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Mtandao Wakati wa Kusoma: 3 dakika

Utekelezaji wa Kujidunga kwa DMPA-SC Wakati wa COVID-19 katika Nchi Nne zinazozungumza Kifaransa


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. Wakati wa kikao, representatives from Burkina Faso, Guinea, Mali, and Togo shared their experiences—from strategies to results, as well as challenges, masomo yaliyopatikana, 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 kurekodi na download the presentation slides.

Ili kusoma makala kwa Kifaransa, Bonyeza hapa.

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, posters, 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?

Mafunzo Yanayopatikana

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, zana, and materials to facilitate the training. Dk. 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. Vile vile, based on the Mali experience, Bi. 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

Hitimisho: 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, masomo yaliyopatikana, and recommendations from these four countries.

Utekelezaji wa Kujidunga kwa DMPA-SC Wakati wa COVID-19 katika Nchi Nne zinazozungumza Kifaransa
Aissatou Thioye

Afisa wa Usimamizi wa Maarifa na Ushirikiano wa Afrika Magharibi, Maarifa MAFANIKIO, FHI 360

Aïssatou Thioye yuko katika kitengo cha matumizi ya utafiti, ndani ya GHPN ya FHI360 na inafanya kazi kwa mradi wa Maarifa SUCCESS kama Meneja wa Usimamizi wa Maarifa na Ushirikiano wa Afrika Magharibi.. Katika nafasi yake, inasaidia uimarishaji wa usimamizi wa maarifa katika kanda, kuweka vipaumbele na kubuni mikakati ya usimamizi wa maarifa kwa vikundi kazi vya kiufundi vya FP/RH na washirika katika Afrika Magharibi. Pia huwasiliana na washirika wa kikanda na mitandao.. Kutokana na uzoefu wake, Aïssatou amefanya kazi kwa muda mrefu 10 miaka kama mwandishi wa habari, mhariri-mshauri kwa miaka miwili, kabla ya kujiunga na JSI ambako alifanya kazi katika miradi miwili ya Kilimo na Lishe, mfululizo kama afisa wa vyombo vya habari kisha mtaalamu katika Usimamizi wa Maarifa.******Aïssatou Thioye yuko katika Kitengo cha Matumizi ya Utafiti cha GHPN ya FHI 360 na hufanya kazi kwa mradi wa Maarifa SUCCESS kama Afisa Usimamizi wa Maarifa na Ushirikiano wa Afrika Magharibi. Katika nafasi yake, anaunga mkono uimarishaji wa usimamizi wa maarifa katika kanda, kuweka vipaumbele na kubuni mikakati ya usimamizi wa maarifa katika FP/RH kiufundi na vikundi kazi washirika katika Afrika Magharibi. Pia huwasiliana na washirika wa kikanda na mitandao. Kuhusiana na uzoefu wake, Aïssatou alifanya kazi kwa zaidi ya 10 miaka kama mwandishi wa habari, kisha kama mhariri-mshauri kwa miaka miwili, kabla ya kujiunga na JSI ambako alifanya kazi katika miradi miwili ya Kilimo na Lishe, mfululizo kama afisa wa vyombo vya habari na kisha kama mtaalamu wa Usimamizi wa Maarifa.

Natalie Apcar

Afisa Programu, KM & Communications, Maarifa MAFANIKIO

Natalie Apcar ni Afisa Programu katika Kituo cha Johns Hopkins cha Mipango ya Mawasiliano, kusaidia shughuli za ushirikiano wa usimamizi wa maarifa, uundaji wa maudhui, na mawasiliano kwa Mafanikio ya Maarifa. Natalie amefanya kazi katika mashirika mbalimbali yasiyo ya faida na amejenga usuli katika kupanga, utekelezaji, na ufuatiliaji wa programu za afya ya umma, ikiwa ni pamoja na ushirikiano wa kijinsia. Maslahi mengine ni pamoja na vijana na maendeleo yanayoongozwa na jamii, ambayo alipata nafasi ya kushiriki kama Mjitolea wa Kujitolea wa Peace Corps nchini Morocco. Natalie alipata Shahada ya Kwanza ya Sanaa katika Masomo ya Kimataifa kutoka Chuo Kikuu cha Marekani na Shahada ya Uzamili ya Sayansi ya Jinsia, Maendeleo, na Utandawazi kutoka Shule ya London ya Uchumi na Sayansi ya Siasa.

Sophie Weiner

Afisa Programu, Kituo cha Johns Hopkins cha Mipango ya Mawasiliano

Sophie Weiner ni Afisa wa Programu ya Usimamizi wa Maarifa na Mawasiliano katika Kituo cha Johns Hopkins cha Mipango ya Mawasiliano ambapo amejitolea kuendeleza maudhui ya magazeti na dijitali., kuratibu matukio ya mradi, na kuimarisha uwezo wa kusimulia hadithi katika Afrika ya Kifaransa. Masilahi yake ni pamoja na upangaji uzazi/afya ya uzazi, mabadiliko ya kijamii na tabia, na makutano kati ya idadi ya watu, afya, na mazingira. Sophie ana B.A. katika Uhusiano wa Kifaransa/Kimataifa kutoka Chuo Kikuu cha Bucknell, na M.A. kwa Kifaransa kutoka Chuo Kikuu cha New York, na shahada ya uzamili katika Tafsiri ya Fasihi kutoka Sorbonne Nouvelle.

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