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Research article
Sara Chace Dwyer
Population Council
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
To increase access to voluntary family planning services, policymakers in Nigeria are debating how to task share the provision of injectable contraceptives to drug shop owners known as Patent and Proprietary Medicine Vendors (PPMVs). Globally, task sharing family planning services to drug shops has been identified as a promising practice, but more evidence is needed on how to support PPMVs in providing family planning, such as injectable services, if policy were changed.
Methods
Data were collected from 194 PPMVs in Bauchi, Cross River, Ebonyi and Kaduna states at three time points. PPMVs were trained to provide family planning counseling and injectable contraceptive services, including administration. PPMVs were interviewed immediately before, immediately after, and 9 months after the training. Three outcome variables were used to represent knowledge of injectable contraceptives: intramuscular deo-medroxyprogesterone acetate (DMPA) knowledge, subcutaneous DMPA knowledge, and knowledge of 4 or more of 7 common side effects of progestin-only injectables. Unadjusted and adjusted logistic regression models were conducted for each outcome variable to determine which factors affect PPMV knowledge of injectable contraceptives 9 months after the training.
Results
PPMVs’ intramuscular and subcutaneous DMPA knowledge and side effect knowledge was low before the training and then increased immediately afterwards. Nine months following the training, intramuscular and subcutaneous DMPA knowledge decreased and side effect knowledge remained relatively the same compared to the post-training results. Results from three logistic regression models found that PPMVs who reported using at least 2 of the 3 family planning job aids provided during the training had significantly higher knowledge compared to those who reported using one or no job aids.
Conclusion
Providing PPMVs with family planning job aids as part of a larger capacity-building strategy should be considered as they may help PPMVs retain knowledge after training. These results contribute to the literature on task sharing family planning services to private sector drug shops and implications for scale-up.
Figure 1
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CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Submission checks complete
On 06 Nov, 2019
Editorial decision: Accept
On 22 Sep, 2019
No comments provided
Editorial decision: Minor revision
On 15 Sep, 2019
No comments provided
Editorial decision: Minor revision
On 31 Aug, 2019
Editor assigned
On 28 Aug, 2019
Submission checks complete
On 27 Aug, 2019
Editor invited
On 27 Aug, 2019
Version 1
Posted 10 Jul, 2019
No comments provided
Review #1 received
Received 07 Aug, 2019
Review #2 received
Received 07 Aug, 2019
Editorial decision: Major revision
On 07 Aug, 2019
Reviewer #2 agreed
On 29 Jul, 2019
Reviewer #1 agreed
On 09 Jul, 2019
Reviewers invited
Invitations sent on 06 Jul, 2019
Submission checks complete
On 05 Jul, 2019
Editor assigned
On 05 Jul, 2019
Editor invited
On 04 Jul, 2019
First submitted
On 03 Jul, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Economics & Outcomes Research
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Sara Chace Dwyer
Population Council
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Submission checks complete
On 06 Nov, 2019
Editorial decision: Accept
On 22 Sep, 2019
No comments provided
Editorial decision: Minor revision
On 15 Sep, 2019
No comments provided
Editorial decision: Minor revision
On 31 Aug, 2019
Editor assigned
On 28 Aug, 2019
Submission checks complete
On 27 Aug, 2019
Editor invited
On 27 Aug, 2019
Version 1
Posted 10 Jul, 2019
No comments provided
Review #1 received
Received 07 Aug, 2019
Review #2 received
Received 07 Aug, 2019
Editorial decision: Major revision
On 07 Aug, 2019
Reviewer #2 agreed
On 29 Jul, 2019
Reviewer #1 agreed
On 09 Jul, 2019
Reviewers invited
Invitations sent on 06 Jul, 2019
Submission checks complete
On 05 Jul, 2019
Editor assigned
On 05 Jul, 2019
Editor invited
On 04 Jul, 2019
First submitted
On 03 Jul, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Economics & Outcomes Research
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background
To increase access to voluntary family planning services, policymakers in Nigeria are debating how to task share the provision of injectable contraceptives to drug shop owners known as Patent and Proprietary Medicine Vendors (PPMVs). Globally, task sharing family planning services to drug shops has been identified as a promising practice, but more evidence is needed on how to support PPMVs in providing family planning, such as injectable services, if policy were changed.
Methods
Data were collected from 194 PPMVs in Bauchi, Cross River, Ebonyi and Kaduna states at three time points. PPMVs were trained to provide family planning counseling and injectable contraceptive services, including administration. PPMVs were interviewed immediately before, immediately after, and 9 months after the training. Three outcome variables were used to represent knowledge of injectable contraceptives: intramuscular deo-medroxyprogesterone acetate (DMPA) knowledge, subcutaneous DMPA knowledge, and knowledge of 4 or more of 7 common side effects of progestin-only injectables. Unadjusted and adjusted logistic regression models were conducted for each outcome variable to determine which factors affect PPMV knowledge of injectable contraceptives 9 months after the training.
Results
PPMVs’ intramuscular and subcutaneous DMPA knowledge and side effect knowledge was low before the training and then increased immediately afterwards. Nine months following the training, intramuscular and subcutaneous DMPA knowledge decreased and side effect knowledge remained relatively the same compared to the post-training results. Results from three logistic regression models found that PPMVs who reported using at least 2 of the 3 family planning job aids provided during the training had significantly higher knowledge compared to those who reported using one or no job aids.
Conclusion
Providing PPMVs with family planning job aids as part of a larger capacity-building strategy should be considered as they may help PPMVs retain knowledge after training. These results contribute to the literature on task sharing family planning services to private sector drug shops and implications for scale-up.
Figure 1
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