Pịnye ka ịchọọ

Webinar Oge Ọgụgụ: 3 nkeji

Na-eme ntinye ntinye onwe nke DMPA-SC n'oge COVID-19 na mba anọ nke Francophone

On December 21, 2020, Jhpiego, the IBP Network, and the Ouagadougou Partnership hosted a webinar on high-impact approaches to support the introduction and scale-up of the self-injectable contraceptive, depot-medroxyprogesterone acetate-subcutaneous (DMPA-SC; brand name Sayana Press), in Francophone family planning programs in West Africa. During the session, representatives from Burkina Faso, Gini, Mali, and Togo shared their experiences—from strategies to results, as well as challenges, nkuzi mụtara, and recommendations. These country initiatives were implemented as part of Jhpiego’s regional project Accelerating Access to the DMPA-SC with support from theCatalytic Opportunities Fund,” an initiative managed by the CHAI Foundation.

Did you miss the webinar? Read our recap below or watch the recording na download the presentation slides.

Pour lire l’article en français, pịa ebe a.

Présentateurs : Aguiebina Ouedraogo, Dr Siré Camara, Yalkouyé Haoua Guindo et Dr Madéleine TCHANDANA
Présentateurs : Aguiebina Ouedraogo, Dr Siré Camara, Yalkouyé Haoua Guindo et Dr Madéleine TCHANDANA

High Impact Self-Injection Strategies

The speakers shared their experiences in what strategies their projects used to introduce and scale-up the use of DMPA-SC in key districts in their respective countries at the rural and urban levels. These strategies focused on building the capacity of healthcare providers and other key actors in the public and private systems. More specifically, these strategies included:

  1. Advocacy for the creation of an enabling environment to introduce DMPA-SC, including self-injection
  2. Developing training kits, management tools and other materials, such as training guides, provider reference manuals, checklists, akwụkwọ mmado, client instructions, and calendars
  3. Providing health sites with contraceptive products, including DMPA-SC
  4. Training healthcare providers on the self-injection technique
  5. Providing guidance to pharmacy vendors
  6. Building virtual and face-to-face skills of public and private health facility providers
  7. Connecting private clinics/NGOs with municipal health departments
  8. Post-training follow-up and supervision
  9. Monitoring and evaluation of family planning data

What Were the Results?

Ihe mmụta ndị a mụtara

All four countries agreed that success would not have been possible without the flexibility and willingness to shift in response to the COVID-19 pandemic. Adapting the trainings to a virtual format, implementing post-training follow-up from a distance, and creating WhatsApp groups were effective alternatives for building capacity and fostering learning exchange among providers offering DMPA-SC. Before each virtual training in Guinea, organizers distributed documents, ngwá ọrụ, and materials to facilitate the training. Dr. Tchandana noted that Togo took learnings from the Rapid Response Mechanism (RRM) project of FP2020. This approach focuses on providing close assistance to providers for self-injection introduction. Communication materials, especially videos, also made trainings successful, as representatives from the Burkina and Guinea ministries of health agreed. Other examples include materials such as trainers’ guides, reference manuals, and data management tools.

Representatives from Guinea, Mali, and Burkina discussed the importance of advocacy to create an enabling environment for the introduction of DMPA-SC in the countries. This included creating an enabling environment both at the government level to ensure the availability of guidance and leadership, and with clients to generate demand for self-injection. In Burkina, one lesson learned was to consider provider motivation in client recruitment. Mali continues to advocate for free DMPA-SC services.

Equally important in terms of relationship management, Guinea found, was the relationship between private clinics and the district health management teams to facilitate data reporting. Similarly, based on the Mali experience, Nwada. Yalcouye emphasized the importance of ensuring the availability of data input tools and management support in public and private facilities. For all four countries, it was clear that training and supervision on data entry and use of data for decision making contributed to the success of the projects

Conclusion: Two Approaches, Four Countries

As webinar moderator Rodrigue Ngouana noted, Guinea and Mali introduced DMPA-SC/self-injection at the urban level with the idea that the city would influence other regions of the country and foster an environment conducive to future expansion of the method. The Burkina and Togo approach focused on scale-up of self-injectables to different regions to allow for a wider choice of contraceptive methods. With the changing climate of COVID-19, all four countries had to adapt their implementation approaches, including training and knowledge sharing from a distance rather than in-person. These adaptations, and remarkable results, show that the CHAI projects have helped build capacity for the implementation of DMPA-SC/self-injection in the countries.

As programs plan and implement self-injectable contraception scale-up, it is important to note the experiences, nkuzi mụtara, and recommendations from these four countries.

Ebe E Si Nweta Foto: Joshua Yospyn / JSI, site n'ikike nke flickr
Aïssatou Thioye

Onye na-ahụ maka njikwa ihe ọmụma na West Africa, Ọmụma ihe ịga nke ọma, FHI 360

Aïssatou Thioye nọ na ngalaba ojiji nyocha, n'ime GHPN nke FHI360 ma na-arụ ọrụ maka ihe ọmụma SUCCESS oru ngo dị ka ihe ọmụma Management na Partnership Manager maka West Africa.. N'ọrụ ya, ọ na-akwado ike nke njikwa ihe ọmụma na mpaghara, idobe ihe kacha mkpa na imepụta atụmatụ njikwa ihe ọmụma maka otu ndị ọrụ nka na ụzụ FP/RH na ndị mmekọ na West Africa. Ya na ndị mmekọ mpaghara na netwọk na-akpakọrịta.. Site n'ahụmahụ ya, Aïssatou arụ ọrụ karịa 10 afọ dị ka onye nta akụkọ, editọ-ọdụmọdụ maka afọ abụọ, tupu ọ banye na JSI ebe ọ rụrụ ọrụ na ọrụ ugbo na nri nri abụọ, n'otu n'otu dị ka onye isi mgbasa ozi mgbasa ozi mgbe ahụ ọkachamara na njikwa ihe ọmụma.******Aïssatou Thioye nọ na ngalaba nyocha nke GHPN nke FHI. 360 ma na-arụ ọrụ maka ihe ọmụma SUCCESS oru ngo dị ka onye njikwa ihe ọmụma na mmekorita maka West Africa. N'ọrụ ya, ọ na-akwado ịkwado njikwa ihe ọmụma na mpaghara ahụ, idobe ihe kacha mkpa na imepụta atụmatụ njikwa ihe ọmụma na teknụzụ FP/RH na ndị otu na-arụkọ ọrụ na West Africa. Ya na ndị mmekọ mpaghara na netwọk na-akpakọrịta. N'ihe gbasara ahụmahụ ya, Aïssatou rụrụ ọrụ karịa 10 afọ dị ka onye nta akụkọ, wee bụrụ onye nchịkọta akụkọ-onye ndụmọdụ afọ abụọ, tupu ọ banye JSI ebe ọ rụrụ ọrụ na ọrụ ugbo na nri iri nri abụọ, na-aga nke ọma dị ka onye ọrụ mgbasa ozi mgbasa ozi na mgbe ahụ dị ka ọkachamara njikwa ihe ọmụma.

Natalie Apcar

Onye isi mmemme, KM & Communications, Ọmụma ihe ịga nke ọma

Natalie Apcar is a Program Officer at the Johns Hopkins Center for Communication Programs, supporting knowledge management partnership activities, okike okike, and communications for Knowledge SUCCESS. Natalie has worked for a variety of nonprofits and built a background in planning, mmejuputa iwu, and monitoring of public health programming, including gender integration. Other interests include youth and community-led development, which she got the chance to engage in as US Peace Corps Volunteer in Morocco. Natalie earned a Bachelor of Arts in International Studies from American University and a Master of Science in Gender, Development, and Globalization from the London School of Economics and Political Science.

Sophie Weiner

Onye isi mmemme, Johns Hopkins Center maka Mmemme Nkwukọrịta

Sophie Weiner bụ onye isi njikwa ihe ọmụma na nkwukọrịta na Johns Hopkins Center maka Mmemme Nkwukọrịta ebe ọ raara onwe ya nye n'ịzụlite mbipụta na ọdịnaya dijitalụ., na-ahazi mmemme mmemme, na ike ike maka ịkọ akụkọ na Francophone Africa. Mmasị ya gụnyere atụmatụ ezinụlọ/ahụ ike ọmụmụ, mgbanwe mmekọrịta mmadụ na ibe ya, na njikọ dị n'etiti ọnụ ọgụgụ mmadụ, ahụike, na gburugburu ebe obibi. Sophie nwere B.A. na French / International Mmekọrịta si Bucknell University, ihe M.A. na French site na New York University, na nzere nna ukwu na ntụgharị akwụkwọ edemede sitere na Sorbonne Nouvelle.

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