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ORIGINAL ARTICLE
Open Access

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

Julie H. Hernandez, Pierre Z. Akilimali, Mbadu Fidèle Muanda, Annie L. Glover and Jane T. Bertrand
Global Health: Science and Practice December 2018, 6(4):657-667; https://doi.org/10.9745/GHSP-D-18-00205
Julie H. Hernandez
aGlobal Health Management and Policy, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
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  • For correspondence: hernanjulie@gmail.com
Pierre Z. Akilimali
bKinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
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Mbadu Fidèle Muanda
cProgramme National de Santé des Adolescents (PNSA), Kinshasa, Democratic Republic of the Congo.
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Annie L. Glover
aGlobal Health Management and Policy, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
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Jane T. Bertrand
aGlobal Health Management and Policy, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
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    TABLE 1.

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

    CondomsCOCsPOPsCycleBeads
    Stocked out often41.4%20.3%22.7%24.2%
    Stocked out sometimes34.0%30.3%23.1%22.6%
    Stocked out once10.0%13.1%11.3%13.7%
    Never stocked out14.6%36.2%42.9%39.6%
    Reported the stock-out81.3%
    Resupplied74.9%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.

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    TABLE 2.

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

    CBDsNurses
    Can identify counterpart in referral system88.4%54.7%
    Frequency of interactions between CBDs and referral facilities
        Often13.7%31.4%
        Sometimes34.3%31.4%
        Rarely42.6%8.6%
        Never7.3%27.1%
    Reasons for referral to facilities
        Method not provided by CBD83.9%67.1%
        Management of side effects29.9%40.0%
        Preference for health facilities11.3%22.9%
        Method provided by CBD but stocked out9.1%17.1%
        Implants/IUD removal—21.4%
        Other7.4%—
        Does not know3.3%—
    Perceived approval of CBD activities by health facility personnel
        Very positive96.6%70.0%
        Somewhat positive17.1%
        Somewhat negative2.1%0.0%
        Very negative7.1%
        Does not know1.2%5.7%
    • Abbreviations: CBD, community-based distributor; DRC, Democratic Republic of the Congo; IUD, intrauterine device.

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    The full-text of the article has been translated into French and provided here as a supplement.

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Global Health: Science and Practice: 6 (4)
Global Health: Science and Practice
Vol. 6, No. 4
December 27, 2018
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Evolution of a Large-Scale Community-Based Contraceptive Distribution Program in Kinshasa, DRC Based on Process Evaluation
Julie H. Hernandez, Pierre Z. Akilimali, Mbadu Fidèle Muanda, Annie L. Glover, Jane T. Bertrand
Global Health: Science and Practice Dec 2018, 6 (4) 657-667; DOI: 10.9745/GHSP-D-18-00205

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Evolution of a Large-Scale Community-Based Contraceptive Distribution Program in Kinshasa, DRC Based on Process Evaluation
Julie H. Hernandez, Pierre Z. Akilimali, Mbadu Fidèle Muanda, Annie L. Glover, Jane T. Bertrand
Global Health: Science and Practice Dec 2018, 6 (4) 657-667; DOI: 10.9745/GHSP-D-18-00205
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