This report describes the task-shifting and task-sharing policies and experiences relevant to the provision of family planning (FP) services in Kenya and the potential place for contraceptive vaginal rings. The feasibility, effectiveness, and acceptability of mid- and lower-level providers in the provision of FP services is documented. The report highlights how the provision of integrated RH/FP/HIV services could be delivered by various levels in the national health care system through task-sharing. Opportunities for facilitating delivery of the Population Council’s Progesterone Contraceptive Vaginal Ring (PCVR) within the national health care system in Kenya are also described. Kenya has in place policies that allow lower- and mid-level health workers to deliver contraceptive methods, and task-shifting approaches are likely to lead to a more rational distribution of responsibilities among different cadres of health workers with regard to provision of RH services, including eventually contraceptive vaginal rings. By including rings among tasks being shifted, a wider distribution could be achieved within a relatively short time-period. Any success with the PCVR would provide clues to the likely high acceptability that may accompany the Council’s Nestorone®/Ethinyl Estradiol Contraceptive Vaginal Ring (NES®/EECVR) when it becomes available.
Liambila, Wilson, Saumya RamaRao, and Heather Clark. 2015. "Delivering contraceptive vaginal rings—Task shifting and task sharing in the delivery of family planning services: Experiences from Kenya." Nairobi: Population Council.
Delivering Contraceptive Vaginal Rings; The Progesterone Contraceptive Vaginal Ring: Expanding Contraceptive Options in Africa