Task shifting levonorgestrel implant insertion to community midwife assistants in Malawi: results from a non-inferiority evaluation.

ABSTRACT:

Background

In 2013, Malawi began task shifting long acting reversible contraception (LARC) insertion from Nurse Midwife Technicians (NMTs), who undergo 3 years of training, to Community Midwife Assistants (CMAs), who undergo 18 months of training. However, there is no evidence on whether CMAs have the same competency as NMTs for LARC insertion. Therefore, we describe a non-inferiority evaluation to determine whether CMAs are non-inferior to NMTs for the insertion of levonorgestrel (LNG) contraceptive implants in Malawi.

Methods

One CMA and one matched NMT from 31 health centers across Malawi were selected for training in Malawi's 1-week LARC insertion course in October 2016, and 31 CMAs and 30 NMTs completed the training. After the course, two Family Planning Master Trainers

SUBMITTER: Davis DN 

PROVIDER: S-EPMC6211513 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature