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Using Local Data to Move 30 years of Evidence into Practical Solutions:   The Case of Community-based Distribution of Injectable Contraceptives in Africa Presented by Christine Lasway, FHI
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Data, The Problem Preferred Method for future use Unmet Need for FP Services ,[object Object],[object Object]
The 30Yr Old Solution Community-based distribution of injectable contraceptives! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Moving Evidence into Practice in African Settings ,[object Object],[object Object],[object Object],[object Object]
Moving Evidence into Practice in African Settings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1.   Utilized   Existing Data to Garner Interest ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Study Area Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object]
2. Generating Local Data  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Uganda - Key Study Findings No difference found between CBD and Clinic administration of DMPA 0.3% 0% 85% Clinic n=328 0% Infection/Abscess  0.7% Temporary Numbness 88% Continuation (2 nd  Injection at 6 months) CBD n=449 Item Assessed
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3. Using Data to Inform Policy & Programmatic Change
Programmatic and Policy Improvements: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Programmatic / Policy Improvements: ,[object Object],[object Object],[object Object],[object Object],TUNISIA MOROCCO SAHARA ALGERIA MAURITANIA MALI NIGER LIBYA CHAD EGYPT SUDAN ETHIOPIA DJIBOUTI ERITREA SOMALIA KENYA TANZANIA DEMOCRATIC CENTRAL RWANDA GABON EQUATORIAL ANGOLA CONGO NIGERIA BENIN DTVOIRE SIERRA SENEGA L GHANA THE GUINEA LIBERIA CAMEROON MALAWI ZAMBI A MOZAMBIQUE MADAGASCAR ZIMBABWE BOTSWANA SWAZILAND LESOTHO NAMIBIA ANGOLA WESTERN UGANDA OF THE CONGO REPUBLIC BURUNDI GUINEA REP. OF TOGO COTE BURKINA  FASO GUINEA LEONE GAMBIA BISSAU SOUTH REPUBLIC AFRICAN THE AFRICA Implementing  Policies changed   Interested
4. New Research Questions – Same Goal, Different Approaches ,[object Object],[object Object]
Challenges:  ,[object Object],[object Object],[object Object],[object Object]
Factors that facilitated data use… ,[object Object],[object Object],[object Object],[object Object],[object Object]
With Local Data, Change is Happening in Africa 2004 TUNISIA MOROCCO SAHARA ALGERIA MAURITANIA MALI NIGER LIBYA CHAD EGYPT SUDAN ETHIOPIA DJIBOUTI ERITREA SOMALIA KENYA TANZANIA DEMOCRATIC CENTRAL RWANDA GABON EQUATORIAL ANGOLA CONGO NIGERIA BENIN DTVOIRE SIERRA SENEGA L GHANA THE GUINEA LIBERIA CAMEROON MALAWI ZAMBI A MOZAMBIQUE MADAGASCAR ZIMBABWE BOTSWANA SWAZILAND LESOTHO NAMIBIA ANGOLA WESTERN UGANDA OF THE CONGO REPUBLIC BURUNDI GUINEA REP. OF TOGO COTE BURKINA  FASO GUINEA LEONE GAMBIA BISSAU SOUTH REPUBLIC AFRICAN THE AFRICA 2009

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Lasway Cb Dof Dmpa(Jan28 09)

  • 1. Using Local Data to Move 30 years of Evidence into Practical Solutions: The Case of Community-based Distribution of Injectable Contraceptives in Africa Presented by Christine Lasway, FHI
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  • 10. Uganda - Key Study Findings No difference found between CBD and Clinic administration of DMPA 0.3% 0% 85% Clinic n=328 0% Infection/Abscess 0.7% Temporary Numbness 88% Continuation (2 nd Injection at 6 months) CBD n=449 Item Assessed
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  • 17. With Local Data, Change is Happening in Africa 2004 TUNISIA MOROCCO SAHARA ALGERIA MAURITANIA MALI NIGER LIBYA CHAD EGYPT SUDAN ETHIOPIA DJIBOUTI ERITREA SOMALIA KENYA TANZANIA DEMOCRATIC CENTRAL RWANDA GABON EQUATORIAL ANGOLA CONGO NIGERIA BENIN DTVOIRE SIERRA SENEGA L GHANA THE GUINEA LIBERIA CAMEROON MALAWI ZAMBI A MOZAMBIQUE MADAGASCAR ZIMBABWE BOTSWANA SWAZILAND LESOTHO NAMIBIA ANGOLA WESTERN UGANDA OF THE CONGO REPUBLIC BURUNDI GUINEA REP. OF TOGO COTE BURKINA FASO GUINEA LEONE GAMBIA BISSAU SOUTH REPUBLIC AFRICAN THE AFRICA 2009

Editor's Notes

  1. Hello everyone, my name is Christine Lasway, and I’m very pleased to be able to talk to you about FHI’s work in moving data to impact. I will be using the example of community-based distribution of injectable contraceptives to demonstrate that FHI’s work builds off of field experiences and data that has existed since the 1970s. I hope to demonstrate that moving evidence into practice requires not only supportive data but also a supportive process that requires local leadership and advocacy.