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Documenting the Provision of Emergency Contraceptive Pills Through Youth-Serving Delivery Channels: Exploratory Mixed Methods Research on Malawi’s Emergency Contraception Strategy

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Authors: Holly M Burke, Philip Mkandawire, Mary Mulombe Phiri, Fannie Kachale, Kristen Little, Caroline Bakasa, Luwiza Puleni, Eden Demise, Paola Letona, Gwyneth Austin, Moses Kumwenda

Emergency contraceptive pills (ECPs) are effective and can be used safely, but they are underused, especially among youth. In 2020, Malawi’s Ministry of Health developed a strategy to improve ECP access through public channels like youth clubs and community health workers (CHWs). A study in two rural districts found that ECP use increased, particularly among young people, with 3,988 client visits recorded over three months. However, stock-outs occurred during 29% of visits, and some providers had negative attitudes toward repeat use. To meet demand, ECP distribution should expand, and provider attitudes must be addressed.

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Resource Topic: Contraception

Resource Type: Mixed Methods

Year: 2024

Region: Sub-Saharan Africa (SSA)

Country: Malawi

Publisher May Restrict Access: No

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