{"id":"https://openalex.org/W4381597971","doi":"https://doi.org/10.1111/jep.13889","title":"Task shifting and community engagement as the keys to increasing access to modern contraception: Findings from mixed methods operational research in coastal Kenya","display_name":"Task shifting and community engagement as the keys to increasing access to modern contraception: Findings from mixed methods operational research in coastal Kenya","publication_year":2023,"publication_date":"2023-06-22","ids":{"openalex":"https://openalex.org/W4381597971","doi":"https://doi.org/10.1111/jep.13889","pmid":"https://pubmed.ncbi.nlm.nih.gov/37347513"},"language":"en","primary_location":{"id":"doi:10.1111/jep.13889","doi":"https://doi.org/10.1111/jep.13889","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jep.13889","pdf_url":null,"source":{"id":"https://openalex.org/S2713501","display_name":"Journal of Evaluation in Clinical Practice","issn_l":"1356-1294","issn":["1356-1294","1365-2753"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evaluation in Clinical Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5021135293","display_name":"Hildah Essendi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hildah Essendi","raw_affiliation_strings":["Population Services Kenya, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population Services Kenya, Nairobi, Kenya","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042856695","display_name":"Kerry Scott","orcid":"https://orcid.org/0000-0003-3597-9637","observed_orcids":["https://orcid.org/0000-0003-3597-9637"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kerry Scott","raw_affiliation_strings":["Independent Research Consultant, Toronto, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Independent Research Consultant, Toronto, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005073101","display_name":"Lorina McAdam","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lorina McAdam","raw_affiliation_strings":["Independent Research Consultant, Auradou, France"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Independent Research Consultant, Auradou, France","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024309853","display_name":"Harmon Momanyi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Harmon Momanyi","raw_affiliation_strings":["Population Services Kenya, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population Services Kenya, Nairobi, Kenya","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092232299","display_name":"Rachel Mutuku","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210133408","display_name":"Population Services International","ror":"https://ror.org/03x1cjm87","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210133408"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel Mutuku","raw_affiliation_strings":["Population Services International, Washington, District of Columbia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population Services International, Washington, District of Columbia, USA","institution_ids":["https://openalex.org/I4210133408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092232300","display_name":"Peter Mwangome","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Peter Mwangome","raw_affiliation_strings":["Kilifi County Department of Health, Kilifi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kilifi County Department of Health, Kilifi, Kenya","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091472118","display_name":"Claire Watt Rothschild","orcid":"https://orcid.org/0000-0002-2419-9881","observed_orcids":["https://orcid.org/0000-0002-2419-9881"]},"institutions":[{"id":"https://openalex.org/I4210133408","display_name":"Population Services International","ror":"https://ror.org/03x1cjm87","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210133408"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Claire W. Rothschild","raw_affiliation_strings":["Population Services International, Washington, District of Columbia, USA"],"raw_orcid":"https://orcid.org/0000-0002-2419-9881","affiliations":[{"raw_affiliation_string":"Population Services International, Washington, District of Columbia, USA","institution_ids":["https://openalex.org/I4210133408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108845407","display_name":"Christine Were","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Christine Were","raw_affiliation_strings":["Population Services Kenya, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population Services Kenya, Nairobi, Kenya","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063048514","display_name":"Brett Keller","orcid":"https://orcid.org/0000-0001-8263-1903","observed_orcids":["https://orcid.org/0000-0001-8263-1903"]},"institutions":[{"id":"https://openalex.org/I4210133408","display_name":"Population Services International","ror":"https://ror.org/03x1cjm87","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210133408"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brett Keller","raw_affiliation_strings":["Population Services International, Washington, District of Columbia, USA"],"raw_orcid":"https://orcid.org/0000-0001-8263-1903","affiliations":[{"raw_affiliation_string":"Population Services International, Washington, District of Columbia, USA","institution_ids":["https://openalex.org/I4210133408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067638201","display_name":"Susannah Gibbs","orcid":"https://orcid.org/0000-0003-0465-2586","observed_orcids":["https://orcid.org/0000-0003-0465-2586"]},"institutions":[{"id":"https://openalex.org/I4210133408","display_name":"Population Services International","ror":"https://ror.org/03x1cjm87","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210133408"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susannah Gibbs","raw_affiliation_strings":["Population Services International, Washington, District of Columbia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population Services International, Washington, District of Columbia, USA","institution_ids":["https://openalex.org/I4210133408"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5114060240","display_name":"Hambulle Mohammed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210117370","display_name":"Ministry of Health","ror":"https://ror.org/02eyff421","country_code":"KE","type":"government","lineage":["https://openalex.org/I4210117370"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Hambulle Mohammed","raw_affiliation_strings":["Division of Reproductive and Maternal Health, Ministry of Health, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Reproductive and Maternal Health, Ministry of Health, Nairobi, Kenya","institution_ids":["https://openalex.org/I4210117370"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5091472118"],"corresponding_institution_ids":["https://openalex.org/I4210133408"],"apc_list":{"value":4020,"currency":"USD","value_usd":4020},"apc_paid":null,"fwci":0.8846,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.70310983,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"29","issue":"8","first_page":"1380","last_page":"1394"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13242","display_name":"Male Reproductive Health Studies","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/modern-contraceptive-methods","display_name":"modern contraceptive methods","score":0.6660000085830688},{"id":"https://openalex.org/keywords/access-to-contraception","display_name":"contraceptive access","score":0.7720000147819519},{"id":"https://openalex.org/keywords/task-shifting","display_name":"task shifting","score":0.8690000176429749},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.9229999780654907},{"id":"https://openalex.org/keywords/injectable-contraceptives","display_name":"injectable contraceptives","score":0.6859999895095825},{"id":"https://openalex.org/keywords/contraceptive-implants","display_name":"contraceptive implants","score":0.9860000014305115},{"id":"https://openalex.org/keywords/community-health-extension-workers","display_name":"community health extension workers","score":0.9610000252723694},{"id":"https://openalex.org/keywords/community-health-volunteers","display_name":"community health volunteers","score":0.9990000128746033},{"id":"https://openalex.org/keywords/family-planning","display_name":"family planning","score":0.5960000157356262},{"id":"https://openalex.org/keywords/contraceptive-counseling","display_name":"contraceptive counseling","score":0.597000002861023},{"id":"https://openalex.org/keywords/men-s-involvement-in-family-planning","display_name":"men's involvement in family planning","score":0.7160000205039978},{"id":"https://openalex.org/keywords/traditional-leaders","display_name":"traditional leaders","score":0.7590000033378601},{"id":"https://openalex.org/keywords/kilifi-county","display_name":"Kilifi County","score":0.8240000009536743}],"concepts":[{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.6240174770355225},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.601377546787262},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5596769452095032},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5287050008773804},{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.4926310181617737},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4922403395175934},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.48843708634376526},{"id":"https://openalex.org/C2776193868","wikidata":"https://www.wikidata.org/wiki/Q5154950","display_name":"Community engagement","level":2,"score":0.46587109565734863},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.44084465503692627},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.42938846349716187},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4250660836696625},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.4215090274810791},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3611447215080261},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.34331464767456055},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3354601263999939},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.20074701309204102},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.19414272904396057},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.16704785823822021},{"id":"https://openalex.org/C2986817661","wikidata":"https://www.wikidata.org/wiki/Q185698","display_name":"Research methodology","level":3,"score":0.08879035711288452},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003267","descriptor_name":"Contraception","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D003270","descriptor_name":"Contraceptive Agents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007630","descriptor_name":"Kenya","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009874","descriptor_name":"Operations Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/jep.13889","doi":"https://doi.org/10.1111/jep.13889","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jep.13889","pdf_url":null,"source":{"id":"https://openalex.org/S2713501","display_name":"Journal of Evaluation in Clinical Practice","issn_l":"1356-1294","issn":["1356-1294","1365-2753"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Evaluation in Clinical Practice","raw_type":"journal-article"},{"id":"pmid:37347513","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37347513","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of evaluation in clinical practice","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7322999835014343,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W1983570073","https://openalex.org/W2013009626","https://openalex.org/W2018769425","https://openalex.org/W2092921758","https://openalex.org/W2111347265","https://openalex.org/W2119152545","https://openalex.org/W2261999120","https://openalex.org/W2340123883","https://openalex.org/W2522323876","https://openalex.org/W2553614988","https://openalex.org/W2594908580","https://openalex.org/W2627038854","https://openalex.org/W2883824160","https://openalex.org/W2887062506","https://openalex.org/W2896019803","https://openalex.org/W2980951084","https://openalex.org/W3016629317","https://openalex.org/W3041841262","https://openalex.org/W3124161864","https://openalex.org/W3129074342","https://openalex.org/W3140524293","https://openalex.org/W3185754678","https://openalex.org/W3186831678","https://openalex.org/W3208594824","https://openalex.org/W4200383468","https://openalex.org/W4294647299"],"related_works":["https://openalex.org/W1983570073","https://openalex.org/W3093850591","https://openalex.org/W4386809368","https://openalex.org/W2261999120","https://openalex.org/W566684205","https://openalex.org/W7130103050","https://openalex.org/W4318482123","https://openalex.org/W6901861707","https://openalex.org/W7098178022","https://openalex.org/W2902369125"],"abstract_inverted_index":{"RATIONALE:":[0],"Kilifi":[1,33],"County,":[2],"Kenya,":[3],"has":[4],"a":[5,29,211],"modern":[6],"contraceptive":[7,36,49,80,94,100,150,167,279],"prevalence":[8,15],"of":[9,16,22,77,86,179],"44%,":[10],"compared":[11],"to":[12,34,54,114,124,166,277,294],"the":[13,20,75,87,129,158,218,267],"national":[14],"61%.":[17],"In":[18],"2018,":[19],"Government":[21],"Kenya":[23,27],"and":[24,38,51,60,83,108,131,149,161,164,169,196,214,224,229,240,244,252,260,282,291],"Population":[25],"Services":[26],"implemented":[28],"pilot":[30],"project":[31],"in":[32,90,133,157,301],"improve":[35,278],"awareness":[37],"access.":[39],"AIMS":[40],"AND":[41],"OBJECTIVES:":[42],"The":[43,207],"Riziki":[44,78],"Demonstration":[45],"Project":[46],"task":[47,270],"shifted":[48],"injectable":[50],"implant":[52,182],"provision":[53,82,102,180],"community":[55,62,66,262,274,304],"health":[56,67,143,159,208],"extension":[57],"workers":[58],"(CHEWs)":[59],"supported":[61],"engagement":[63,221,275,285],"led":[64],"by":[65,222,236],"volunteers":[68],"(CHVs).":[69],"This":[70],"mixed":[71],"methods":[72,198],"evaluation":[73],"examined":[74],"effect":[76],"on":[79,128],"service":[81,101,134],"identified":[84],"drivers":[85],"intervention's":[88],"success":[89],"increasing":[91],"public":[92],"sector":[93],"uptake.":[95],"METHOD:":[96],"We":[97,172],"obtained":[98],"monthly":[99],"data":[103,137],"from":[104,111],"DHIS2":[105],"for":[106,177,181,217,269],"intervention":[107],"comparison":[109],"facilities":[110],"June":[112],"2018":[113],"July":[115],"2020.":[116],"Controlled":[117],"interrupted":[118],"time":[119],"series":[120],"analyses":[121],"were":[122,248],"used":[123],"assess":[125],"difference-in-differences":[126,175],"effects":[127,176],"levels":[130,178],"trends":[132],"provision.":[135],"Qualitative":[136],"included":[138,154],"key":[139],"informant":[140],"interviews":[141],"with":[142,227,273,303],"workers,":[144],"community-based":[145],"focus":[146],"group":[147],"discussions":[148],"journey":[151],"mapping.":[152],"Topics":[153],"contraception-related":[155],"shifts":[156],"system":[160,209],"social":[162,234,246],"environment":[163],"changes":[165],"accessibility":[168],"demand.":[170],"RESULTS:":[171],"found":[173],"positive":[174],"(adj.":[183,200],"\u03b2":[184,201],"=":[185,202],"7.4":[186],"per":[187,189],"month,":[188],"facility,":[190],"95%":[191,204],"confidence":[192],"interval":[193],"[CI]:":[194],"2.8-12.0)":[195],"all":[197],"combined":[199,272],"12.2,":[203],"CI:":[205],"3.0-21.3).":[206],"provided":[210],"legal":[212],"framework":[213],"management":[215],"support":[216],"pilot.":[219],"Community":[220,284],"CHVs":[223],"CHEWs,":[225],"including":[226],"men":[228],"religious":[230],"leaders,":[231],"bolstered":[232],"supportive":[233,245],"norms":[235,247,296],"emphasizing":[237],"birth":[238],"spacing":[239],"family":[241,299],"wellbeing.":[242],"Awareness":[243],"strengthened":[249],"among":[250],"women":[251],"their":[253],"husbands":[254],"through":[255],"counselling":[256],"that":[257,297],"leveraged":[258],"CHEW":[259],"CHV":[261],"embeddedness.":[263],"CONCLUSION:":[264],"Findings":[265],"demonstrate":[266],"potential":[268],"sharing":[271],"efforts":[276],"awareness,":[280],"knowledge":[281],"supply.":[283],"should":[286],"include":[287],"men,":[288],"traditional":[289],"leaders":[290],"other":[292],"influencers":[293],"strengthen":[295],"position":[298],"planning":[300],"alignment":[302],"values.":[305]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-06-23T00:00:00"}