177511 Building momentum for innovation: Community-based distribution of injectables

Tuesday, October 28, 2008: 1:10 PM

Jason B. Smith, PhD, MPH , Technical Support and Research Utilization Department, Family Health International, Research Triangle Park, NC
Kirsten Kreuger, MSW , Applied Research Department, Family Health International, Research Triangle Park, NC
John Stanback, PhD , Applied Research Department, Family Health International, Research Triangle Park, NC
Tara Nutley, MPH , Applied Research Department, Family Health International, Research Triangle Park, NC
Community-based distribution (CBD) of contraceptives is common throughout much of the developing world. CBD of injectables has been used for decades in family planning programs in Asia and Latin America. Despite the large unmet need for family planning in Africa and the popularity of injectables as a contraceptive method, CBD of injectables hasn't been introduced on a large scale for several reasons including lack of infrastructure and concerns over safety and feasibility. First, this presentation will describe CBD of DMPA in terms of its potential to improve access to family planning, at scale, in the African context. Then, this presentation will describe the planning and execution of a strategy for improving legitimacy and increasing adoption of this service delivery mechanism across geographic settings, using principles and techniques informed by modern scale-up theory and practice. The presentation will describe use of primary research to improve the legitimacy of an innovation in its local context, tool development as a collaborative and facilitative steps in the adaptation process, use of a scale-up framework to guide planning and implementation within an individual country context, the role of multi-lateral agencies in providing global technical leadership, and a 3T (target, tailor and tip) approach to generating interest and support for diffusion for CBD of injectables across countries. Remaining challenges for CBD of DMPA will be described along with options for facilitating greater adoption of this approach to increasing access in the future.

Learning Objectives:
As a result of attending this session, participants will be able to: 1. Recognize community-based distribution of injectables as an effective means of improving access to a popular method 2. List at least three types of scale-up 3. Describe how scale-up frameworks and techniques are being used to foster replication of this effective practice across geographic and institution settings.

Keywords: International Family Planning, Change Concepts

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a recognized expert on the topic, I have no conflicts of interest nor any commercial interest in any of the products or services that will be mentioned in this presentation
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.