Skip to content

Publications

Scaling-Up Community-Based Counseling and Distribution of DMPA-SC in the DRC

Democratic Republic of the Congo

USAID’s Evidence to Action (E2A) Project’s community-based family planning project, implemented from 2014–2020, aimed to increase access to family planning (FP) to those who need it most in rural, hard-to-reach areas of Democratic Republic of the Congo (DRC). By de-medicalizing and decentralizing FP service delivery through trained, non-clinical community health workers, E2A was able to provide more women with more methods, including depot medroxyprogesterone acetate (DMPA-SC), which is administered subcutaneously. The World Health Organization describes self-injectable DMPA-SC as a safe and effective family planning method, and studies in Malawi demonstrated improved DMPA continuation among women who self-inject, compared with women who received the injection by a trained provider. As the COVID-19 pandemic highlights gaps in access to and availability of services within the health system, the ability for women to choose and access FP counseling and methods in their own communities is more important than ever. E2A’s results suggest that community-based distributors provide the opportunity to further task-shift DMPA-SC to the FP user herself—an important step on the road to universal self-injection and self-care, which increases women’s ability to select and eventually administer their chosen FP method.

Download this Publication

Featured Stories & Perspectives

Pathways – June 2024: Honoring Refugees Around the World

Pathfinder works with local, government, and humanitarian partners to design programs that respond to the unique needs of women and…

Read The Story
Featured Stories & Perspectives

During Security Crisis, Burkinabe NGOs Play Critical Role in Healthcare Delivery

Local non-governmental organizations (NGOs) in Burkina Faso’s Centre Nord, Sahel, and Est regions have been critical to sustaining healthcare delivery…

Read The Story
Featured Stories & Perspectives

Pathfinder Study to Inform Health Systems Strengthening Investments in Flood-Prone Areas of Bangladesh

Climate change has made flooding during the monsoon season in Bangladesh more severe and erratic—leaving health systems unprepared to serve…

Read The Story
Featured Stories & Perspectives

Stewarding Global & Multi-Country Projects through Youth-Led, Community-Driven Change  

Pathfinder leverages over six decades of experience with leading global and muti-country projects. As Director of Multi-Country Unit Projects, and…

Read The Story
Featured Stories & Perspectives

Kudos to Passing the Resolution on Climate Change and Health! Let’s Take Action Now!

At Pathfinder, our delegation to the 77th World Health Assembly was proud to witness the passage of the Resolution on…

Read The Story
Featured Stories & Perspectives

Launching a Project During a Natural Disaster: Local Partnerships are Critical!

When Pathfinder launched the USAID-funded Building Healthy Families (BHF) project in September 2022, Pakistan was devastated by floods. The floods…

Read The Story
Featured Stories & Perspectives

A Mother’s Day Wish: Making Access to Reliable Reproductive Healthcare a Global Reality

Mother’s Day is a time of celebration in the United States, but this year let’s also make it a time…

Read The Story
Featured Stories & Perspectives

Pathfinder Tanzania, Our Global Watchtower for Safeguarding

At Pathfinder, we are committed to safeguarding—protecting the people we serve, our partners, and each other from exploitation and abuse.…

Read The Story
Featured Stories & Perspectives

Social & Behavior Change—Fostering Sustainable Change from Within

Pathfinder is well known for increasing access to lifesaving healthcare, reaching millions with contraception, saving countless women from dying in…

Read The Story
Featured Stories & Perspectives

Why We Advocate – Part 3: Recent Wins for Pathfinder – And for Rights!

This is the third piece (see part one and part two) in a series on Pathfinder’s work advocating for sexual…

Read The Story
Featured Stories & Perspectives

Pathfinder Annual Report 2023 – Women Who Lead

Pathfinder programs champion the rights, health, and success of women and girls around the globe—for their own benefit, and for…

Read The Story
Featured Stories & Perspectives

Protect, Pay, and Promote Women Health Workers

An abbreviated version of this content appeared in Health Policy Watch during World Health Worker Week. Each woman in the…

Read The Story