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Building on safety, feasibility, and acceptability: the impact and cost of community health worker provision of injectable contraception

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Authors: Dawn Chin-Queea, John Bratta, Morrisa Malkinb, Mavis Mwale Ndunac, Conrad Otternessa, Lydia Jumbed, Reuben Kamoto Mbewee

A critical shortage of doctors, nurses, and midwives in many sub-Saharan African countries inhibits efforts to expand access to family planning services, especially in rural areas. One way to fill this gap is for community health workers (CHWs) to provide injectable contraceptives, an intervention for which there is growing evidence and international support. This project in Zambia contributes to our understanding of the impact of community-based provision of injectables on method choice and uptake and of the costs of adding DMPA to an established community-based family planning program. The project also illustrates the importance of involving stakeholders from the outset, analyzing costs relevant to scale up, and engaging in policy change dialogue not at the end, but rather throughout project implementation.

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Resource Topic: Community Health Workers/Volunteers, Midwives, Reproductive Health/Family Planning, Scale-up

Resource Type: Journal articles, Research

Year: 2013

Region:

Country: Zambia

Publisher May Restrict Access: No

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