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FIELD ACTION REPORT
Open Access

Family Planning Counseling in Your Pocket: A Mobile Job Aid for Community Health Workers in Tanzania

Smisha Agarwal, Christine Lasway, Kelly L’Engle, Rick Homan, Erica Layer, Steve Ollis, Rebecca Braun, Lucy Silas, Anna Mwakibete and Mustafa Kudrati
Global Health: Science and Practice June 2016, 4(2):300-310; https://doi.org/10.9745/GHSP-D-15-00393
Smisha Agarwal
aFHI 360, Durham, NC, USA
bUniversity of North Carolina, Gillings School of Global Public Health, Chapel Hill, NC, USA
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Christine Lasway
aFHI 360, Durham, NC, USA
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Kelly L’Engle
aFHI 360, Durham, NC, USA
cUniversity of San Francisco, School of Nursing and Health Professions, San Francisco, CA, USA
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Rick Homan
aFHI 360, Durham, NC, USA
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Erica Layer
dD-tree International, Dar es Salaam, Tanzania
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Steve Ollis
dD-tree International, Dar es Salaam, Tanzania
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Rebecca Braun
aFHI 360, Durham, NC, USA
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Lucy Silas
dD-tree International, Dar es Salaam, Tanzania
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Anna Mwakibete
ePathfinder International, Dar es Salaam, Tanzania
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Mustafa Kudrati
ePathfinder International, Dar es Salaam, Tanzania
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Figures & Tables

Figures

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  • FIGURE 1
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    FIGURE 1

    Family Planning Counseling Algorithm

    Abbreviations: ANC, antenatal care; COC, combined oral contraceptive; FP, family planning; LAM, lactational amenorrhea method; POP, progestin‐only pill; STI, sexually transmitted infection.

  • FIGURE 2
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    FIGURE 2

    Follow‐Up Algorithm to Assess Satisfaction With Current Contraceptive Choice

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    FIGURE 3

    Referral Completion Algorithm for Clients Who Received a Health Facility Referral

    Abbreviations: ANC, antenatal care; STIs, sexually transmitted infections.

  • Figure4
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    A community health worker in Kipawa, Dar es Salaam, uses a mobile phone job aid to provide integrated family planning and HIV/STI counseling to a client.

Tables

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    TABLE 1 Demographic Characteristics, Contraceptive Choices, and HIV Testing of Continuing and New Family Planning Clients (N = 710)
    Continuing Users (n = 455)
    No. (%)
    New Users (n = 255)
    No. (%)
    Marital status
     Married435 (95.6)233 (91.4)
     Not married20 (4.4)22 (8.6)
    Sex
     Male124 (27.3)71 (27.8)
     Female331 (72.7)184 (72.2)
    Age, years
     15–1937 (8.1)26 (10.2)
     20–29169 (37.1)106 (41.6)
     30–39182 (40.0)79 (31.0)
     ≥4067 (14.7)44 (17.3)
    Type of contraceptive method useda
     Male condoms158 (34.7)88 (34.5)
     Pills (COCs or POPs)173 (38.0)61 (23.9)
     Medium- or long-acting methods (DMPA injectables, implants, IUD)57 (12.5)54 (21.2)
     Female condoms60 (13.2)17 (6.7)
     Other (LAM, SDM, tubal ligation)7 (1.5)6 (2.4)
     No method chosenNA29 (11.3)
    Recently tested for HIV
     Yes331 (72.8)149 (58.4)
     No124 (27.2)106 (41.6)
    • Abbreviations: COCs, combined oral contraceptives; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine device; LAM, lactational amenorrhea method; POPs, progestin-only pills; SDM, Standard Days Method.

    • ↵a For continuing users, type of method used at the time of the first visit by the CHW; for new users, the type of method selected after counseling by the CHW.

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    TABLE 2 Total Financial Costs Associated With Implementing the Family Planning Mobile Job Aid in 3 Pilot Facilities
    PhaseTotal Cost (US$)
    Deployment
    Sourcing equipment1,875
    Adaptation of the paper-based job aids to electronic format13,500
    Training of 25 CHWs and 3 supervisors3,522
    Operational (annual costs)
    Service provision, reporting, and supervision1,014
    IT support and troubleshooting3,600
    SMS & Internet access fees, replacement of handsets2,494
    Total resource requirement for first year (deployment and operational phases)26,005
    Total resource requirement for subsequent years (operational phase only)7,107
    • Abbreviations: CHWs, community health workers; SMS, short message service.

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Global Health: Science and Practice: 4 (2)
Global Health: Science and Practice
Vol. 4, No. 2
June 20, 2016
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Family Planning Counseling in Your Pocket: A Mobile Job Aid for Community Health Workers in Tanzania
Smisha Agarwal, Christine Lasway, Kelly L’Engle, Rick Homan, Erica Layer, Steve Ollis, Rebecca Braun, Lucy Silas, Anna Mwakibete, Mustafa Kudrati
Global Health: Science and Practice Jun 2016, 4 (2) 300-310; DOI: 10.9745/GHSP-D-15-00393

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Family Planning Counseling in Your Pocket: A Mobile Job Aid for Community Health Workers in Tanzania
Smisha Agarwal, Christine Lasway, Kelly L’Engle, Rick Homan, Erica Layer, Steve Ollis, Rebecca Braun, Lucy Silas, Anna Mwakibete, Mustafa Kudrati
Global Health: Science and Practice Jun 2016, 4 (2) 300-310; DOI: 10.9745/GHSP-D-15-00393
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    • Abstract
    • BACKGROUND
    • COMPONENTS OF THE MOBILE JOB AID
    • PROCESS OF DEVELOPING THE MOBILE JOB AID
    • MOBILE JOB AID INTRODUCTION AND TRAINING
    • PROCESS EVALUATION OF THE MOBILE JOB AID
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Subjects

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    • Family Planning and Reproductive Health
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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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