Andreottola, MicheleBasenya, OlivierOrozco-Olvera, VictorReichert, ArndtSpinola, Paula2025-02-262025-02-262025-02-26https://hdl.handle.net/10986/42866This 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.en-USCC BY 3.0 IGOFAMILY PLANNINGFERTILITY PREFERENCESCONTRACEPTIVE INJECTIONSCOMMUNITY HEALTH WORKERSADMINISTRATIVE DATAHEALTH CENTERSWorking PaperWorld Bank10.1596/1813-9450-11074