Figures & Tables
Figures
- FIGURE
Implanon Scale-Up Program Components and Implementation
Abbreviations: FMOH, Federal Ministry of Health; HEWs, Health Extension Workers.
Health Extension Workers learn about Implanon during a theoretical training session. © Pathfinder International Ethiopia.
An instructor simulates Implanon insertion on an arm model to Health Extension Workers during a training session. © Pathfinder International Ethiopia.
Under the supervision of an instructor, a Health Extension Worker inserts an Implanon implant in a client during training, as other trainees watch the procedure. © Pathfinder International Ethiopia.
Tables
- TABLE 1.
Number of HEWs Trained on Implanon Insertion and Number of Health Posts With Trained HEWs,a by Region, July 2009 to December 2015
Name of Region HEWs Health Posts Total No. of HEWs No. of Trained HEWs % of HEWs Trained Total No. of Health Posts No. of Health Posts With Trained HEWs % of Health Posts With Trained HEWs Amhara 3,885 2,204 56.7 1,891 1,891 100.0 Oromia 3,861 2,997 77.6 2,553 2,501 98.0 SNNPR 2,934 2,536 86.4 1,467 1,310 89.3 Tigray 796 699 87.8 398 377 94.7 Total 11,476 8,436 73.5 6,309 6,079 96.4 Abbreviations: HEW, health extension worker; SNNPR, Southern Nations, Nationalities, and People's Region.
↵a Includes health posts with at least 1 HEW trained on Implanon insertion.
- TABLE 2.
Contraceptive Services Provided to Clients by HEWs During and After Training, and by Nurses and Doctors through Back-Up and Outreach Servicesa
No. (%) of Service Visits Served by HEWs No. (%) of Service Visits Served by Other Health Care Providers Total No. (%) of Service Visits During Training Sessionsb With Post-Training Supplies Provided to HEWsc With Gap-Filling Supply Support to Health Posts After Post-Training Supplies Exhaustedc During Back-Up Servicesd During Implant Removal Service Support at Health Centerse During Outreach Implant Removal Service Supportf Jul 2009 to Dec 2015 Jul 2009 to Dec 2015 Sep 2011 to Dec 2015 Sep 2011 to Dec 2015 Sep 2011 to Aug 2012 Sep 2011 to Aug 2012 Jul 2009 to Dec 2015 Total service visits 82,702 (100.0) 446,010 735,000 89,177 (100.0) 20,498 (100.0) 8,931 (100.0) 1,382,318 (100.0) LARC insertions 67,662 (81.8) 446,010 735,000 35,414 (39.7) 1284086 (92.9) Implanon insertions 63,989 (77.4) 446,010 735,000 28,991 (32.5) 1,273,990 (92.2) Jadelle insertions 3,590 (4.3) 4,321 (4.8) 7,911 (0.6) IUD insertions 83 (0.1) 2,102 (2.4) 2,185 (0.2) Short-acting methods 12,320 (14.9) 32,716 (36.7) 45036 (3.3) Depo-Provera injectables 10,214 (12.4) 25,231 (28.3) 35,445 (2.6) Oral contraceptive pillsg 2,106 (2.5) 4,950 (5.6) 7,056 (0.5) Condoms 2,535 (2.8) 2,535 (0.2) LARC removals 2,720 (3.3) 21,047 (23.6) 20,498 (100.0) 8,931 (100.0) 53,196 (3.8) Implanon removals 1,163 (1.4) 17,302 (19.4) 14,389 (70.2) 4,321 (48.4) 37,175 (2.7) Jadelle removals 191 (0.2) 1,461 (1.6) 2,637 (12.9) 686 (7.7) 4,975 (0.4) IUD removals 23 (0.03) 75 (0.1) 98 (0.01) Norplant removals 1,343 (1.6) 2,209 (2.5) 3,472 (16.9) 3,924 (43.9) 10,948 (0.8) Abbreviations: HEW, Health Extension Worker; IFHP, Integrated Family Health Program; IUD, intrauterine device; LARC, long-acting reversible contraceptive; TOT, training of trainers.
↵a Data for the different program activities in the table were collected at different points during the program period; this table does not include insertions performed by doctors and nurses at the health center level.
↵b Includes both TOT and rollout training sessions.
↵c Post-training supplies were provided to HEWs to allow them to provide immediate services and gap-filling supply support was provided to health posts after post-training supplies were exhausted. HEWs also provided other contraceptive services to clients post-training, but these data are not included in this table.
↵d IFHP supported regular back-up services, whereby doctors and nurses from health centers traveled to health posts to offer removal services for LARC clients.
↵e In addition to doctors and nurses traveling from the health centers to health posts to offer removal services, the doctors and nurses also provided removal services at the health centers.
↵f IFHP mobile teams traveled to woredas outside the project catchment area to serve women in need of implant removals.
g Includes both combined oral contraceptive pills and progestin-only pills.
- TABLE 3.
Sociodemographic Characteristics of Implant Clients, December 2009 to June 2010 (N=7,254)a
Characteristics Frequency Percentage Age, years <24 1582 21.9 25–29 2254 31.2 30–34 1850 25.6 35–39 1097 15.2 ≥40 448 6.2 Place of residence Urban 531 7.3 Rural 6720 92.7 Educational status Illiterate 6442 88.8 Literate 812 11.2 Parity 1 712 10.2 2 999 14.4 3–6 4108 59 ≥7 1138 16.4 Previous use of family planning New user (no previous method) 1837 25.3 Oral contraceptive pills 454 6.3 Depo-Provera injectables 4616 63.6 Other method 344 4.8 Current method Implanon implants 6221 86.4 Jadelle implants 916 12.7 Other method 61 0.9 Length of use, years <1 2959 57.5 1–3 1668 32.4 4–5 389 7.6 ≥6 133 2.6 Source of information about implant Health Extension Worker 4786 71.1 Health worker 457 6.8 Volunteer community health worker 884 13.1 Other 609 9.1 ↵a Totals for each variable do not always equal 7,254 because some respondents did not answer all questions. Percentages are calculated based on the total number of respondents for each individual question.
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