Provision of family planning services by community health workers in urban slums of Cameroon

Simon Manga, Alan Tita, Florence Manjuh, Kathleen Nulah, Henna Budhwani

Abstract

Over 50% of pregnancies in slums are unintended, signifying unmet family planning (FP) needs. In Cameroon, about 60% of city dwellers live in slums where basic health services including FP is lacking. With an acute shortage of health personnel in Africa, community health workers (CHWs) can play a vital role in administering basic FP services. The Cameroon Baptist Convention Health Services implemented a pilot project to reduce the unmet FP needs in urban slums through utilization of CHWs. We found that with adequate training and support, CHWs can successfully provide basic FP services in urban slums. (Afr J Reprod Health 2023; 27 [8]: 14-18).

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References

Alaazi DA, Aganah GAM. Understanding the slum – health

conundrum in sub-Saharan Africa : a proposal for a rights-based approach to health promotion in slums. Global Health Promotion 2019;0(0):1-8. doi:10.1177/1757975919856273

UN Habitat. Participatory Slum Upgrading Programme. n.d.

file:///C:/Users/HP/Desktop/FP2020%20Manuscript/UN%20Habitat.pdf.

Slum P, Programme U. PARTICIPATORY SLUM UPGRADING PROGRAMME CAMEROON IMPACT STORY : 2015;(September 2014):5-8.

Huda FA, Mahmood HR, Ahmmed F, Ahmed A, Aniqa Hassan AT, Panza A and Somrongthong R. The effect of a club in making differences in knowledge, attitude, and practices on family planning among married adolescent girls in urban slums in Bangladesh. Int J Environ Res Public Health. 2019;16(20). doi:10.3390/ijerph16204037

Budhwani H, Hearld KR, Dionne-odom J, Manga S, Nulah, K, Khan M, Welty T, Welty E and Tita AT. HIV Status and Contraceptive Utilization among Women in Cameroon. Journal of the International

Association of Providers of AIDS Care. 2019;(18):1-7. doi:10.1177/2325958219826596

Saha UR and Soest AV. Contraceptive Use, Birth Spacing, and Child Survival in Matlab, Bangladesh. Contraceptive Use, Birth Spacing, and Child Survival.2013:45-66.

Bain LE and Kongnyuy EJ. Eliminating the high abortion related complications and deaths in Cameroon: The restrictive legal atmosphere on abortions is no acceptable excuse. BMC Womens Health. 2018;18(1):1-5. doi:10.1186/s12905-018-0564-6

Bongfen MC and Abanem EEB. Abortion practices among

women in Buea: A socio-legal investigation. Pan Afr Med J. 2019;32:1-9. doi:10.11604/pamj.2019.32.146.17732

Tebeu PM, Ekane GH, Itambi MD, Mbu RE, Mawamba Y and Fomulu JN. Maternal mortality in Cameroon: A university teaching hospital report. Pan Afr Med J. 2015;21:1-8. doi:10.11604/pamj.2015.21.16.3912

Nkwabong E, Mbu RE and Fomulu JN. How risky are second trimester clandestine abortions in Cameroon: A retrospective descriptive study. BMC Womens Health. 2014;14(1):1-6. doi:10.1186/1472-6874-14-108

Scott VK, Gottschalk LB, Wright KQ, Twose, C, Bohren, MA, Schmitt, ME and Ortayli N. Community Health Workers’ Provision of Family Planning Services in Low- and Middle-Income Countries: A Systematic Review of Effectiveness. Studies in Family Planning 2015(46)3.

Brunie A, Wamala-Mucheri P, Otterness C, Akol A, Chen M, Bufumbo, L and Weavern M. Keeping community health workers in Uganda motivated: Key challenges, facilitators, and preferred program inputs. Glob Heal Sci Pract. 2014;2(1):103-116.

doi:10.9745/GHSP-D-13-00140

United Nations. OCHA Cameroon, North West and South

West Crisis. Situation Overview: Philippines. 2018;30(29):1-8.

Agarwal S, Lasway C, Engle KL, Braun R, Silas L, Mwakibete A and Kudrati M. Family Planning Counseling in Your Pocket : A Mobile Job Aid for Community Health Workers in Tanzania. Global Health Science and Practice. 2016:300-310.

Weidert K, Gessessew A, Bell S and Godefay H.

Community Health Workers as Social Marketers of

Injectable Contraceptives : A Case Study from

Ethiopia. Global Health Science and

Practice.2017:44-56.

Wagner AL, Porth JM, Bettampadi D and Boulton ML.

Have community health workers increased the

delivery of maternal and child healthcare in India ?

Journal of Public Health. 2017;40(2):164-170.

doi:10.1093/pubmed/fdx087

Brooks MI, Johns NE, Quinn AK, Boyce, SC, Fatouma,

IA, Oumarou, AO, Sani, A and Silverman JG. Can

community health workers increase modern

contraceptive use among young married women? A

cross-sectional study in rural Niger. Reprod Health.

;16(1):1-10. doi:10.1186/s12978-019-0701-1

Vanenk L, Shelus V, Mugeni C, Mukabatsinda M and

Cachan J. in Gisagara District , Rwanda. Studies in

Family Planning. 2018. 49(2) 159-170.

doi:10.1111/sifp.12059

Juma PA, Mutombo N and Mukiira C. Women’s attitudes

towards receiving family planning services from

community health workers in rural Western Kenya.

Afr Health Sci. 2015;15(1):161-170.

doi:10.4314/ahs.v15i1.22

Luchters S, Bosire W, Feng A, King’ola N, Ampt F,

Temmerman M and Chersich MF. “A baby was an

added burden”: Predictors and consequences of

unintended pregnancies for female sex workers in

Mombasa, Kenya: A mixed-methods study. PLoS

One. 2016;11(9):1-20.

doi:10.1371/journal.pone.0162871

Tolley E, Loza S, Kafafi L and Cummings S. The impact

of menstrual side effects on contraceptive

discontinuation: Findings from a longitudinal study

in Cairo, Egypt. Int Fam Plan Perspect.

;31(1):15-23. doi:10.1363/3101505

Malarcher S, Meirik O, Lebetkin E, Shah I, Spieler J and

Stanback J. Provision of DMPA by community

health workers : what the. Contraception.

;83(6):495-503.

doi:10.1016/j.contraception.2010.08.013.

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