawi