Against reaching the household planning targets within the African place of abode: a immediate review of job sharing insurance policies

This publication is the abstract of a scientific article, before the total thing published in BMC Reproductive Health


Increasing receive admission to and employ of effective contraception is essential in reaching universal receive admission to to reproductive healthcare companies and products, especially in low- and heart-profits countries (LMICs), similar to those in sub-Saharan Africa (SSA). Shortage of knowledgeable healthcare companies is the critical contributor to increased unmet need for contraception in SSA. The World Health Organization (WHO) recommends job sharing as the critical technique to increase receive admission to to sexual and reproductive healthcare companies and products by addressing shortage of healthcare companies. This gape explores the place, successes, challenges and impacts of the implementation of job sharing for household planning in 5 SSA countries. This evidence is aimed at promoting the implementation and scale-up of job sharing programmes in SSA countries by WHO.

Methodology and findings

We employed a immediate programme review (RPR) methodology to generate evidence on job sharing for household planning programmes from 5 SSA countries particularly, Burkina Faso, Cote d’Ivoire, Ethiopia, Ghana, and Nigeria. This fervent a desk review of nation job sharing coverage documents, implementation plans and guidelines, annual sexual and reproductive well being programme reviews, WHO regional meeting reviews on job sharing for household planning; and files from key informants on nation background, intervention packages, impact, enablers, challenges and ways forward on job sharing for household planning. The findings point to essentially the involvement of neighborhood well being crew, midwives and nurses within the job sharing programmes with working in direction of in provision of contraceptive pills and long-acting reversible contraceptives (LARC). Results point to an amplify in household planning indicators throughout the job transferring implementation duration. As an illustration, injectable contraceptive employ increased extra than threefold within six months in Burkina Faso; contraceptive occurrence price doubled with declines in full fertility and unmet need for contraception in Ethiopia; and uptake of LARC increased in Ghana and Nigeria. Some obstacles to successful implementation encompass unhappy retention of lower cadre companies, insufficient documentation, and unhappy files methods.


Job sharing plays a function in growing contraceptive uptake and holds promise in promoting universal receive admission to to household planning within the SSA place of abode. Evidence from this RPR is functional in elaborating nation insurance policies and scale-up of job sharing for household planning programmes.

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