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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