Burkina Faso | Niger | Senegal | Uganda | |
---|---|---|---|---|
Product launch | July 2014 | September 2014 | January 2015 | September 2014 |
Geographic scope | Over 680 public-sector facilities across the 4 most populous regions (23 rural, peri-urban, and urban districts) | 211 public-sector community health huts in 2 rural districts; 50 CBD sites in 2 rural districts (4 districts total) | 268 facilities and 637 health huts across the 4 most populous regions (31 rural, peri-urban, and urban districts) | CHWs linked to 336 public-sector health facilities across 28 rural and peri-urban districts |
Service delivery channels | All levels of the health system, including public-sector mobile outreach from peripheral health and social promotion centers. Static NGO clinics and mobile outreach by NGO partners (MSI, ABBEF) | CHWs via public-sector health huts and private NGO CBD (ANIMAS-Sutura) | All levels of the health system, including by CHWs via health huts; NGO static clinics (MSI) | Public-sector CHWs; static NGO clinic and outreach in 1 site (Reproductive Health Uganda) |
Community-based access to injectables | First offering of injectables through community outreach | First offering of injectables by CHWs at health huts and through CBD | Injectable provision previously authorized at health huts, though not widely available prior to DMPA-SC introduction | CBD of injectables previously authorized, though not widely available prior to DMPA-SC introduction |
DMPA-SC and DMPA-IM offered side by side | Yes | No | Yes | Yes |
Number of providers trained | ∼1,900 | ∼300 | ∼2,000 | ∼2,100 |
Training approach | Rapid, cascade approach | Gradual, district-by-district approach | Rapid, cascade approach | Gradual, district-by-district approach |
Abbreviations: ABBEF, Association Burkinabè pour le bien-être familiale; CBD, community-based distribution; CHW, community health worker; DMPA-IM, intramuscular depot medroxyprogesterone acetate; DMPA-SC, subcutaneous depot medroxyprogesterone acetate; MSI, Marie Stopes International.