Tapez pour rechercher

Lecture rapide Temps de lecture: 3 minutes

Le diaphragme Caya

How a New Self-Care Product in Niger Is Meeting Women’s Unique Needs During COVID-19

Ce piece was originally published by PSI.

As COVID-19 disrupts access to essential healthcare across the globe, it is more important than ever to offer a wide range of voluntary family planning (FP) options including methods that a user can start, stop and fully control herself. Women who normally rely on a method that requires regular interaction with a provider may be most at risk of losing access to FP care during COVID-19. Les experts prévoient une augmentation de la demande de soins personnels pendant la pandémie en raison des ordonnances de rester à la maison, strain on health systems and fear of acquiring COVID-19 in healthcare settings.

Enter the Caya™ Diaphragm, a new self-care product available to Nigerien women as of June 2019 that offers contraception without having to see a provider in a healthcare facility. “I like the diaphragm because I can insert it and remove it myself,” explained one of the first women in Niger to use the new product.

Caya Diaphragm and the Appeal of Self-Care

le appeal of self-care is among several benefits of the Caya diaphragm that I’ve drawn more than 800 women in Niamey, the capital of Niger, to adopt the method over the past year. Through the USAID-funded Expanding Effective Contraceptive Options (EECO) projet, WCG cares and PSI have led a pilot introduction of the Caya Diaphragm and accompanying Caya gel in Niger since June 2019. EECO offers the method as part of voluntary FP services and public facilities, private clinics and free community health workers (ASC). Users say they appreciate that Kia is a user-controlled, reusable and non-hormonal method that causes no side effects and can be used on demand.

“I had tried other methods before Caya…which I didn’t like…I heard about the diaphragm and decided to try it. I like that there aren’t any side effects at all! And it’s easy to use and easy to remove.”

Caya user in Niamey, Niger

A new program brief from the EECO project documents initial lessons learned from Caya’s first introduction in Africa. The brief, Élargir les options de contraception efficaces: Introducing the Caya Diaphragm in Niger, is available in English and français. Intended for use by those interested in adding Caya into a country’s contraceptive method mix, it is also useful for those exploring the introduction of any FP method into a new market. The brief includes a journey map to reflect the dynamic and diverse ways that clients in Niger move from awareness to advocacy de Caya.

le Caya Diaphragm’s Role in Niger’s FP Method Mix

As the COVID-19 pandemic unfolds, la Caya Diaphragm may come to play une unique role in the FP method mix. Here’s why:

  1. Caya can be obtained outside of crowded health centers. Due to lockdowns et la increased burden that COVID-19 places on healthcare systems, many women are unable or reluctant to visit healthcare centers. Fortunately, obtaining the Caya iaphragm doesn’t require a visit. Unlike earlier diaphragm models, Caya is one-size-fits-most par conséquent eliminating the need for a provider fitting. Through EECOS pilot, women can access Caya through CHWs who visit their homes and/or communities.
  2. As a self-care method, women can continue, pause and stop use of Caya at any time, without the aid of a provider. Some FP methods require frequent visits to a provider for effective continued use. Par exemple, injectables require reinjections from a provider every one to three months; long-acting reversible contraceptives, tel que implants, necessitate a clinic visit when women want to stop using them. Caya, on the other hand, is reusable for two years (though la gel1 may need to be replaced) and a woman may pause or stop using it for any reason, whenever she wants and for as long as she wants, avec no follow-up visit necessary.
  3. Caya can serve as an excellent back-up method. UNEn unfortunate implication of COVID-19 is that many women’s usual contraceptive methods may become unobtainable during periods of lockdown or supply chain disruption. In these cases, Caya can act as a temporary back-up solution for some women in addition to its role as the primary method choice for other women. Because a woman can obtain et initiate use of Caya without a clinic visit, she can safely use it pendant times when a visit to the clinic is impossible or undesirable.

What’s Next Pour la Caya Diaphragm Rollout

Au cours de l'année prochaine, EECO will continue its Caya pilot introduction in urban Niger, expand into peri-urban areas, complete a mixed-methods user study and launch a pilot introduction in neighboring Benin. The project will monitor changes in Caya uptake pendant la pandémie COVID-19, documenting if and how it fills gaps in the broader FP market. Even during this global period of great disruption, providing a woman with access to an FP method that delights and satisfies her remains at the core of EECO’s goals.

For any questions or inquiries regarding the EECO project’s introduction of Caya, please be in touch with Alexandra Angel (aangel@psi.org).

EECO Caya User Journey
Diaphragme léger
Alexandra Angel

Conseiller technique

Alexandra Angel est conseillère technique chez Population Services International (PSI) à Washington, DC. Elle conseille les programmes mondiaux de PSI sur le développement, exécution, et soutenir des programmes et services de santé sexuelle et reproductive de qualité pour les femmes et les filles. Ses domaines d'intérêt sont la qualité des soins, counseling en PF centré sur le client, et l'introduction du diaphragme Caya comme choix de méthode. Alexandra parle français, et une grande partie de son travail se concentre sur l'Afrique de l'Ouest francophone. Elle détient un BA en études françaises et francophones et en études religieuses de l'Université de Santa Clara et un MPH de l'Université George Washington.

Histoires liées

1.5K vues
Partage via
Copier le lien
Alimenté par Snap social