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ORIGINAL ARTICLE

Policy and programmatic considerations for introducing a longer-acting injectable contraceptive: perspectives of stakeholders from Kenya and Rwanda

Kevin McKenna, Jennet Arcara, Kate H Rademacher, Caroline Mackenzie, Fidele Ngabo, Emmanuel Munyambanza, Jennifer Wesson and Elizabeth E Tolley
Global Health: Science and Practice December 2014, 2(4):459-471; https://doi.org/10.9745/GHSP-D-14-00106
Kevin McKenna
aFHI 360, Durham, NC, USA
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  • For correspondence: kmckenna@fhi360.org
Jennet Arcara
bUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Kate H Rademacher
aFHI 360, Durham, NC, USA
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Caroline Mackenzie
cFHI 360, Nairobi, Kenya. Now with Ipsos, Nairobi, Kenya
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Fidele Ngabo
dMinistry of Health, Kigali, Rwanda
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Emmanuel Munyambanza
eFHI 360, Kigali, Rwanda. Now with Company for Research in Social, Behavior and Health (RSH) Ltd, Kigali, Rwanda
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Jennifer Wesson
fFHI 360, Kigali, Rwanda. Now with IntraHealth International, Chapel Hill, NC, USA
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Elizabeth E Tolley
aFHI 360, Durham, NC, USA
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    Figure.

    Affordability, Availability, and Adoption: Systems-Level Considerations for Enhancing Access to an LAI

    Abbreviations: BF, breastfeeding; CBD, community-based distribution; LAI, longer-acting injectable; TPP, target product profile.a For full version of the “Acceptability” portion of this figure, see Tolley et al, 2014.15

Tables

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    Table 1. Profile of In-Depth Interview Respondents from Kenya and Rwanda (N = 46)
    KenyaRwandaTotals
    Role in the Health SystemPublic SectorNGO/Private SectorPublic SectorNGO/Private Sector
    Program implementers251210
    Policy makers23229
    Service providers
     Nurses/midwives
      Rural––1–1
      Peri-urban7–2–9
      Urban23128
     CHWs
      Rural––6–6
      Peri-urban3–––3
      Urban–––––
    Totals161113646
    • Abbreviations: CHWs, community health workers; NGO, nongovernmental organization.

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    Table 2. Profile of International Opinion Leaders Responding to Email-Based Survey (N = 28)
    CharacteristicsNo. of Respondents
    Type of Organization
     NGO (international and based within the US)14
     International organization (UN, etc)3
     University4
     Donor5
     Government1
     Clinical services1
    Countries
     Global (work in > 1 country)18
     Brazil1
     Guinea1
     Jordan2
     Malawi1
     Nigeria1
     Uganda2
     United States2
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Global Health: Science and Practice: 2 (4)
Global Health: Science and Practice
Vol. 2, No. 4
December 01, 2014
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Policy and programmatic considerations for introducing a longer-acting injectable contraceptive: perspectives of stakeholders from Kenya and Rwanda
Kevin McKenna, Jennet Arcara, Kate H Rademacher, Caroline Mackenzie, Fidele Ngabo, Emmanuel Munyambanza, Jennifer Wesson, Elizabeth E Tolley
Global Health: Science and Practice Dec 2014, 2 (4) 459-471; DOI: 10.9745/GHSP-D-14-00106

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Policy and programmatic considerations for introducing a longer-acting injectable contraceptive: perspectives of stakeholders from Kenya and Rwanda
Kevin McKenna, Jennet Arcara, Kate H Rademacher, Caroline Mackenzie, Fidele Ngabo, Emmanuel Munyambanza, Jennifer Wesson, Elizabeth E Tolley
Global Health: Science and Practice Dec 2014, 2 (4) 459-471; DOI: 10.9745/GHSP-D-14-00106
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