ArticleFrontiers in reproductive health2026
Task-shifting through community health workers: factors influencing access and utilization of modern family planning methods in Ziniaré, Burkina Faso.
Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Burkina Faso has expanded access to family planning (FP) with modern contraceptive use prevalence among married women reaching 32% in 2021. However, regional disparities persist, especially in rural Ziniaré district where unmet needs among married women remain high (20%). Barriers like stigma, limited youth-friendly services, and low contraceptive awareness hinder uptake. This study examined factors influencing modern FP use and explored the role of community health workers, Methods: We conducted a cross-sectional comparative mixed-methods implementation study with quasi-experimental features, following TREND reporting guidelines, in Ziniaré district, in August 2024. The study included four intervention and three control communes. Intervention communes received an eight-month package for ASBCs that included FP training, provision of short-acting contraceptives (oral pills, subcutaneous DMPA, condoms), regular supportive supervision and structured performance monitoring. Control communes continued to provide routine, primarily facility-based FP services. Quantitative data were collected from 282 women aged 15-49 years (136 intervention, 146 control) using structured household questionnaires; analyses included descriptive statistics and multilevel logistic regression ( Results: Modern contraceptive prevalence was 48% in the intervention group and 53% in the control group, without statistical significance (OR = 0.68, 95% CI: 0.27-1.68, Conclusion: Despite ASBC-led task-shifting improving awareness, engagement, and access to FP services, the difference in contraceptive prevalence between intervention and control communes (48% vs. 53%, OR = 0.68, 95% CI: 0.27-1.68,
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