This study extends our understanding of the potential role of community-based distribution for stimulating family planning use in rural areas of sub-Saharan Africa.
Meeting Rural Demand: A Case for Combining Community-Based Distribution and Social Marketing of Injectable Contraceptives in Tigray, Ethiopia.
Infection risk factors were not relevant for identifying untreated individuals during community-based distribution when compared with social characteristics, even though the study area had S. mansoni and hookworm infection prevalence of greater than 50% [ 31, 32].
Other providers include islamic health facilities, NGOs, grocery stores, pharmacies and community-based distribution agents for contraception.
CHWs provided only family planning counseling in the original study design, but we later added community-based distribution of methods, and referrals for clinical methods, to meet women's demand.
Community-based distribution and other innovative distribution mechanisms for an LAI would have a sizeable impact on enhancing potential users' access to the method.
Nigeria became the first country in the world to approve national guidelines for the prevention and treatment of post-partum haemorrhage allowing community-based distribution of misoprostol [ 35].
Further, community-based distribution of some methods may be extended, for example by Sayana® Press (formerly known as depo-subQ provera 104™ in Uniject™)—a new subcutaneous formulation of Depo-Provera® packaged in the Uniject prefilled injection system.
Community-based distribution of pills, condoms, and injectables, and referral for clinical methods, was added to meet women's demand.
The authors of that review further urge the international community to take action to translate the research evidence about the benefits of using oral misoprostol for PPH prevention into community-based research focused on the outstanding questions about community-based distribution [ 28].
