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SHORT REPORT
Open Access

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

Jill M. Peterson, Kirsten Krueger and John Stanback
Global Health: Science and Practice September 2019, 7(3):491-497; https://doi.org/10.9745/GHSP-D-19-00133
Jill M. Peterson
aFHI 360, Lilongwe, Malawi.
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  • For correspondence: jillpeterson@fhi360.org
Kirsten Krueger
bFHI 360, Durham, NC, USA.
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John Stanback
bFHI 360, Durham, NC, USA.
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    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

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    TABLE 1.

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

    NumberIndicator DefinitionNumerator/Denominator
    Training
    1.1Number of CHWs trained in providing injectable contraceptionNA
    1.2Number of CHWs who passed a post-training test on injectable contraceptionNA
    1.3 (n)
    1.4 (%)
    Number and percentage of CHWs certified to inject contraceptionaNumerator: 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 abilitiesNumerator: 1.5
    Denominator: 1.3
    1.7Number of training courses held on community-based provision of injectable contraceptionNA
    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 practicumaNumerator: 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 supervisionNumerator: 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 quarterNumerator: 3.1
    Denominator: 1.3
    3.3 (n)
    3.4 (%)
    Number and percentage of villages/catchment areas with a CHW certified to provide injectable contraceptionNumerator: 3.1
    Denominator: Total number of villages/catchment areas
    3.5Number of households served per CHWNumerator: 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 injectableaNumerator: 3.6
    Denominator: 3.1
    Service delivery
    4.1Number of CHW-led mobilization eventsNA
    4.2Number of one-on-one family planning counseling sessions held by CHWsNA
    4.3Number of injections providedaNA
    4.4Number of reportable incidents including accidental needle sticks, or infections or abscesses at the site of the injectionNA
    Data quality
    5.1 (n)
    5.2 (%)
    Number and percentage of CHWs submitting data reports on timeNumerator: 5.1
    Denominator: 3.1
    5.3 (n)
    5.4 (%)
    Number and percentage of CHWs submitting complete client data reportsNumerator: 5.3
    Denominator: 3.1
    5.5 (n)
    5.6 (%)
    Number and percentage of CHWs submitting reports with reasonable accuratenessNumerator: 5.5
    Denominator: 3.1
    • Abbreviation: CHW, community health worker.

    • ↵a Essential indicators.

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    TABLE 2.

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

    MalawiSenegalUganda
    CHW cadreHeath surveillance assistantAgents de santé Communautaire and/matroneVillage heath teams
    Education levelMust have a Malawi Certificate of Education, (equivalent of secondary school completion)Must have minimum of a primary educationMust have completed at least 7 years of primary schooling
    Training10 weeks
    Injectables: 2 days theory; 3 days practicum
    1-2 weeks
    Injectables: 3 days theory; 5 days practicum
    1 week
    Injectables: 7-10 days
    PaymentApproximately 100 USD/monthUnpaidUnpaid
    ProgramNationwide program, supported by Ministry of HealthJoint government/partner supported programPartner-supported program
    • Abbreviation: CHW, community health worker.

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Global Health: Science and Practice: 7 (3)
Global Health: Science and Practice
Vol. 7, No. 3
September 23, 2019
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Indicators for Monitoring and Evaluation of Community-Based Injectable Contraception: Multisourced Process and New Global Guidance
Jill M. Peterson, Kirsten Krueger, John Stanback
Global Health: Science and Practice Sep 2019, 7 (3) 491-497; DOI: 10.9745/GHSP-D-19-00133

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Indicators for Monitoring and Evaluation of Community-Based Injectable Contraception: Multisourced Process and New Global Guidance
Jill M. Peterson, Kirsten Krueger, John Stanback
Global Health: Science and Practice Sep 2019, 7 (3) 491-497; DOI: 10.9745/GHSP-D-19-00133
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