Community Health Workers as Key Providers of Easy-to-Use Contraceptive Injectables: Experimental Evidence from Rural Burundi

Michele Andreottola, Olivier Basenya, Victor Hugo Orozco Olvera, Arndt Reichert and Paula Spinola

No 11074, Policy Research Working Paper Series from The World Bank

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.

Date: 2025-02-24
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