Effect of Deploying Trained Community Based Reproductive Health Nurses (CORN) on Long‐Acting Reversible Contraception (LARC) Use in Rural Ethiopia: A Cluster Randomized Community Trial

Zerfu, Taddese Alemu; Ayele, Henok Tadesse; Bogale, Tariku Nigatu

doi:10.1111/sifp.12054

Cited by 4 publications

(7 citation statements)

References 29 publications

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“…Providers were trained in different settings, such as local health facilities and hospitals, and the educational level of providers ranged from doctors and nurses to community health workers. In 17 studies, the women’s sociodemographic characteristics were described, including factors such as age, education, parity, number of living children and marital status 17,18,20‐24,27,29,32,35,37,39‐42,44 …”

Section: Resultsmentioning

confidence: 99%

“…All studies were published between 2006 and 2020. In 20 studies, the number of healthcare providers that received training in LARC ( n = 4942) was reported, 17‐37 whereas eight studies did not report the number of providers that received training 20,38‐44 . A total of 6 112 544 women and 5331 healthcare facilities were included in the different studies.…”

Section: Resultsmentioning

confidence: 99%

“…Our primary outcome of interest, end‐use of LARC, was reported in all 28 included studies, and was measured as (1) change in uptake of LARC – including number of women choosing LARC to be their first method of contraception as well as women switching to LARC from a different method 18‐20,24,25,27‐32,35‐44 ; and (2) change in IUD uptake specifically – including postpartum intrauterine devices 17,21‐23,26,33,34 . No studies reported the number of unintended pregnancies at 12 months after initiating LARC use, and 15 studies reported the preferred LARC method among healthcare workers and women 19,20,25,27‐32,36,38,40‐43 .…”

Section: Resultsmentioning

confidence: 99%

“…20,[38][39][40][41][42][43][44] In 17 studies, the women's sociodemographic characteristics were described, including factors such as age, education, parity, number of living children and marital status. 17,18,[20][21][22][23][24]27,29,32,35,37,[39][40][41][42]44 Our primary outcome of interest, end-use of LARC, was reported in all 28 included studies, and was measured as (1) change in uptake of LARC -including number of women choosing LARC to be their first method of contraception as well as women switching to LARC from a different method [18][19][20]24,25,[27][28][29][30][31][32][35][36][37][38][39][40][41][42][43][44] ; and (2) change in IUD uptake specifically -including postpartum intrauterine devices. …”

Section: Re Sultsmentioning

confidence: 99%

“…17,[21][22][23]26,33,34 No studies reported the number of unintended pregnancies at 12 months after initiating LARC use, and 15 studies reported the preferred LARC method among healthcare workers and women. 19,20,25,[27][28][29][30][31][32]36,38,[40][41][42][43] Uptake of other contraceptives was measured in 19 studies, including use of SARC methods, 19,24,27,28,31,32,37,[39][40][41] overall users of family planning methods 18,25,30,[32][33][34][36][37][38]40,41,43,44 and users of oral contraceptives specifically. 27,28,30,31,…”

Section: Re Sultsmentioning

confidence: 99%

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Training of healthcare providers and use of long‐acting reversible contraception in low‐ and middle‐income countries: A systematic review

Baekgaard

Damhaugh

Mrema

et al. 2021

Acta Obstet Gynecol Scand

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Introduction Unintended pregnancy, a major global health issue resulting in unsafe terminations of pregnancy and maternal deaths in low‐ and middle‐income countries, could be significantly reduced through increased use of modern contraception, including long‐acting reversible contraceptives (LARC). Training of healthcare providers to administer such contraceptives may improve uptake. We conducted a systematic review to collate the end‐user uptake data following training of healthcare providers in low‐ and middle‐income countries. Material and methods We searched PubMed, Embase, the Global Health Library and the Cochrane Library up to 23 May 2020. The review was restricted to low‐ and middle‐income countries and focused on healthcare providers who had received training in LARC. Studies that reported contraceptive uptake among women, preference of LARC among healthcare workers and/or women, and unplanned pregnancies within 12 months of LARC initiation were included. All included studies underwent quality assessment using either the Cochrane Risk of Bias Tool or the Newcastle‐Ottawa Scale. PROSPERO registration number CRD42020185291. Results A total of 28 studies (end‐users n = 6 112 544) were included (27 cohort studies and one randomized trial). Nineteen studies were set in Africa, five in Asia, one in Central America and four were multi‐country studies. Twenty‐eight studies reported LARC use among women, and 25 studies found an increase in uptake of LARC by women using short‐acting methods switching to longer‐acting methods or by recruiting new users of LARC. The randomized controlled trial was assessed as high quality and reported positive findings; however, there was great heterogeneity in the type of intervention and of how outcomes were measured among the other included studies. Further, the quality of these studies varied, although it should be noted that the poor‐quality studies reflected the trends of those of higher quality. Conclusions Despite heterogeneity, current evidence indicates that training of healthcare providers in LARC may increase the uptake among women in low‐ and middle‐income countries. More robust studies are warranted to inform policy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%