Authors: Alice Auma Olawo, Issak Bashir, Marsden Solomon,a John Stanback,c Baker Maggwa Ndugga, Isaac Malonzad
In rural areas of Kenya, where the majority of the population lives, contraceptive use remains low compared with that in urban areas (37% vs. 47%). Inadequate access to family planning services in rural areas is partly due to fewer health facilities and the shortage of health care workers. Community-based access to injectable contraceptives can improve access for rural populations and expand the range of contraceptive methods available. This pilot project sought to generate local evidence on safety, feasibility, and acceptability of the provision of injectable depot medroxyprogesterone acetate (DMPA) by community health workers (CHWs). Community-based provision of DMPA along with other contraceptive methods increased the use of family planning and method choice by fivefold during the study period, building on evidence for supportive policy change.