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

Prata, Ndola; Gessessew, Amanuel; Cartwright, Alice F.; Fraser, Ashley

doi:10.2471/blt.11.086710

Cited by 64 publications

(100 citation statements)

References 15 publications

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“…They can also effectively refer patients for long-acting and permanent forms of family planning (115). Similar evidence is now emerging from Africa for injectable contraceptives (66,76,96,117). Community-based distribution programs, including a recently implemented program in Afghanistan, have increased by three-or fourfold (from 5-10% to 20-40%) usage of family-planning methods in areas where initial coverage is very low (53,110).…”

Section: Improvement Of Women's Healthmentioning

confidence: 79%

Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness

Perry

Zulliger

Rogers

2014

Annu. Rev. Public Health

666

671

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Over the past half-century, community health workers (CHWs) have been a growing force for extending health care and improving the health of populations. Following their introduction in the 1970s, many large-scale CHW programs declined during the 1980s, but CHW programs throughout the world more recently have seen marked growth. Research and evaluations conducted predominantly during the past two decades offer compelling evidence that CHWs are critical for helping health systems achieve their potential, regardless of a country's level of development. In low-income countries, CHWs can make major improvements in health priority areas, including reducing childhood undernutrition, improving maternal and child health, expanding access to family-planning services, and contributing to the control of HIV, malaria, and tuberculosis infections. In many middle-income countries, most notably Brazil, CHWs are key members of the health team and essential for the provision of primary health care and health promotion. In the United States, evidence indicates that CHWs can contribute to reducing the disease burden by participating in the management of hypertension, in the reduction of cardiovascular risk factors, in diabetes control, in the management of HIV infection, and in cancer screening, particularly with hard-to-reach subpopulations. This review highlights the history of CHW programs around the world and their growing importance in achieving health for all.

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Section: Improvement Of Women's Healthmentioning

confidence: 79%

Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness

Perry

Zulliger

Rogers

2014

Annu. Rev. Public Health

666

671

View full text Add to dashboard Cite

show abstract

“…Uptake of injectable contraceptives has shown a marked increase in 2011 mainly due to the fact that HEWs provide injectable locally without necessarily visiting the health facilities at distant places (Prata, Gessessew, Cartwright & Fraser, 2011). In the past, injectable and implants were offered only by medical professionals in the clinics.…”

Section: Injectable Is the Most Popular Contraceptive Methods Both In mentioning

confidence: 99%

Trend and correlates of contraceptive use in rural and urban Ethiopia: is there a link to the health extension programme?

Gurmu

Mturi

2013

APS

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“…Studies from India, Bangladesh, and several African countries show that community health workers (CHWs) can safely and effectively provide a range of contraceptive methods, even when CHWs have low or no literacy [1][2][3][4][5]. CHWs can supplement the provision of contraceptive methods with counseling and referrals to clinic-based services [6].…”

Section: Introductionmentioning

confidence: 99%

An assessment of the government of India’s initiative on contraceptives at the doorstep by Accredited Social Health Activists (ASHAs): Recommendations for national scale-up

Basu¹,

Green²,

George³

2017

J Pregnancy Reprod

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Objective: The Government of India (GOI) piloted a new initiative in 17 states where Accredited Social Health Activists (ASHAs) delivered contraceptives directly to households for a small fee. This paper details an assessment of the pilot with the aim of informing the GOI's national scale-up of the initiative. Methods:A mixed-method approach was used in May 2012 to assess operational issues, barriers and facilitators of implementation, and initiative experiences in 6 states. Participants included ASHAs, community women, and managers and other key implementers.Results: Community women and ASHAs found the initiative favorable and managers were positive about long term success. The assessment uncovered challenges in the supply chain, the packaging of the initiative's contraceptives, communication efforts, and orientation and reporting. Conclusion:The initiative is a promising strategy to address unmet need and to increase the uptake of birth-spacing methods. Assessment recommendations can inform and strengthen other community-based family planning programs.

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

Cited by 64 publications

References 15 publications

Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness

Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness

Trend and correlates of contraceptive use in rural and urban Ethiopia: is there a link to the health extension programme?

An assessment of the government of India’s initiative on contraceptives at the doorstep by Accredited Social Health Activists (ASHAs): Recommendations for national scale-up

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