Tẹ lati wa

Webinar Akoko kika: 3 iseju

Ṣiṣe Abẹrẹ ti ara ẹni DMPA-SC Lakoko COVID-19 ni Awọn orilẹ-ede Francophone Mẹrin

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, Guinea, Mali, and Togo shared their experiences—from strategies to results, as well as challenges, awọn ẹkọ ti a kọ, 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 ati download the presentation slides.

Pour lire l’article en français, cliquez ici.

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?

Lessons Learned

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, irinṣẹ, 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, Ms. 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, awọn ẹkọ ti a kọ, and recommendations from these four countries.

Kirẹditi Fọto: Joshua Yospyn / JSI, iteriba ti flickr
Aïssatou Thioye

Ìṣàkóso Ìmọ̀ Ìwọ̀ Oòrùn Áfíríkà àti Oṣiṣẹ́ Ìbáṣepọ̀, Aseyori Imọ, FHI 360

Aïssatou Thioye wa ninu pipin lilo iwadi, laarin GHPN ti FHI360 ati pe o ṣiṣẹ fun iṣẹ akanṣe Aṣeyọri Imọ bi Iṣakoso Imọ ati Alakoso Ibaṣepọ fun Iwọ-oorun Afirika. Ni ipa rẹ, o ṣe atilẹyin okunkun iṣakoso imọ ni agbegbe naa, ṣeto awọn pataki ati ṣiṣe awọn ilana iṣakoso oye fun awọn ẹgbẹ iṣẹ imọ-ẹrọ FP/RH ati awọn alabaṣiṣẹpọ ni Iwọ-oorun Afirika. O tun ṣe ajọṣepọ pẹlu awọn alabaṣiṣẹpọ agbegbe ati awọn nẹtiwọọki.. Lati iriri rẹ, Aïssatou ti ṣiṣẹ fun lori 10 odun bi a tẹ onise, olootu-ajùmọsọrọ fun odun meji, ṣaaju ki o to darapọ mọ JSI nibiti o ti ṣiṣẹ ni awọn iṣẹ-ogbin ati Ounjẹ meji, leralera gẹgẹbi oṣiṣẹ media-media lẹhinna alamọja ni Iṣakoso Imọ.******Aïssatou Thioye wa ninu Ẹka Lilo Iwadi ti GHPN ti FHI 360 ati pe o ṣiṣẹ fun iṣẹ akanṣe Aṣeyọri Imọ bi Alakoso Imọye ati Alabaṣepọ fun Iwọ-oorun Afirika. Ni ipa rẹ, o ṣe atilẹyin okunkun iṣakoso imọ ni agbegbe naa, ṣeto awọn pataki ati ṣiṣe awọn ilana iṣakoso oye ni imọ-ẹrọ FP / RH ati awọn ẹgbẹ ṣiṣẹ alabaṣiṣẹpọ ni Iwọ-oorun Afirika. O tun ṣe ajọṣepọ pẹlu awọn alabaṣiṣẹpọ agbegbe ati awọn nẹtiwọọki. Ni ibatan si iriri rẹ, Aïssatou ṣiṣẹ fun diẹ sii ju 10 odun bi a tẹ onise, lẹhinna bi oludamoran olootu fun ọdun meji, kí ó tó darapọ̀ mọ́ JSI níbi tí ó ti ṣiṣẹ́ lórí iṣẹ́ àgbẹ̀ àti Nutrition méjì, leralera gẹgẹbi oṣiṣẹ media-pupọ ati lẹhinna bi alamọja Iṣakoso Imọ.

Natalie Apcar

Oṣiṣẹ eto, KM & Communications, Aseyori Imọ

Natalie Apcar jẹ Alakoso Eto ni Ile-iṣẹ Johns Hopkins fun Awọn Eto Ibaraẹnisọrọ, atilẹyin awọn iṣẹ ajọṣepọ iṣakoso imọ, ẹda akoonu, ati awọn ibaraẹnisọrọ fun Aseyori Imọ. Natalie ti ṣiṣẹ fun ọpọlọpọ awọn ti kii ṣe ere ati kọ ipilẹ kan ni igbero, imuse, ati ibojuwo ti eto ilera gbogbo eniyan, pẹlu iwa Integration. Awọn iwulo miiran pẹlu awọn ọdọ ati idagbasoke ti agbegbe, eyiti o ni aye lati ṣe alabapin gẹgẹbi Oluyọọda Alafia Corps US ni Ilu Morocco. Natalie gba Apon ti Arts ni Awọn Ikẹkọ Kariaye lati Ile-ẹkọ giga Ilu Amẹrika ati Titunto si ti Imọ-jinlẹ ni akọ-abo, Idagbasoke, ati Iṣalaye Agbaye lati Ile-iwe ti Ilu Lọndọnu ti Iṣowo ati Imọ-iṣe Oṣelu.

Sophie Weiner

Oṣiṣẹ eto, Ile-iṣẹ Johns Hopkins fun Awọn Eto Ibaraẹnisọrọ

Sophie Weiner is a Knowledge Management and Communications Program Officer at the Johns Hopkins Center for Communication Programs where she is dedicated to developing print and digital content, coordinating project events, and strengthening capacity for storytelling in Francophone Africa. Her interests include family planning/reproductive health, social and behavior change, and the intersection between population, ilera, ati ayika. Sophie holds a B.A. in French/International Relations from Bucknell University, an M.A. in French from New York University, and a master’s degree in Literary Translation from the Sorbonne Nouvelle.

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