Indicators for Monitoring and Evaluation of Community-Based Injectable Contraception: Multisourced Process and New Global Guidance

Jill M. Peterson; Kirsten Krueger; John Stanback

doi:10.9745/GHSP-D-19-00133

Figures & Tables

Figures

Tables

Download figure
Open in new tab
Download powerpoint
A health surveillance assistant in Malawi works to summarize his client information on community-based access to injectable for monthly reporting. ©2017 Jill M. Peterson/FHI 360

Tables

Figures

View popup

TABLE 1.

Eighteen Recommended Monitoring and Evaluation Indicators for Community-based Access to Injectable Contraception Programs

Number	Indicator Definition	Numerator/Denominator
Training
1.1	Number of CHWs trained in providing injectable contraception	NA
1.2	Number of CHWs who passed a post-training test on injectable contraception	NA
1.3 (n) 1.4 (%)	Number and percentage of CHWs certified to inject contraception^{^a}	Numerator: 1.3 Denominator: 1.1
1.5 (n) 1.6 (%)	Number and percentage of CHWs certified to provide injectable contraception who express confidence in their skills and abilities	Numerator: 1.5 Denominator: 1.3
1.7	Number of training courses held on community-based provision of injectable contraception	NA
Supervision
2.1 (n) 2.2 (%)	Number and percentage of CHWs certified during the previous reporting period who received at least 1 in-person supportive supervision visit for providing injectable contraception within [x] months after successful completion of practicum^{^a}	Numerator: 2.1 Denominator: 1.3
2.3 (n) 2.4 (%)	Number and percentage of CHWs supervised in-person at least once within [x] months after successful completion of practicum who demonstrated adequate skills at the time of first supervision	Numerator: 2.3 Denominator: 2.1
Readiness
3.1 (n) 3.2 (%)	Number and percentage of CHWs certified in providing injectable contraception who have given an injection in the last quarter	Numerator: 3.1 Denominator: 1.3
3.3 (n) 3.4 (%)	Number and percentage of villages/catchment areas with a CHW certified to provide injectable contraception	Numerator: 3.1 Denominator: Total number of villages/catchment areas
3.5	Number of households served per CHW	Numerator: Number of households in a catchment area in the reporting period Denominator: Total number of active CHWs in the catchment area in the reporting period
3.6 (n) 3.7 (%)	Number and percentage of CHWs reporting a stock-out of injectable^{^a}	Numerator: 3.6 Denominator: 3.1
Service delivery
4.1	Number of CHW-led mobilization events	NA
4.2	Number of one-on-one family planning counseling sessions held by CHWs	NA
4.3	Number of injections provided^{^a}	NA
4.4	Number of reportable incidents including accidental needle sticks, or infections or abscesses at the site of the injection	NA
Data quality
5.1 (n) 5.2 (%)	Number and percentage of CHWs submitting data reports on time	Numerator: 5.1 Denominator: 3.1
5.3 (n) 5.4 (%)	Number and percentage of CHWs submitting complete client data reports	Numerator: 5.3 Denominator: 3.1
5.5 (n) 5.6 (%)	Number and percentage of CHWs submitting reports with reasonable accurateness	Numerator: 5.5 Denominator: 3.1

Abbreviation: CHW, community health worker.
↵a Essential indicators.

View popup

TABLE 2.

Variations in Community-based Access to Injectable Contraception Programs, by Country

	Malawi	Senegal	Uganda
CHW cadre	Heath surveillance assistant	Agents de santé Communautaire and/matrone	Village heath teams
Education level	Must have a Malawi Certificate of Education, (equivalent of secondary school completion)	Must have minimum of a primary education	Must have completed at least 7 years of primary schooling
Training	10 weeks Injectables: 2 days theory; 3 days practicum	1-2 weeks Injectables: 3 days theory; 5 days practicum	1 week Injectables: 7-10 days
Payment	Approximately 100 USD/month	Unpaid	Unpaid
Program	Nationwide program, supported by Ministry of Health	Joint government/partner supported program	Partner-supported program