The effectiveness of community based distribution of injectable contraceptives using community health extension workers in Gombe State, Northern Nigeria

RA Abdul-Hadi, MM Abass, BO Aiyenigba… - African Journal of …, 2013 - ajol.info
RA Abdul-Hadi, MM Abass, BO Aiyenigba, LO Oseni, S Odafe, ON Chabikuli, MD Ibrahim…
African Journal of Reproductive Health, 2013ajol.info
This study reports on findings of a pilot of community-based distribution (CBD) of injectable
contraceptives in two local government areas (LGAs) of Gombe State, Nigeria. From August
2009 to January 2010, the project enrolled, trained and equipped community health
extension workers (CHEWs) to distribute condoms, oral and injectable contraceptives in
communities. The project mobilized communities and stakeholders to promote Family
Planning (FP) services in the selected communities. Using anonymised unlinked routine …
Abstract
This study reports on findings of a pilot of community-based distribution (CBD) of injectable contraceptives in two local government areas (LGAs) of Gombe State, Nigeria. From August 2009 to January 2010, the project enrolled, trained and equipped community health extension workers (CHEWs) to distribute condoms, oral and injectable contraceptives in communities. The project mobilized communities and stakeholders to promote Family Planning (FP) services in the selected communities. Using anonymised unlinked routine service data, the mean couple years of protection (CYP) achieved through CBD was compared to that achieved in FP clinics. The CBD mean CYP for injectables-depo medroxy-progesterone acetate (DMPA) and norethisterone enantate was higher (27.72 & 18.16 respectively) than the facility CYP (7.21 & 5.08 respectively)(p< 0.05) with no injection related complications. The CBD’s mean CYP for all methods was also found to be four times higher (11.65) than that generated in health facilities (2.86)(p< 0.05). This suggests that the CBD of injectable contraceptives is feasible and effective, even in a setting like northern Nigeria that has sensitivities about FP.(Afr J Reprod Health 2013; 17 [2]: 80-88).
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