Quality of community-based contraceptive distribution

Improving the quality of care in family planning services is a factor that could increase contraceptive prevalence and decrease the level of unmet need maternal and infant deaths. In Togo the Community-Based Contraceptive Distribution project in the Blitta district has brought FP services closer to the beneficiaries. This project has already been quantitatively evaluated in terms of the effectiveness and competence of the CHWs. This justifies our qualitative study. According to the results CHWs often do not have a place dedicated to offering services which for some leads to a lack of confidentiality. The breakage of contraceptives led to a feeling of dissatisfaction and regret among beneficiaries. Although CHWs have not received supervision and ongoing training in the past 24 months they perform the counseling and injection steps competently. Some CHWs do not educate about side effects and whether or not certain methods are protective against STIs and HIV/AIDS.