PRESENTATIONS
Scaling Up Community-based Access to Injectable Contraceptives in Uganda: Lessons Learned from Private and Public-sector Implementation
September 2009
Angela Akol and Patricia Wamala, Family Health International/Uganda
Kirsten Krueger and Amanda Abbott, Family Health International/North Carolina
Injectable contraception is a popular family planning method that is safe, effective, easy to use,
unobtrusive, and convenient. However, most women in sub-saharan Africa do not have access to it
because it is available only through clinics. Especially for rural women, the time, cost, and distance
associated with travelling to a clinic are often insurmountable obstacles.
In 2003–05, Family Health International (FHI), Save the Children, and the Uganda Ministry of
Health (MOH) collaborated on a pilot study that demonstrated that properly trained community
health workers (CHWs) can safely and feasibly provide injectable contraceptives in their
communities. This evidence, combined with the service’s potential in Uganda to increase women’s
access to injectables and alleviate critical shortages of health workers, led to a phased scale-up of the
program tested in the pilot study...
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