Contraceptive use remains low in Nigeria, with only 11% of women reporting use of any modern method. Access to long-acting reversible contraceptives (LARCs) is constrained by a severe shortage of human resources. To assess feasibility of task shifting provision of implants, TSHIP trained community health extension workers (CHEWs) to insert and remove contraceptive implants in rural communities of Bauchi and Sokoto states in northern Nigeria.
To assess feasibility of the task shifting approach, TSHIP conducted operations research using a retest–post test design using multiple sources of information, including surveys with 151 trained CHEWs (9% were lost to follow-up) and with 150 family planning clients; facility observations using supply checklists (N=149); direct observation of counseling provided by CHEWs (N=144) and of their clinical (N=113) skills; as well as a review of service statistics (N=151 health facilities). The endline assessment was conducted 6 months after the training in each state.
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