Community Health Workers as Key Providers of Easy-to-Use Contraceptive Injectables

• Tác giả: Michele Andreottola
• Ngôn ngữ: eng
• Ký hiệu phân loại: 362.12 Clinics and related institutions
• Thông tin xuất bản: Washington, DC: World Bank, 2025
• Bộ sưu tập: Tài liệu truy cập mở
• ID: 295962
• Chủ đề: 1. ADMINISTRATIVE DATA; 2. COMMUNITY HEALTH WORKERS; 3. CONTRACEPTIVE INJECTIONS; 4. FAMILY PLANNING; 5. FERTILITY PREFERENCES

Tóm tắt

This study employs a cluster randomized controlled trial and administrative health center data to investigate the effects of authorizing community health workers to deliver a new generation of contraceptive injections directly to women during routine home visits following comprehensive training. The paper observes a significant increase of approximately 70 percent in the administered quantity of these injections, which provide average protection for three months. However, the results suggest that the intervention does not produce a statistically significant change in contraceptive coverage because of significant substitution effects away from long-acting contraceptive implants and intrauterine devices that women might otherwise have adopted.