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Community Health Workers as Key Providers of Easy-to-Use Contraceptive Injectables : Experimental Evidence from Rural Burundi

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  • Andreottola,Michele
  • Olivier Basenya
  • Victor Hugo Orozco Olvera
  • Reichert,Arndt
  • Spinola,Paula

Abstract

This study employs a cluster randomized controlled trial and administrative health center data to investigate the effects of authorizing community health workers to deliver a new generation of contraceptive injections directly to women during routine home visits following comprehensive training. The paper observes a significant increase of approximately 70 percent in the administered quantity of these injections, which provide average protection for three months. However, the results suggest that the intervention does not produce a statistically significant change in contraceptive coverage because of significant substitution effects away from long-acting contraceptive implants and intrauterine devices that women might otherwise have adopted.

Suggested Citation

  • Andreottola,Michele & Olivier Basenya & Victor Hugo Orozco Olvera & Reichert,Arndt & Spinola,Paula, 2025. "Community Health Workers as Key Providers of Easy-to-Use Contraceptive Injectables : Experimental Evidence from Rural Burundi," Policy Research Working Paper Series 11074, The World Bank.
    • Handle: RePEc:wbk:wbrwps:11074
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    References listed on IDEAS

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