Evolution of a Large-Scale Community-Based Contraceptive Distribution Program in Kinshasa, DRC Based on Process Evaluation

Figures & Tables

TABLE 1.

Contraceptive Stock-Outs and Resupplies Reported by CBDs, Kinshasa, DRC, 2014–2017

	Condoms	COCs	POPs	CycleBeads
Stocked out often	41.4%	20.3%	22.7%	24.2%
Stocked out sometimes	34.0%	30.3%	23.1%	22.6%
Stocked out once	10.0%	13.1%	11.3%	13.7%
Never stocked out	14.6%	36.2%	42.9%	39.6%
Reported the stock-out	81.3%
Resupplied	74.9%	70.4%	58.3%	57.2%

Abbreviations: CBDs, community-based distributors; COCs, combined oral contraceptives; DRC, Democratic Republic of the Congo; POPs, progestin-only pills.

TABLE 2.

Assessment of the AcQual Referral System by CBDs and Facility-Based Nurses, Kinshasa, DRC, 2017

	CBDs	Nurses
Can identify counterpart in referral system	88.4%	54.7%
Frequency of interactions between CBDs and referral facilities
Often	13.7%	31.4%
Sometimes	34.3%	31.4%
Rarely	42.6%	8.6%
Never	7.3%	27.1%
Reasons for referral to facilities
Method not provided by CBD	83.9%	67.1%
Management of side effects	29.9%	40.0%
Preference for health facilities	11.3%	22.9%
Method provided by CBD but stocked out	9.1%	17.1%
Implants/IUD removal	—	21.4%
Other	7.4%	—
Does not know	3.3%	—
Perceived approval of CBD activities by health facility personnel
Very positive	96.6%	70.0%
Somewhat positive		17.1%
Somewhat negative	2.1%	0.0%
Very negative		7.1%
Does not know	1.2%	5.7%

Abbreviations: CBD, community-based distributor; DRC, Democratic Republic of the Congo; IUD, intrauterine device.