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Table 1 Human resource capacity for LARC service provision in n = 30 rural health centers, 2016

From: Cross-sectional assessment of government health center needs to implement long-acting reversible contraception services in rural Rwanda

 

N

%

Median per health center

IQR

Health center volume and LARC provision

Catchment population of health centers

931,873

–

27,799

18,340

Villages in health center catchment areas

1019

–

33

13

IUD insertions in last 3 months

73

–

1

2

IUD removals in last 3 months

9

–

0

0

Implant insertions in last 3 months

1019

–

24

33

Implant removals/replacements in last 3 months

219

–

4

7

Service integration

Services integrated with FP

 FP and antiretroviral treatment

13

43%

–

–

 FP and antenatal care

9

30%

–

–

 FP and HIV testing

3

10%

–

–

Human resources—nurses

Nurses

414

–

13

5

Nurses trained in:

 CVCT provision

100

24%

2

3

 FP provision

234

57%

5

10

 IUD insertion

113

27%

3

4

 Implant insertion

170

41%

4

4

Nurses actively inserting

 IUD

72

17%

2

2

 Implant

185

45%

5

4

Health centers needing nurse refresher trainings needed in FP, IUD, and implant

30

100%

30

0

Nurses in health center that could be trained to insert LARC

337

81%

12

5

Human resources—CHW

CHW working with all health centers

3071

–

101

39

Villages with CHW trained in FP

955

94%

30

12

CHW formally trained in LARC promotion

0

0%

0.0

0.0

Clinics with CHW FP activities

Dispensing oral contraceptive pills

 CHW already conducting

30

100%

–

–

Administering Depo-Provera injections

 CHW already conducting

30

100%

–

–

Providing LARC education and promotion

 CHW already conducting

3

10%

–

–

 This could be done by CHW

27

90%

–

–

  1. CVCT couples’ voluntary HIV counseling and testing, LARC long-acting reversible contraceptive, FP family planning, IUD intra-uterine device, IQR interquartile range, CHW Community Health Worker