Albertine,* a 34-year-old mother of five, was determined to get a long-acting family planning method. Because she lives in a remote part of Benin, a country of around 9 million in West Africa, she needed to travel many kilometers in the hot sun with her youngest child on her back to reach a health facility that provides contraceptives. Although she lives in an area where less than 1 percent of women use a modern family planning method, a community health worker had counseled and referred her to the health facility using a mobile phone-based tool (a service provided through the PRISE-C project, which is supported by University Research Co., LLC’s Center for Human Services and funded by the U.S. Agency for International Development).
Once she reached the health facility, Albertine insisted on getting what she called “the five-year method,” the two-rod Jadelle implant that is effective for five years of continuous use. She waited until the late afternoon — when the day’s immunization services were complete — before the midwife could see her. In a scene not uncommon in rural settings, Albertine lay across a small exam table and nursed her son on her right side while the midwife swabbed her left arm, injected the anesthesia, positioned the trocar and inserted the rods one by one. When the insertion was complete, Albertine smiled, took her implant card, and said she would be back in five years for another one!