Comparing the Effectiveness and Costs of Alternative Strategies for Improving Access to Information and Services for the IUD in Ghana | USAID Health Care Improvement Portal
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Comparing the Effectiveness and Costs of Alternative Strategies for Improving Access to Information and Services for the IUD in Ghana

Author(s): 
Nyarko, P., Birungi, H., Osei, I., Voetagbe, G., Aikins, M., Gyapong, J., et al.
Partners: 
Ghana Health Service, Population Council, USAID, EngenderHealth

Topics: CHW role, Community health workers, Family planning, Training

Year: 
2008

Region and Country: Ghana

Language: 
English

This report describes a study conducted in Ghana to explore utilizing Community Health Officers (CHOs) and Community Health Volunteers (CHVs) to increase interest in using IUDs and other long-acting and permanent methods. The study utilized a pre- and post-test quasi-experimental design and included two intervention groups (where CHOs and CHVs were given additional training and support) and one comparison group. The study showed five-fold increases in the number of new IUD and implant users recorded by CHOs who carried out insertions at the community-level, suggesting that training CHOs to educate communities about long-acting methods and enabling them to provide them at the community level can be both effective and affordable. 

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Comparing the Effectiveness and Costs of Alternative Strategies for Improving Access to Information and Services for the IUD in Ghana.pdf406.72 KB