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ORIGINAL ARTICLE
Open Access

Introduction of Community-Based Provision of Subcutaneous Depot Medroxyprogesterone Acetate (DMPA-SC) in Benin: Programmatic Results

Tishina Okegbe, Jean Affo, Florence Djihoun, Alexis Zannou, Odilon Hounyo, Gaston Ahounou, Karamatou Adegnika Bangbola and Nancy Harris
Global Health: Science and Practice June 2019, GHSP-D-19-00002; https://doi.org/10.9745/GHSP-D-19-00002
Tishina Okegbe
aFHI 360, Washington, DC, USA.
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  • For correspondence: tokegbe@fhi360.org
Jean Affo
bJSI, Research & Training Institute, Inc., Cotonou, Benin.
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Florence Djihoun
bJSI, Research & Training Institute, Inc., Cotonou, Benin.
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Alexis Zannou
bJSI, Research & Training Institute, Inc., Cotonou, Benin.
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Odilon Hounyo
bJSI, Research & Training Institute, Inc., Cotonou, Benin.
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Gaston Ahounou
cBenin Ministry of Health, Cotonou, Benin.
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Karamatou Adegnika Bangbola
cBenin Ministry of Health, Cotonou, Benin.
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Nancy Harris
dJSI, Research & Training Institute, Inc., Arlington, VA, USA.
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Lay community health workers and facility-based health care providers in Benin were trained to administer DMPA-SC safely and effectively in 10 health zones. Community-based DMPA-SC was popular, particularly among new users of contraception, and could help the country achieve its family planning goals.

ABSTRACT

The Republic of Benin faces high maternal, newborn, and child mortality; low modern contraceptive use; and a critical shortage of health workers. In 2013, the Government of Benin made 3 reproductive health commitments to improve national health indicators, including expanding provision of family planning services at the community level through task sharing. Since 2016, the Advancing Partners & Communities (APC) project has been helping the Benin Ministry of Health (MOH) provide subcutaneous depot medroxyprogesterone acetate (DMPA-SC; brand name Sayana Press) through facility-based health care providers and community health workers known as relais communautaires (RCs). DMPA-SC is an easy-to-administer, discreet injectable contraceptive that provides 3 months of protection from pregnancy. Beginning in May 2017, the government introduced DMPA-SC through a phased approach in 10 health zones, which encompassed 149 health centers and 614 villages. Between June 2017 and June 2018, the MOH and APC trained 278 facility-based providers and 917 RCs to provide DMPA-SC, and nearly 11,000 doses were subsequently administered to 7,997 women at facilities and in communities. This article presents findings from an assessment of community-level and health facility service data collected during the first 13 months of DMPA-SC introduction in Benin. Because of this intervention, nearly 35,000 women received family planning counseling and 7,997 women chose DMPA-SC. At the community level, 3,111 DMPA-SC users were first-time users of modern contraception. The initial success of the DMPA-SC rollout in Benin shows promise for helping the country meet its reproductive health commitments.

  • Received: 2018 Dec 20.
  • Accepted: 2019 Apr 9.
  • © Okegbe et al.

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-19-00002

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Global Health: Science and Practice: 10 (3)
Global Health: Science and Practice
Vol. 10, No. 3
June 29, 2022
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Introduction of Community-Based Provision of Subcutaneous Depot Medroxyprogesterone Acetate (DMPA-SC) in Benin: Programmatic Results
Tishina Okegbe, Jean Affo, Florence Djihoun, Alexis Zannou, Odilon Hounyo, Gaston Ahounou, Karamatou Adegnika Bangbola, Nancy Harris
Global Health: Science and Practice Jun 2019, GHSP-D-19-00002; DOI: 10.9745/GHSP-D-19-00002

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Introduction of Community-Based Provision of Subcutaneous Depot Medroxyprogesterone Acetate (DMPA-SC) in Benin: Programmatic Results
Tishina Okegbe, Jean Affo, Florence Djihoun, Alexis Zannou, Odilon Hounyo, Gaston Ahounou, Karamatou Adegnika Bangbola, Nancy Harris
Global Health: Science and Practice Jun 2019, GHSP-D-19-00002; DOI: 10.9745/GHSP-D-19-00002
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