In July of 2012, CARE partnered with other organizations to provide 120 million women and girls with family planning information and services by the year 2020. This report reflects on the first half of the initiative, evaluating what has been accomplished thus far. The evaluation shows that many barriers to providing women and girls with more family planning support remain.
Lochuch, a CHW in Kenya, faces many challenges in her job as she tries to protect the health of those in her community. She has dealt with angry husbands and ambulance denials; actions that could lead to harm of pregnant women. Lochuch is working to ensure that women can deliver in a hospital. This article details her personal experience overcoming barriers in her community and the resilience with which she and her co-workers advocate for their clients.
This study in Tigray, Ethiopia investigated the impact of a service delivery model that combined community-based distribution (CBD) of contraception with social marketing. 626 volunteer CHWs were recruited and trained to administer depot medroxyprogesterone acetate (DMPA) injections, provide counseling and referrals, and promote demand for family planning through door-to-door outreach and community meetings. Surveys of women of reproductive age, as well as of participating CHWs, were conducted at baseline and the end of the study.
The hypertensive disorders of pregnancy and postpartum haemorrhage are responsible for nearly 40% of all maternal deaths in India. Most of these deaths occur in primary health settings which frequently lack essential equipment and medication, are understaffed and have limited or no access to specialist care. Community health care workers are regarded as essential providers of basic maternity care; and the quality of care they provide is dependent on the level of knowledge and skills they possess.
Task-sharing expands the responsibilities of low-cadre health workers and allows them to share these responsibilities with highly qualified healthcare providers in an effort to best utilize available human resources. This study is part of a larger community-based trial evaluating the acceptability of community treatment for severe pre-eclampsia and examines the prospect for task-sharing among community health extension workers (CHEW) for the detection of early signs of pre-eclampsia in Ogun State, Nigeria.
An estimated 276 Pakistani women die for every 100,000 live births; with eclampsia accounting for about 10% of these deaths. Community health workers contribute to the existing health system in Pakistan under the banner of the Lady Health Worker (LHW) Programme and are responsible for providing a comprehensive package of antenatal services. However, there is a need to increase focus on early identification and promote diagnosis of pre-eclampsia in community settings, since women with mild pre-eclampsia often present without symptoms.
Mozambique has witnessed a climbing total fertility rate in the last 20 years. Nearly one-third of married women have an unmet need for family planning, but the supply of family planning services is not meeting the demand.
Results from the United States Agency for International Development (USAID)-funded Family Advancement for Life and Health project (FALAH), implemented from 2008-2012, show that the inclusion of men in family planning (FP) efforts is a feasible and effective intervention to help shift attitudes and behaviours in Pakistan and perhaps in other countries in the region and globally as well. This brief presents findings of a case study of FALAH's male engagement component and its contributions to these results.
This brief discusses how integrating community health worker programs into the health system can help increase access to family planning by bringing information, services, and supplies to women and men in the communities where they live and work, rather than requiring them to visit health facilities. CHWs address geographic, financial, and social barriers in regards to family planning services, which improves the health in communities in which CHWs serve. This brief makes recommendations for how to integrate CHWs into the Health System in regards to family planning.
Community health workers in Tanzania are trained in Home Based Life Saving Skills to educate communities on danger signs, birth preparedness, and complication readiness regarding childbirth. However, maternal mortality is currently greater than 400 per 100,000 live births, leading to the question of the effectiveness of this training program.