The Acceptability of Household Distribution of Contraceptives in Zaire

Bertrand, Jane T.; Mangani, Nlandu; Mansilu, Matondo

doi:10.2307/2948030

Cited by 7 publications

(3 citation statements)

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“…In the Democratic Republic of Congo, the task-shifting of family planning (FP) services is not a new idea [1] , but the commitment of the country to the FP2020 initiative since 2012 has boosted the interest for community-based provision of contraceptives as a way to decrease unmet need 1 for FP. The use of Community-Based Distributors (CBDs) for contraceptive provision is a key element of the National Strategic Plan for Family Planning [2] .…”

Section: Introductionmentioning

confidence: 99%

Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers

et al. 2018

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ObjectivesTo document the experience of three groups of Family Planning service providers participating in task-shifting for the provision of subcutaneous depot-medroxyprogesterone acetate (DMPA-SC) at the community level in the DRC.Study designThis article compares results from interviews with DMPA-SC providers in two separate pilot studies: 1) 53 medical and nursing school students teaching women how to self-inject (2016–2017); and 2) 34 lay community health workers providing DMPA-SC in rural areas of Lualaba (2017). All providers gave information on socio-demographic characteristics, recruitment,) training, supervision, experience and satisfaction with the provision of DMPA-SC. The paper examines variations in responses from the different provider cadres.ResultsDespite substantive variations in provider profiles in terms of age, educational and marital status, reported levels of satisfaction with offering DMPA-SC in the community were consistently high. Over 90% of all providers declared being comfortable or very comfortable interacting with FP clients, and more than three quarters of them were very comfortable performing an injection. Over 90% of Lualaba providers and over 80% of student providers gave correct responses to DMPA-SC protocol questions regarding referral of clients to facilities and side-effects management. The vast majority declared being (very) satisfied with their experience providing DMPA-SC.ConclusionsProviders with and without a clinical background, when properly trained and supervised, can provide DMPA-SC at the community level in both urban and rural settings of the DRC. Support strategies from the Family Planning environment (continuous contraceptive supplies and adequate referral system to fixed facilities) are key to engaging community health workers and sustainably leveraging task-shifting opportunities.Implication statementThis study provides additional evidence on the acceptability and feasibility of task-shifting in relation to DMCP-SC and supports further scale-up efforts.

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Section: Introductionmentioning

confidence: 99%

Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers

et al. 2018

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“…Quasiexperimental studies have shown that CBD programmes have a significant positive impact on contraceptive prevalence rates, [3][4] while others, using the same study design have arrived at inconclusive findings. [5][6] Moreover, lessons from countries with large national CBD programmes confuse the matter further. For instance, in Kenya the plateauing of the national contraceptive prevalence rate over the past ten years 7 has been blamed on the curtailment of the country's CBD programme due to funding constraints.…”

Section: Introductionmentioning

confidence: 99%

The Potential Impact of Community-Based Distribution Programmes on Contraceptive Uptake in Resource-Poor Settings: Evidence from Ethiopia

Tawye¹,

Jotie²,

Shigu³

et al. 2005

African Journal of Reproductive Health

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“…CBD programs in sub-Saharan Africa in the 1960s and the pilot projects of the 1970s and 1980s demonstrated the feasibility of this approach to family planning service delivery, particularly in rural areas without clinical resources (Ampofo et al, 1976;Cuca and Pierce, 1977;University of Ghana and UCLA, 1979;Bertrand et al, 1984;and Ross, 1990). The Fertility Research Unit, sponsor of the subject of this report, developed a pilot CBD project in rural Oyo State, Nigeria, which has been extended by the State Ministry of Health (Ladipo et al, 1985;Delano, 1987).…”

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confidence: 99%

Family Planning in Traditional Markets in Nigeria

Oa¹,

McNamara²,

Ge³

et al. 1990

Studies in Family Planning

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Operations research on the Ibadan Market-Based Distribution Project in Nigeria investigated the feasibility of a contraceptive distribution system using traders in the traditional markets to sell pills, condoms, and foaming tablets. Two hundred and thirty-five female and male traders were trained and supplied with contraceptives, malaria treatments, and oral rehydration salts to sell at low prices in 39 markets. This article presents findings from qualitative and quantitative research conducted in 1985-89 to determine if the sale of contraceptives in the marketplace is acceptable to participating traders and shoppers and to identify trader and market characteristics associated with sales volume. Sales of contraceptives totaled 18,286 pill cycles, 11,818 packages of four condoms, and 4,429 packages of four foaming tablets. The average monthly sale for each participating trader was 5.3 units. Adaptations of this model are being tested in other Nigerian cities and in Accra, Ghana.

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The Acceptability of Household Distribution of Contraceptives in Zaire

Cited by 7 publications

References 0 publications

Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers

Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers

The Potential Impact of Community-Based Distribution Programmes on Contraceptive Uptake in Resource-Poor Settings: Evidence from Ethiopia

Family Planning in Traditional Markets in Nigeria

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