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Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers()()
OBJECTIVES: To document the experience of three groups of Family Planning service providers participating in task-shifting for the provision of subcutaneous depot-medroxyprogesterone acetate (DMPA-SC) at the community level in the DRC. STUDY DESIGN: This article compares results from interviews with...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197837/ https://www.ncbi.nlm.nih.gov/pubmed/30031000 http://dx.doi.org/10.1016/j.contraception.2018.07.002 |
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author | Hernandez, Julie H. Akilimali, Pierre Glover, Annie Emel, Rebecca Mwembo, Albert Bertrand, Jane |
author_facet | Hernandez, Julie H. Akilimali, Pierre Glover, Annie Emel, Rebecca Mwembo, Albert Bertrand, Jane |
author_sort | Hernandez, Julie H. |
collection | PubMed |
description | OBJECTIVES: To document the experience of three groups of Family Planning service providers participating in task-shifting for the provision of subcutaneous depot-medroxyprogesterone acetate (DMPA-SC) at the community level in the DRC. STUDY DESIGN: This article compares results from interviews with DMPA-SC providers in two separate pilot studies: 1) 53 medical and nursing school students teaching women how to self-inject (2016–2017); and 2) 34 lay community health workers providing DMPA-SC in rural areas of Lualaba (2017). All providers gave information on socio-demographic characteristics, recruitment,) training, supervision, experience and satisfaction with the provision of DMPA-SC. The paper examines variations in responses from the different provider cadres. RESULTS: Despite substantive variations in provider profiles in terms of age, educational and marital status, reported levels of satisfaction with offering DMPA-SC in the community were consistently high. Over 90% of all providers declared being comfortable or very comfortable interacting with FP clients, and more than three quarters of them were very comfortable performing an injection. Over 90% of Lualaba providers and over 80% of student providers gave correct responses to DMPA-SC protocol questions regarding referral of clients to facilities and side-effects management. The vast majority declared being (very) satisfied with their experience providing DMPA-SC. CONCLUSIONS: Providers with and without a clinical background, when properly trained and supervised, can provide DMPA-SC at the community level in both urban and rural settings of the DRC. Support strategies from the Family Planning environment (continuous contraceptive supplies and adequate referral system to fixed facilities) are key to engaging community health workers and sustainably leveraging task-shifting opportunities. IMPLICATION STATEMENT: This study provides additional evidence on the acceptability and feasibility of task-shifting in relation to DMCP-SC and supports further scale-up efforts. |
format | Online Article Text |
id | pubmed-6197837 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-61978372018-11-01 Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers()() Hernandez, Julie H. Akilimali, Pierre Glover, Annie Emel, Rebecca Mwembo, Albert Bertrand, Jane Contraception Article OBJECTIVES: To document the experience of three groups of Family Planning service providers participating in task-shifting for the provision of subcutaneous depot-medroxyprogesterone acetate (DMPA-SC) at the community level in the DRC. STUDY DESIGN: This article compares results from interviews with DMPA-SC providers in two separate pilot studies: 1) 53 medical and nursing school students teaching women how to self-inject (2016–2017); and 2) 34 lay community health workers providing DMPA-SC in rural areas of Lualaba (2017). All providers gave information on socio-demographic characteristics, recruitment,) training, supervision, experience and satisfaction with the provision of DMPA-SC. The paper examines variations in responses from the different provider cadres. RESULTS: Despite substantive variations in provider profiles in terms of age, educational and marital status, reported levels of satisfaction with offering DMPA-SC in the community were consistently high. Over 90% of all providers declared being comfortable or very comfortable interacting with FP clients, and more than three quarters of them were very comfortable performing an injection. Over 90% of Lualaba providers and over 80% of student providers gave correct responses to DMPA-SC protocol questions regarding referral of clients to facilities and side-effects management. The vast majority declared being (very) satisfied with their experience providing DMPA-SC. CONCLUSIONS: Providers with and without a clinical background, when properly trained and supervised, can provide DMPA-SC at the community level in both urban and rural settings of the DRC. Support strategies from the Family Planning environment (continuous contraceptive supplies and adequate referral system to fixed facilities) are key to engaging community health workers and sustainably leveraging task-shifting opportunities. IMPLICATION STATEMENT: This study provides additional evidence on the acceptability and feasibility of task-shifting in relation to DMCP-SC and supports further scale-up efforts. Elsevier 2018-11 /pmc/articles/PMC6197837/ /pubmed/30031000 http://dx.doi.org/10.1016/j.contraception.2018.07.002 Text en © 2018 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hernandez, Julie H. Akilimali, Pierre Glover, Annie Emel, Rebecca Mwembo, Albert Bertrand, Jane Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers()() |
title | Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers()() |
title_full | Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers()() |
title_fullStr | Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers()() |
title_full_unstemmed | Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers()() |
title_short | Task-shifting the provision of DMPA-SC in the DR Congo: Perspectives from two different groups of providers()() |
title_sort | task-shifting the provision of dmpa-sc in the dr congo: perspectives from two different groups of providers()() |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197837/ https://www.ncbi.nlm.nih.gov/pubmed/30031000 http://dx.doi.org/10.1016/j.contraception.2018.07.002 |
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