Sexual and reproductive health

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

Bulletin of the World Health Organization - Volume 89, Number 8

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Authors:
Ndola Prata et al.

Article

Publication details

Publication date: August 2011
Languages: English - Web only

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Objective

To determine whether community-based health workers in a rural region of Ethiopia can provide injectable contraceptives to women with similar levels of safety, effectiveness and acceptability as health extension workers (HEWs).

Methods

This was a prospective non-randomized community intervention trial designed to test the provision of injectable contraceptives by community-based reproductive health agents (CBRHAs). Effectiveness, safety, acceptability and continuation rates were the outcomes of interest. The outcomes observed when injectable contraceptives were administered by HEWs in health posts and when they were administered by CBRHAs were compared.

This was a prospective non-randomized community intervention trial designed to test the provision of injectable contraceptives by community-based reproductive health agents (CBRHAs). Effectiveness, safety, acceptability and continuation rates were the outcomes of interest. The outcomes observed when injectable contraceptives were administered by HEWs in health posts and when they were administered by CBRHAs were compared by means of χ2 tests for association among categorical variables and t-tests for independent samples to determine differences between group means.