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Scaling up Contraceptive Implants

Interactive Filing Cabinet

Explore our filling cabinet of resources on programmatic learnings, tips, best practices, and challenges on contraceptive implant introduction and scale-up. Scroll through the different tabs (Implants, LARCs, Implants Task Sharing and Private Sector Engagement) to learn more about these topics and what global and national initiatives have taken place over the years to increase access to implants and other contraceptives.

Improving Contraceptive Access, Use, and Method Mix by Task Sharing Implanon Insertion to Frontline Health Workers: The Experience of the Integrated Family Health Program in Ethiopia 

This article depicts a successful phase-based model to scale-up Implanon in Ethiopia through training and task sharing with health extension workers (HEWs). The model was integrated into the country's existing public health service delivery system. The article demonstrates the effectiveness of task sharing but also when implant insertion services are brought closer to where the community is, it can allow those with a developing need to seek out and demand these services.

Task shifting levonorgestrel implant insertion to community midwife assistants in Malawi: results from a non-inferiority evaluation

This study aims to assess whether community midwife assistants who undergo 18 months of training have the same competency as nurse midwife technicians, who undergo 3 years of training, for LARC insertion, specifically for the levonorgestrel contraceptive implants in Malawi. Results found that community midwife assistants were non-inferior to nurse midwife technicians and were competent with implant insertion after follow-up evaluation post-training, with competency increasing with number of insertions performed.

Task Shifting Provision of Contraceptive Implants to Community Health Extension Workers: Results of Operations Research in Northern Nigeria 

This article describes that with adequate training and supportive supervision, CHEWs in northern Nigeria can provide high-quality implant insertion services. If more CHEWs are trained to provide implants and greater community outreach is conducted to generate demand, uptake of LARCs in Nigeria may increase.

Task sharing for family planning services, Burkina Faso 

This article describes the implementation of a pilot project for task shifting of auxiliary nurses and auxiliary midwives to provide implants in Burkina Faso. The article notes that the pilot project was feasible and safe but that financial constrained affected scale-up efforts.

Towards achieving the family planning targets in the African region: a rapid review of task sharing policies 

This study explores the implementation of task sharing for family planning in 5 countries in Sub-Saharan Africa, concluding that task sharing can increase contraceptive implant and improve universal access to services in the region.

Task-Sharing of Implant Insertion to Community Health Workers: The Ethiopia Experience 

This source shares information on Ethiopia’s Integrated Family Health Program, which trained health extension workers on implant insertion. The source shares the various scale-up strategies undertaken, strategies to support removals as well as lessons learned.

Peer-reviewed journals

Grey Literature 

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