Central Data Catalog

Citation Information

Type Journal Article - Contraception
Title Dedicated providers of long-acting reversible contraception: New approach in Zambia
Author(s)
Volume 83
Issue 5
Publication (Day/Month/Year) 2011
Page numbers 447-452
URL http://www.sciencedirect.com/science/article/pii/S0010782410005184
Abstract
Background
Long-acting reversible contraception (LARC) is underused in many countries in sub-Saharan Africa. Many previous attempts to increase uptake of this important class of contraception have not been successful.

Study Design
This program in Zambia employed 18 dedicated providers of LARC, placed them in high volume public sector facilities and collected routine, anonymous information over a 14-month period. We tallied uptake of LARC, analyzed user characteristics to see what populations were reached by the program and compared this to nationally representative data. We also estimated costs per couple-year of protection of the program.

Results
In a 14-month period, 33,609 clients chose either a subdermal implant (66%) or an intrauterine device (34%). The program reached a younger and lower parity population compared to nationally representative surveys of Zambian women using contraception. The estimated program costs, including the value of donated commodities, averaged $13.0 per couple-year of protection.

Conclusion
By having the necessary time, skills and materials — as well as a mandate to both generate informed demand and provide quality services — dedicated providers of LARC can expand contraceptive choice. This new approach shows what can be achieved in a short period and in a region of the world where uptake of LARC is limited.

Related studies

»
Neukom, Josselyn, Jully Chilambwe, Joseph Mkandawire, Reuben Mbewe, and David Hubacher. "Dedicated providers of long-acting reversible contraception: New approach in Zambia." Contraception 83, no. 5 (2011): 447-452.
Copyright DataFirst, University of Cape Town