Provision of DMPA by community health workers: what the evidence shows

Malarcher, S; Meirik, Olav; Lebetkin, Elena; Shah, Iqbal; Spieler, Jeff; Stanback, John

doi:10.1016/j.contraception.2010.08.013

Cited by 82 publications

(79 citation statements)

References 20 publications

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“…In light of the fact that about six in every ten women (57%) in the country deliver at health facilities [18], there is a strong need to promote programs that target women who do not deliver at health facilities as a measure to promote contraceptive use. Examples include the Community Based Distribution (CBD) program aimed at bringing family planning services closer to the intended users, satellite clinics, and employer-based programs [44,48,49]. CBD is particularly important in enhancing access to reproductive health services among the rural communities.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Time-to-Contraceptive Use from Resumption of Sexual Intercourse after Birth among Women in Uganda

Wamala

Kabagenyi

Kasasa

2017

International Journal of Population Research

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Globally, there is extant literature on patterns and dynamics of postpartum contraceptive use with hardly any evidence examining time-to-contraceptive use from resumption of sexual intercourse after birth among women in Uganda. Methods. The analysis was based on data from 2011 Uganda Demographic and Health Survey on a sample of 2983 married women with a birth in the past three years preceding the survey and had resumed sexual intercourse. A time-to-contraceptive use was adopted in the analysis using life tables based on the Kaplan-Meier estimates, while the Log-Rank Chi-square tests assessed the variables to be included in regression analysis. Cox-Proportional Hazard regression was run to identify the predictors of time-to-contraceptive use among postpartum women in Uganda. Sampling weights were applied in the analysis to ensure representativeness. Results. The median time-tocontraceptive use was 19 months (range 0-24). Time to adoption of modern contraceptive use was significantly longer among women with no formal education, residing in northern region, who (HR = 0.56, CI: 0.40-0.78) had delivered at home/traditional birth attendant (HR = 0.75, CI: 0.60-0.93), had 1-3 antenatal care visits (HR = 0.83, CI: 0.70-0.98), and were in poorest wealth quintile. Conclusions. Measures for enhancing modern contraceptive use during and after the postpartum period should focus on (i) addressing hindrances in accessing family planning, particularly among poor and noneducated women; (ii) integration of family planning service delivery into routine ANC through counseling; and (iii) promoting deliveries in health facilities.

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Section: Discussionmentioning

confidence: 99%

Predictors of Time-to-Contraceptive Use from Resumption of Sexual Intercourse after Birth among Women in Uganda

Wamala

Kabagenyi

Kasasa

2017

International Journal of Population Research

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“…13 Shifting the task of providing longer-acting injectable contraceptives, such as depot medroxyprogesterone acetate (DPMA), to community workers can provide access to these methods to a larger number of women. 14,15 Community-based models of DMPA distribution have been successful in several developing country contexts. Most recently, studies conducted in Madagascar, Malawi and Uganda have demonstrated that community health workers who receive proper training in screening, injection technique and counselling can administer DMPA injections to women in rural areas just as safely as clinic-based providers and with comparable rates of acceptability and continuation.…”

Section: Introductionmentioning

confidence: 99%

Provision of injectable contraceptives in Ethiopia through community-based reproductive health agents

Prata

Gessessew

Cartwright³

et al. 2011

Bull. World Health Organ.

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“…2,4 In low-income countries, injectables have several advantages: they require minimal provider training and do not require patient follow-up beyond the woman returning regularly for repeat injections. 5,6 Furthermore, injections can be more easily concealed from partners than pills and other methods. Lastly, injectables are effective: less than 1% of women become pregnant within a year with consistent use; 3% with inconsistent use.…”

mentioning

confidence: 99%

Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda

Hyttel¹,

Rasanathan

Tellier

et al. 2012

Reproductive Health Matters

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Provision of DMPA by community health workers: what the evidence shows

Cited by 82 publications

References 20 publications

Predictors of Time-to-Contraceptive Use from Resumption of Sexual Intercourse after Birth among Women in Uganda

Predictors of Time-to-Contraceptive Use from Resumption of Sexual Intercourse after Birth among Women in Uganda

Provision of injectable contraceptives in Ethiopia through community-based reproductive health agents

Use of injectable hormonal contraceptives: diverging perspectives of women and men, service providers and policymakers in Uganda

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