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Original Articles
Open Access

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

Alice Auma Olawo, Issak Bashir, Marsden Solomon, John Stanback, Baker Maggwa Ndugga and Isaac Malonza
Global Health: Science and Practice November 2013, 1(3):308-315; https://doi.org/10.9745/GHSP-D-13-00040
Alice Auma Olawo
aFHI 360, Nairobi, Kenya
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  • For correspondence: aolawo@fhi360.org
Issak Bashir
bMinistry of Health, Nairobi, Kenya
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Marsden Solomon
aFHI 360, Nairobi, Kenya
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John Stanback
cFHI 360, Research Triangle Park, NC, USA
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Baker Maggwa Ndugga
cFHI 360, Research Triangle Park, NC, USA
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Isaac Malonza
dJhpiego/Kenya, Nairobi, Kenya
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Figures & Tables

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    Table 1. Family Planning Services Provided by CHWs, by Contraceptive Method and Type of Client (August 2009–September 2010)
    MethodNo. of clients% of total clients (N = 1210)% of client type using method
    Depo-Provera (DMPA)
    Former clinic clients6145174
    New to family planning1181014
    New to DMPA100812
    Subtotals83269100
    Pills (including emergency contraceptives)
    New users53436
    Returning users96864
    Subtotals14912100
    Condoms
    New users102852
    Returning users93848
    Subtotals195a16100
    Referrals
    BTL9125
    IUD15235
    Implants5125
    Side effects216
    Other316
    Subtotals343b97b
    TOTAL1210100
    • ↵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.

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    Table 2. Clinic-Based Family Planning Services Provided Before and During the Pilot Intervention
    Method provided3 months before intervention (Jun–Aug 2009)First 3 months of intervention (Sep–Nov 2009)Last 3 months of intervention (May–Jul 2010)Total
    DMPA166263341770
    COCs591229100
    POPs4138
    Implants4004
    IUD0303
    • Abbreviations: COC, combined oral contraceptives; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine contraceptive device; POP, progestin-only pills.

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    Table 3. Re-Injection Rate Among CHW DMPA Clients
    Eligible Clients Receiving Re-InjectionsReported related needlestick injuries (n = 2453a)
    1st re-injection (at 3 months) (n = 761)2nd re-injection (at 6 months) (n = 672)3rd re-injection (at 9 months) (n = 508)
    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.

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Global Health: Science and Practice: 1 (3)
Global Health: Science and Practice
Vol. 1, No. 3
November 01, 2013
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“A cup of tea with our CBD agent … ”: community provision of injectable contraceptives in Kenya is safe and feasible
Alice Auma Olawo, Issak Bashir, Marsden Solomon, John Stanback, Baker Maggwa Ndugga, Isaac Malonza
Global Health: Science and Practice Nov 2013, 1 (3) 308-315; DOI: 10.9745/GHSP-D-13-00040

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“A cup of tea with our CBD agent … ”: community provision of injectable contraceptives in Kenya is safe and feasible
Alice Auma Olawo, Issak Bashir, Marsden Solomon, John Stanback, Baker Maggwa Ndugga, Isaac Malonza
Global Health: Science and Practice Nov 2013, 1 (3) 308-315; DOI: 10.9745/GHSP-D-13-00040
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