Introduction: Concerns about contraceptive-induced menstrual
changes (CIMCs) contribute to nonuse and discontinuation of family
planning (FP). Current counseling materials inadequately address
these concerns. After obtaining initial feedback, we field-tested an
adapted version of the NORMAL job aid that guides community
health workers on how to counsel women about CIMCs. The field
test aimed to help understand how the job aid was used, the challenges
faced in using it, and recommendations to improve the job
aid.
Methods: Sixteen community health volunteers (CHVs) from 2 subcounties
in Kenya were trained on the 2-page job aid and given
copies of the job aid to use with clients. Six to 8 weeks after the
training, we interviewed the CHVs about their experiences using
the job aid. The interviews were audio-recorded, transcribed, and
analyzed to identify qualitative themes.
Results: All 16 CHVs reported using the job aid each time they
counseled. All liked it and said they used it because it gave
them new information and made counseling easier. All reported
offering the job aid to most clients and that most clients accepted
a copy. CHVs noted clients referred their friends and family to
them after counseling using the job aid. CHVs said the job aid
reduced clients’ and their male partners’ concerns about CIMCs
and helped clients select or switch FP methods. Most CHVs did
not have suggestions for improving the job aid.
Conclusion: The job aid was highly acceptable to the CHVs who
participated in this small assessment. According to the CHVs, it
increased counseling effectiveness and may help increase uptake
and continued use of FP methods directly through counseling
or indirectly through diffusion in the community. Though
further research is needed in other settings and to quantify its
impact, we recommend this promising job aid be adapted for
wider use.
Wamburi, A. (2023). Afield test with the NORMAL jobaid cor community health volunteers. Afribary. Retrieved from https://track.afribary.com/works/afield-test-with-the-normal-jobaid-cor-community-health-volunteers
Wamburi, Alfayo "Afield test with the NORMAL jobaid cor community health volunteers" Afribary. Afribary, 27 Mar. 2023, https://track.afribary.com/works/afield-test-with-the-normal-jobaid-cor-community-health-volunteers. Accessed 23 Nov. 2024.
Wamburi, Alfayo . "Afield test with the NORMAL jobaid cor community health volunteers". Afribary, Afribary, 27 Mar. 2023. Web. 23 Nov. 2024. < https://track.afribary.com/works/afield-test-with-the-normal-jobaid-cor-community-health-volunteers >.
Wamburi, Alfayo . "Afield test with the NORMAL jobaid cor community health volunteers" Afribary (2023). Accessed November 23, 2024. https://track.afribary.com/works/afield-test-with-the-normal-jobaid-cor-community-health-volunteers