Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso [version 2; peer review: 1 approved, 2 approved with reservations]

Background: The Family Health Directorate of the Ministry of Health  and Marie Stopes Burkina Faso, with implementing partners, Association Burkinabè pour le Bien-être Familial  and Equilibres & Populations  collaboratively conducted a pilot project in Burkina Faso focused on “increasing access...

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Main Authors: Dawn S. Chin-Quee, Kathleen Ridgeway, Yentéma Onadja, Georges Guiella, Guy Martial Bai, Claire Brennan, Georgina Page
Format: Article
Language:English
Published: F1000 Research Ltd 2020-02-01
Series:Gates Open Research
Online Access:https://gatesopenresearch.org/articles/3-1499/v2
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author Dawn S. Chin-Quee
Kathleen Ridgeway
Yentéma Onadja
Georges Guiella
Guy Martial Bai
Claire Brennan
Georgina Page
author_facet Dawn S. Chin-Quee
Kathleen Ridgeway
Yentéma Onadja
Georges Guiella
Guy Martial Bai
Claire Brennan
Georgina Page
author_sort Dawn S. Chin-Quee
collection DOAJ
description Background: The Family Health Directorate of the Ministry of Health  and Marie Stopes Burkina Faso, with implementing partners, Association Burkinabè pour le Bien-être Familial  and Equilibres & Populations  collaboratively conducted a pilot project in Burkina Faso focused on “increasing access to family planning (FP) services through task-sharing short- and long-acting family planning methods to primary care cadres.” Four cadres of providers  provided intrauterine devices (IUDs) and implants, while community health workers (CHWs)  provided pills and subcutaneous injectables. FHI 360 and the Institut Supérieur des Sciences de la Population  evaluated the project’s impact on method uptake, client satisfaction, safety, acceptability and the feasibility of task sharing. Methods: The evaluation employed FP service statistics on new users and conducted 425 client exit interviews  and 27 in-depth interviews . New FP clients, community representatives, MoH officials, and pilot project-trained FP providers from Dandé and Tougan districts participated in these interviews. Results: Providers, community representatives and government officials all spoke favorably of the pilot project and considered it a boon to women and the communities in which they lived. FP clients were satisfied with their methods and the services they received from their respective providers, and they reported no safety concerns. However, service statistics did not show a clear and steady increase in method uptake for the four methods beyond spikes coinciding with pre-existing free contraceptive weeks. Conclusions:  A scale-up plan for 2020-2022 is in place and will purposefully implement sensitization and demand generation activities to improve FP uptake beyond free contraceptive weeks.
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spelling doaj.art-cb04a9f45676497b92fb46403a476b302022-12-21T17:59:28ZengF1000 Research LtdGates Open Research2572-47542020-02-01310.12688/gatesopenres.13009.214280Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso [version 2; peer review: 1 approved, 2 approved with reservations]Dawn S. Chin-Quee0Kathleen Ridgeway1Yentéma Onadja2Georges Guiella3Guy Martial Bai4Claire Brennan5Georgina Page6Department of Global Health Population, and Nutrition, FHI 360, Durham, North Carolina, 27701, USADepartment of Global Health Population, and Nutrition, FHI 360, Durham, North Carolina, 27701, USAInstitut Supérieur des Sciences de la Population (ISSP), Ouagadougou, 03 BP 7118 Ouagadougou 03, Burkina FasoInstitut Supérieur des Sciences de la Population (ISSP), Ouagadougou, 03 BP 7118 Ouagadougou 03, Burkina FasoInstitut Supérieur des Sciences de la Population (ISSP), Ouagadougou, 03 BP 7118 Ouagadougou 03, Burkina FasoDepartment of Global Health Population, and Nutrition, FHI 360, Durham, North Carolina, 27701, USAMarie Stopes International, London, London W1T 6LP, UKBackground: The Family Health Directorate of the Ministry of Health  and Marie Stopes Burkina Faso, with implementing partners, Association Burkinabè pour le Bien-être Familial  and Equilibres & Populations  collaboratively conducted a pilot project in Burkina Faso focused on “increasing access to family planning (FP) services through task-sharing short- and long-acting family planning methods to primary care cadres.” Four cadres of providers  provided intrauterine devices (IUDs) and implants, while community health workers (CHWs)  provided pills and subcutaneous injectables. FHI 360 and the Institut Supérieur des Sciences de la Population  evaluated the project’s impact on method uptake, client satisfaction, safety, acceptability and the feasibility of task sharing. Methods: The evaluation employed FP service statistics on new users and conducted 425 client exit interviews  and 27 in-depth interviews . New FP clients, community representatives, MoH officials, and pilot project-trained FP providers from Dandé and Tougan districts participated in these interviews. Results: Providers, community representatives and government officials all spoke favorably of the pilot project and considered it a boon to women and the communities in which they lived. FP clients were satisfied with their methods and the services they received from their respective providers, and they reported no safety concerns. However, service statistics did not show a clear and steady increase in method uptake for the four methods beyond spikes coinciding with pre-existing free contraceptive weeks. Conclusions:  A scale-up plan for 2020-2022 is in place and will purposefully implement sensitization and demand generation activities to improve FP uptake beyond free contraceptive weeks.https://gatesopenresearch.org/articles/3-1499/v2
spellingShingle Dawn S. Chin-Quee
Kathleen Ridgeway
Yentéma Onadja
Georges Guiella
Guy Martial Bai
Claire Brennan
Georgina Page
Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso [version 2; peer review: 1 approved, 2 approved with reservations]
Gates Open Research
title Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso [version 2; peer review: 1 approved, 2 approved with reservations]
title_full Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso [version 2; peer review: 1 approved, 2 approved with reservations]
title_fullStr Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso [version 2; peer review: 1 approved, 2 approved with reservations]
title_full_unstemmed Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso [version 2; peer review: 1 approved, 2 approved with reservations]
title_short Evaluation of a pilot program for task sharing short and long-acting contraceptive methods in Burkina Faso [version 2; peer review: 1 approved, 2 approved with reservations]
title_sort evaluation of a pilot program for task sharing short and long acting contraceptive methods in burkina faso version 2 peer review 1 approved 2 approved with reservations
url https://gatesopenresearch.org/articles/3-1499/v2
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