Pilot Research as Advocacy: The Case of Sayana Press in Kinshasa, Democratic Republic of the Congo

Binanga, Arsene; Bertrand, Jane T.

doi:10.9745/ghsp-d-16-00236

Cited by 16 publications

(13 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The first pilot in 2015 tested the use of medical/nursing students to administer DMPA-SC (along with pills, condoms, and CycleBeads). 35 , 36 The positive results led to 3 additional pilots in Kinshasa. The first two, conducted in Kinshasa, tested the acceptability and feasibility of using this same cadre of student to provide Implanon NXT and to teach women in the community to self-inject DMPA-SC.…”

Section: Prospects For Improving National Family Planning Coveragementioning

confidence: 99%

Family Planning in the Democratic Republic of the Congo: Encouraging Momentum, Formidable Challenges

Kwete¹,

Binanga

Mukaba

et al. 2018

Glob Health Sci Pract

Self Cite

View full text Add to dashboard Cite

Formidable challenges: uncertain political situation, cultural norms favoring high fertility, a thin patchwork of service delivery institutions, logistical issues in a vast country with weak infrastructure, and low capacity of the population to pay for contraceptive services. Encouraging progress: increasing government and donor support, openness to progressive service delivery policies, innovative programming including robust social marketing and initiatives with nursing schools and the military, strong collaboration among stakeholders, high unmet need suggesting strong latent demand for family planning, and an increasingly balanced method mix including long-acting methods.

show abstract

Section: Prospects For Improving National Family Planning Coveragementioning

confidence: 99%

Family Planning in the Democratic Republic of the Congo: Encouraging Momentum, Formidable Challenges

Kwete¹,

Binanga

Mukaba

et al. 2018

Glob Health Sci Pract

Self Cite

View full text Add to dashboard Cite

show abstract

“…A 2015 pilot study in Kinshasa used medical and nursing (M/N) students to deliver DMPA-SC and other methods at the community level. It showed that women were highly satisfied with the method and service received from these providers [15] , [16] . Local Ministry of Health (MOH) officials encouraged further testing of innovative strategies.…”

Section: Introductionmentioning

confidence: 99%

An observational study to test the acceptability and feasibility of using medical and nursing students to instruct clients in DMPA-SC self-injection at the community level in Kinshasa

et al. 2018

Self Cite

View full text Add to dashboard Cite

ObjectivesGiven the promise of DMPA-SC to increase community-level access to modern contraception in developing countries, we conducted an observational study to assess the acceptability and feasibility of DMPA-SC self-injection among women in Kinshasa, Democratic Republic of the Congo, and of medical/nursing (M/N) students as instructors for self-injection.Study designWomen who selected DMPA-SC at a community outreach event adjacent to a health center were interviewed upon acceptance (baseline) and then 3, 6 and 12 months later.ResultsOf 850 clients selecting DMPA-SC at baseline, 640 (75.3%) opted for self-injection over being injected by the M/N students for reasons of convenience and personal agency. Among these 640 self-injectors, 47.5% were anxious at baseline (for fear of needles or injecting incorrectly). Over 80% reported feeling very ready after training, confident that they knew how to self-inject and confident that they would remember the next injection date. By 3 months, 97% described it as easy. Half (54%) experienced side effects, mainly menstrual irregularities, the main reason for discontinuation. At 6-month follow-up, self-injectors cited effectiveness and ease of use as positive elements, though one quarter reported side effects. Their impressions of M/N students as instructors were highly positive.ConclusionsWhere DMPA-SC was free and easily accessible, the majority of women interested in DMPA-SC opted to learn self-injection. The M/N students performed well in instructing women to self-inject. Clients were highly satisfied with the services received, yet many did not recognize their student status, possibly because outreach occurred near a health facility. Once told, clients remained very favorable, suggesting strong motivation to receive their preferred contraceptive free, whoever the provider.Implication statementThis study provides additional evidence on the acceptability and the feasibility of the self-injection of DMPA-SC by users from a resource-limited setting.

show abstract

“…Unlike other countries where DMPA-SC has been introduced and studied as small pilot projects [15][16][17] , DMPA-SC was introduced in Nigeria in 2015 through multiple channels-facilities, drug shops, and specially-trained community-based distributors-in the private health care sector which accounts for the majority of all health services provided, and in particular for contraceptive services 10 . This presented an opportunity to assess actual user experiences with DMPA-SC from the broader population of new and continuing contraception users under real world conditions.…”

Section: Introductionmentioning

confidence: 99%

Comparing simulated client experiences with phone survey self-reports for measuring quality of information given in family planning counseling: The case of depot medroxyprogesterone acetate – subcutaneous (DMPA-SC) in Nigeria

et al. 2019

View full text Add to dashboard Cite

Background: The quality of family planning services can have important implications for uptake and continued method use. The aim of this analysis is to examine aspects of quality related to information provided for a new injectable contraceptive method, DMPA-SC (depot medroxyprogesterone acetate – subcutaneous, known as Sayana Press®), service provision and contraceptive services more broadly in Nigeria. Methods: We compared self-reports from follow-up phone surveys with users to simulated client interactions that were designed to measure the same concepts. Through mixed-methods, we sought to more deeply understand the biases associated with different data collection methods that ultimately lead to different conclusions regarding quality of information provided in contraceptive services, and to further assess to what extent these methods were suitable for detecting differences in quality across sub-groups using the case of married versus unmarried women. Results: We found that simulated clients reported lower levels of informational quality across all comparable quality indicators than phone survey respondents attending the same facilities. Both methods were able to detect differential treatment by marital status. Conclusions: A mixed-methods approach can provide differential insights into informational quality of family planning services, especially when aiming to understand both objective and subjective aspects of quality.

show abstract

Pilot Research as Advocacy: The Case of Sayana Press in Kinshasa, Democratic Republic of the Congo

Cited by 16 publications

References 8 publications

Family Planning in the Democratic Republic of the Congo: Encouraging Momentum, Formidable Challenges

Family Planning in the Democratic Republic of the Congo: Encouraging Momentum, Formidable Challenges

An observational study to test the acceptability and feasibility of using medical and nursing students to instruct clients in DMPA-SC self-injection at the community level in Kinshasa

Comparing simulated client experiences with phone survey self-reports for measuring quality of information given in family planning counseling: The case of depot medroxyprogesterone acetate – subcutaneous (DMPA-SC) in Nigeria

Contact Info

Product

Resources

About