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Scaling Up Community Provision of Injectables through the Public Sector in Uganda

Bibliographic Data

ID10796012
AuthorsKirsten Krueger (Family Health International 360, corresponding author), Angela Akol (0000-0003-4594-3478, corresponding author), Patricia Wamala (corresponding author), Aurélie Brunie (0000-0002-9515-1420)
Year2011
Volume42
Issue2
Pages117-124
Publication date2011-06-01
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1728-4465.2011.00271.x
PMID21834413
OpenAlexW2079189302
LanguageEN
Citations received7
References cited4

This case study presents service monitoring data and programmatic lessons from scaling up Uganda's community‐based distribution of depot medroxyprogesterone acetate (DMPA, marketed as Depo‐Provera) to the public sector in two districts. We describe the process and identify implementation opportunities and challenges, including modifications to the service model. Analysis of monitoring data indicates that the number of women initiating DMPA with a community health worker (CHW) was 56 percent higher than the number of new DMPA acceptors served by clinics. Including continuing DMPA users, about three of every four DMPA clients chose CHWs as their service delivery point. CHW provision appears to be the preferred method of delivery for new DMPA users in this study, and may appeal even more to continuing clients. Lessons from scaling up in Uganda's public sector include recognizing the needs for ongoing assessment of support, a process to gain community “ownership,” and spontaneous innovations to supplement CHW supervision

Business · Community health · Community health workers · Data collection · Developing country · Economic growth · Economics · Environmental health · Family planning · Health services · Political science · Population · Public health · Public sector · Research methodology · Service (business · Service delivery framework · Service provider · Sociology · Antibiotic Use and Resistance · Global Maternal and Child Health · Marketing · Medicine · Nursing · Vaccine Coverage and Hesitancy

  • Community Health Workers in Low-, Middle-, and High-Income Countries

    Henry B Perry, Rose Zulliger et al.•Annual Review of Public Health•2014

  • Community-Based Distribution of Injectable Contraceptives

    Theresa Hoke, Aurélie Brunie et al.•International Perspectives on…•2012

  • Improving the use of health data for health system strengthening

    Open Access•Tara Nutley, HeidiW Reynolds•Global Health Action•2013

  • Verbal/Social Autopsy in Niger 2012–2013

    Open Access•Khaled Bensaïd, Asma Gali Yaroh et al.•Journal of Global Health•2016

  • Task Sharing of Injectable Contraception Services in Pakistan

    Open Access•Dawn S Chin‐Quee, Dawn Chin‐Quee et al.•Studies in Family Planning•2021

  • Effect of Village Midwife Program on Contraceptive Prevalence and Method Choice in Indonesia

    Open Access•Emily H Weaver, Elizabeth Frankenberg et al.•Studies in Family Planning•2013

  • The effects of community-based distribution of family planning services on contraceptive use

    Open Access•Steven P Masiano, Steven Masiano et al.•Social Science & Medicine•2019

  • Community-based provision of injectable contraceptives in Madagascar

    Open Access•T H Hoke, Theresa Hoke et al.•Health Policy and Planning•2012

Citations per year0.5
Citation span2012 - 2021 (10)
Highly citedNo

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