Integration of trained, equipped, and supported community health workers (CHWs) within a health system is recognized as a proven high impact practice for family planning (FP) services, with evidence from around the world confirming the need to complement facility-based FP services with CHW programs, particularly in areas where people’s access to health care is limited. There is also substantial evidence that delivering essential health services through CHWs can be cost-effective in a diversity of contexts, with a review of FP programs in 10 developing countries revealing that the average cost per couple-year of protection (CYP) was considerably lower among programs that combined CHWs with clinic-based service delivery ($9) than with discrete clinic ($13) or CHW programs ($14).
Mir, Ali M. and Kiren Khan. 2020. "Best Bets for Accelerating Family Planning in Pakistan: Invest in community health workers," brief. Islamabad: Population Center Pakistan.
Maintaining the Momentum of the Family Planning Taskforce Recommendations in Pakistan