Contraceptive Services Provided to Clients by HEWs During and After Training, and by Nurses and Doctors through Back-Up and Outreach Servicesa
| No. (%) of Service Visits Served by HEWs | No. (%) of Service Visits Served by Other Health Care Providers | Total No. (%) of Service Visits | |||||
|---|---|---|---|---|---|---|---|
| During Training Sessionsb | With Post-Training Supplies Provided to HEWsc | With Gap-Filling Supply Support to Health Posts After Post-Training Supplies Exhaustedc | During Back-Up Servicesd | During Implant Removal Service Support at Health Centerse | During Outreach Implant Removal Service Supportf | ||
| Jul 2009 to Dec 2015 | Jul 2009 to Dec 2015 | Sep 2011 to Dec 2015 | Sep 2011 to Dec 2015 | Sep 2011 to Aug 2012 | Sep 2011 to Aug 2012 | Jul 2009 to Dec 2015 | |
| Total service visits | 82,702 (100.0) | 446,010 | 735,000 | 89,177 (100.0) | 20,498 (100.0) | 8,931 (100.0) | 1,382,318 (100.0) |
| LARC insertions | 67,662 (81.8) | 446,010 | 735,000 | 35,414 (39.7) | 1284086 (92.9) | ||
| Implanon insertions | 63,989 (77.4) | 446,010 | 735,000 | 28,991 (32.5) | 1,273,990 (92.2) | ||
| Jadelle insertions | 3,590 (4.3) | 4,321 (4.8) | 7,911 (0.6) | ||||
| IUD insertions | 83 (0.1) | 2,102 (2.4) | 2,185 (0.2) | ||||
| Short-acting methods | 12,320 (14.9) | 32,716 (36.7) | 45036 (3.3) | ||||
| Depo-Provera injectables | 10,214 (12.4) | 25,231 (28.3) | 35,445 (2.6) | ||||
| Oral contraceptive pillsg | 2,106 (2.5) | 4,950 (5.6) | 7,056 (0.5) | ||||
| Condoms | 2,535 (2.8) | 2,535 (0.2) | |||||
| LARC removals | 2,720 (3.3) | 21,047 (23.6) | 20,498 (100.0) | 8,931 (100.0) | 53,196 (3.8) | ||
| Implanon removals | 1,163 (1.4) | 17,302 (19.4) | 14,389 (70.2) | 4,321 (48.4) | 37,175 (2.7) | ||
| Jadelle removals | 191 (0.2) | 1,461 (1.6) | 2,637 (12.9) | 686 (7.7) | 4,975 (0.4) | ||
| IUD removals | 23 (0.03) | 75 (0.1) | 98 (0.01) | ||||
| Norplant removals | 1,343 (1.6) | 2,209 (2.5) | 3,472 (16.9) | 3,924 (43.9) | 10,948 (0.8) | ||
Abbreviations: HEW, Health Extension Worker; IFHP, Integrated Family Health Program; IUD, intrauterine device; LARC, long-acting reversible contraceptive; TOT, training of trainers.
↵a Data for the different program activities in the table were collected at different points during the program period; this table does not include insertions performed by doctors and nurses at the health center level.
↵b Includes both TOT and rollout training sessions.
↵c Post-training supplies were provided to HEWs to allow them to provide immediate services and gap-filling supply support was provided to health posts after post-training supplies were exhausted. HEWs also provided other contraceptive services to clients post-training, but these data are not included in this table.
↵d IFHP supported regular back-up services, whereby doctors and nurses from health centers traveled to health posts to offer removal services for LARC clients.
↵e In addition to doctors and nurses traveling from the health centers to health posts to offer removal services, the doctors and nurses also provided removal services at the health centers.
↵f IFHP mobile teams traveled to woredas outside the project catchment area to serve women in need of implant removals.
g Includes both combined oral contraceptive pills and progestin-only pills.