Building Evidence to Support the Provision of Implants at Community Level Through Task Sharing in Kaduna and Cross River State, Nigeria

This report provides a full description of the findings from the  operations research entitled, “Building Evidence to Support the Provision of Implants at the Community Level through Task Sharing,” in Cross River and Kaduna states, Nigeria. This study, which started in April 2015, assessed the effects of Community Health Extension Workers (CHEWs) providing implants on contraceptive uptake at health facilities in select Local Government Areas of the two Nigerian states. Informed by the successful introduction and scale-up of implant provision by Health Extension Workers  in Ethiopia, E2A implemented a demonstration project and documented a scale-up process for provision of implants through task sharing to CHEWs. Evidence from the study can be used to support operationalization of a recent policy shift in Nigeria that expands CHEWs’ current family planning tasks to include provision of implants.