“A cup of tea with our CBD agent … ”: community provision of injectable contraceptives in Kenya is safe and feasible

Figures & Tables

Table 1. Family Planning Services Provided by CHWs, by Contraceptive Method and Type of Client (August 2009–September 2010)

Method	No. of clients	% of total clients (N = 1210)	% of client type using method
Depo-Provera (DMPA)
Former clinic clients	614	51	74
New to family planning	118	10	14
New to DMPA	100	8	12
Subtotals	832	69	100
Pills (including emergency contraceptives)
New users	53	4	36
Returning users	96	8	64
Subtotals	149	12	100
Condoms
New users	102	8	52
Returning users	93	8	48
Subtotals	195^a	16	100
Referrals
BTL	9	1	25
IUD	15	2	35
Implants	5	1	25
Side effects	2	1	6
Other	3	1	6
Subtotals	34	3^b	97^b
TOTAL	1210	100

↵a 56% (109) of the condom users were dual method users.
↵b Percentage inexact due to rounding
Abbreviations: BTL, bilateral tubal ligation; CHW, community health worker; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine contraceptive device.

Table 2. Clinic-Based Family Planning Services Provided Before and During the Pilot Intervention

Method provided	3 months before intervention (Jun–Aug 2009)	First 3 months of intervention (Sep–Nov 2009)	Last 3 months of intervention (May–Jul 2010)	Total
DMPA	166	263	341	770
COCs	59	12	29	100
POPs	4	1	3	8
Implants	4	0	0	4
IUD	0	3	0	3

Abbreviations: COC, combined oral contraceptives; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine contraceptive device; POP, progestin-only pills.

Table 3. Re-Injection Rate Among CHW DMPA Clients

	Eligible Clients Receiving Re-Injections			Reported related needlestick injuries (n = 2453^a)
	1^st re-injection (at 3 months) (n = 761)	2^nd re-injection (at 6 months) (n = 672)	3^rd re-injection (at 9 months) (n = 508)	Reported related needlestick injuries (n = 2453^a)
Tharaka pilot sites (31 CHWs)	89%	81%	68%	0% (0)

Percentages calculated among those clients who were eligible for a second, third, or fourth injection
↵a Total number of DMPA injections provided by all CHWs during the pilot period
Abbreviations: CHW, community health worker; DMPA, depot medroxyprogesterone acetate.