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Table 2 Summary of findings of the effectiveness of CHW provision of DMPA in several countries of SSA and in some instances, in clinical settings

From: Provision of injectable contraceptives by community health workers in sub-Saharan Africa: a systematic review of safety, acceptability and effectiveness

DMPA uptake

Author, country

Mode of outcome measurement

Provider

Number of clients

New to family planning

New to DMPA

Returning users

Desire to switch provider

Weidert et al. [10] Ethiopia

CHW reports

CHW

8604

19%

25%

NR

NR

Okegbe et al. [4] Republic of Benin

CHW reports

CHW

35,000

80%

22.8%

NR

54%

Mwembo et al. [14] Democratic Republic of Congo

CHW reports

CHW

252

70%

69.8%

NR

NR

Comfort et al. [17] Madagascar

CHW reports

CHW

622

NA

NA

NA

NA

Chin-quee et al. [15] Zambia

Client interview

CHW

3479

42.5%

24%

NR

20%

Hoke et al. [18] Madagascar

CHW reports

CHW

303

28%

25%

50%

NR

Olawo et al. [23] Kenya

CHW reports

CHW

832

14%

12%

NR

74%

FHI-USAID [24] Senegal

CHW reports

CHW

308

64%

15%

NR

21%***

Krueger et al. [25] Uganda

Client registers

CHW

CLINIC

1364

457

NR

NR

30%

57%

NR

NR

NR

NR

Prata et al. [21] Ethiopia

Client surveys at enrolment, 13th week and 6 months

CHW

CLINIC

622

440

NR

NR

58.4%**

45.9%

34%

44%

0

52%

Stanback et al. [19] Uganda

Client surveys at enrolment, 13th week

CHW

CLINIC

449

328

NR

NR

86%

76%

NR

NR

NR

NR

Poss et al. [20] Uganda

Client surveys at 3rd year

CHW

CLINIC

308

217

NR

NR

NR

NR

NR

NR

38.9%

41.5%

Jacinto et al. [22] Mozambique

Client surveys at enrolment, 13th week and 6 months

CHW (TBA)

CHW (APE)

782

649

63%

66%

NR

NR

30%

NR

NR

  1. CHW community health workers, TBA traditional birth attendants, APE Agentes polyvalent elementaries, NA not applicable, NR not reported
  2. *Satisfaction rates at 3 months and 6 months, respectively, **p < 0.05, ***switched to CHW