Publication: Community Health Workers as Key Providers of Easy-to-Use Contraceptive Injectables: Experimental Evidence from Rural Burundi
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Date
2025-02-26
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Published
2025-02-26
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Abstract
This study employs a cluster randomized controlled trial and administrative health center data to investigate the effects of authorizing community health workers to deliver a new generation of contraceptive injections directly to women during routine home visits following comprehensive training. The paper observes a significant increase of approximately 70 percent in the administered quantity of these injections, which provide average protection for three months. However, the results suggest that the intervention does not produce a statistically significant change in contraceptive coverage because of significant substitution effects away from long-acting contraceptive implants and intrauterine devices that women might otherwise have adopted.
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“Andreottola, Michele; Basenya, Olivier; Orozco-Olvera, Victor; Reichert, Arndt; Spinola, Paula. 2025. Community Health Workers as Key Providers of Easy-to-Use Contraceptive Injectables: Experimental Evidence from Rural Burundi. Policy Research Working Paper; 11074. © World Bank. http://hdl.handle.net/10986/42866 License: CC BY 3.0 IGO.”
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