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Internships
Scaling-up Community Based Distribution of Injectable Contraceptives

March 6, 2015 / bixby

Laura Harris, MPH candidate, and Kristina Kastler, MPH candidate 

Reviewing the protocol for recording DMPA injections with Community-Based Reproductive Health Agents

Reviewing the protocol for recording DMPA injections with Community-Based Reproductive Health Agents

Laura and Kristina spent 10 weeks in Tigray, Ethiopia working to support a project that makes it easier for women in rural Ethiopia to obtain contraception. The project trains Community Based Reproductive Health Agents (CBRHAs), lay women from rural villages, to provide injectable contraceptives to women in their community. Women living in these villages struggle to access contraception because they live far from health providers. Also, some women want to keep their use of contraception private, or have husbands who don’t approve of it. Injectable contraceptives are by far the most preferred form of contraception in the region. CBRHAs provide a convenient, private alternative to health facilities for women who want to use injectable contraceptives.

Meeting with CBRHAs and local health post staff to collect data, review key project procedures and learn from CBRHA experiences

Meeting with CBRHAs and local health post staff to collect data, review key project procedures and learn from CBRHA experiences

Kristina and Laura visited 48 individual CBRHAs and HEWs in their homes and health posts, respectively, and conducted 17 in-depth CBRHA interviews to learn from their experiences with the program. The interns also worked with local project staff to organize 10 experience-sharing meetings, covering all project districts. These meetings increased and standardized knowledge about the project goals and monitoring procedures, allowed for verification of project data, and provided an opportunity to troubleshoot common issues and share best practices. The meetings also gathered valuable information that will be used to train new CBRHAs and HEWs when the project is scaled to other districts.

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    The Bixby Center for Population, Health, and Sustainability is dedicated to helping achieve slower population growth within a human right framework by addressing the unmet need for family planning. Learn more

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