Status of CBA2I in Africa - 2005 TUNISIA MOROCCO Pilot initiated ALGERIA WESTERN LIBYA SAHARA EGYPT MAURITANIA MALI NIGER ERITREA SENEGAL THE CHAD SUDAN GAMBIA DJIBOUTI BURKINA FASO GUINEA GUINEA BISSAU BENIN NIGERIA COTE TOGO ETHIOPIA SIERRA DTVOIRE GHANA CENTRAL LEONE AFRICAN LIBERIA REPUBLIC CAMEROON DEMOCRATIC UGANDA SOMALIA EQUATORIAL REP. OF KENYA GUINEA THE REPUBLIC GABON CONGO OF THE CONGO RWANDA BURUNDI ANGOLA TANZANIA While CBA2I is not a new practice, it is fairly new to SSA. The region’s first pilot study was conducted by FHI 360 in 1 district in Uganda in 2005. MALAWI ANGOLA ZAMBIA MOZAMBIQUE MADAGASCAR NAMIBIA ZIMBABWE BOTSWANA LESOTHO SWAZILAND SOUTH AFRICA

Status of CBA2I in Africa - 2009 TUNISIA MOROCCO Exploring possible introduction Pilot initiated Policy dialogue underway and scale up in progress Policies support CBA2I ALGERIA WESTERN LIBYA SAHARA EGYPT MAURITANIA MALI NIGER ERITREA SENEGAL THE CHAD SUDAN GAMBIA DJIBOUTI BURKINA FASO GUINEA GUINEA BISSAU BENIN NIGERIA COTE TOGO ETHIOPIA SIERRA DTVOIRE GHANA CENTRAL LEONE AFRICAN LIBERIA REPUBLIC CAMEROON DEMOCRATIC UGANDA SOMALIA EQUATORIAL REP. OF KENYA GUINEA THE REPUBLIC GABON CONGO OF THE CONGO RWANDA BURUNDI ANGOLA TANZANIA By 2009, Madagascar had changed policy and completed their pilot study. Nigeria and Kenya had initiated pilots. In Uganda, scale up to an additional 5 districts in both the public and private sector had begun, and discussions about changing policy were well underway. [Uganda began scaling up CB2I in 6 districts, both public and private (NGO sectors) from 2006 -2008] In 2009, the Ethiopia FMOH launched a program to train HEWs to insert Implanon, a single rod contraceptive implant, at HPs as a means to expand the method mix that had previously been composed largely of short-acting methods. The FMOH intends to train one HEW per health post to insert Implanon for a total of 15,000 Implanon-trained HEWs in the four major regions of the country. MALAWI ANGOLA ZAMBIA MOZAMBIQUE ZIMBABWE MADAG ASCAR NAMIBIA BOTSWANA LESOTHO SWAZILAND SOUTH AFRICA

Status of CBA2I in Africa - 2012 TUNISIA MOROCCO Exploring possible introduction Pilot initiated Policy dialogue underway and scale up in progress Policies support CBA2I ALGERIA WESTERN LIBYA SAHARA EGYPT MAURITANIA MALI NIGER ERITREA SENEGAL THE CHAD SUDAN GAMBIA DJIBOUTI BURKINA FASO GUINEA GUINEA BISSAU BENIN NIGERIA COTE TOGO ETHIOPIA SIERRA DTVOIRE GHANA CENTRAL SOUTHSUDAN LEONE AFRICAN LIBERIA REPUBLIC CAMEROON DEMOCRATIC UGANDA SOMALIA EQUATORIAL REP. OF REPUBLIC KENYA GUINEA THE GABON CONGO OF THE CONGO RWANDA BURUNDI ANGOLA TANZANIA As of 2012, a total of 11 have adopted policies that support CBA2I MALAWI ANGOLA ZAMBIA MOZAMBIQUE MADAG ASCAR NAMIBIA ZIMBABWE Afghanistan, Bangladesh and Pakistan: CHW are providing injectable contraceptives. BOTSWANA LESOTHO SWAZILAND SOUTH AFRICA

Status of CBA2I in Africa - 2016 TUNISIA MOROCCO Exploring possible introduction Pilot initiated Policy dialogue underway and scale up in progress Policies support CBA2I ALGERIA WESTERN LIBYA SAHARA EGYPT MAURITANIA MALI NIGER ERITREA SENEGAL THE CHAD SUDAN GAMBIA DJIBOUTI BURKINA FASO GUINEA GUINEA BISSAU BENIN NIGERIA COTE TOGO ETHIOPIA SIERRA DTVOIRE GHANA CENTRAL SOUTHSUDAN LEONE AFRICAN LIBERIA REPUBLIC CAMEROON DEMOCRATIC UGANDA SOMALIA EQUATORIAL REP. OF KENYA GUINEA THE REPUBLIC GABON CONGO OF THE CONGO RWANDA BURUNDI Afghanistan, Bangladesh and Pakistan: CHW are providing injectable contraceptives. ANGOLA TANZANIA As of June 2016, a total of 11 countries have adopted policies that support CBA2I, 2 countries have policy dialogue and scale-up underway (Liberia, Zambia) and 5 additional countries have completed pilots or have pilots underway (Benin, Burkina Faso, DRC, Niger, Sierra Leone, Togo). MALAWI ANGOLA ZAMBIA MOZAMBIQUE MADAG ASCAR NAMIBIA ZIMBABWE BOTSWANA LESOTHO SWAZILAND SOUTH AFRICA

Status of CBA2I in Africa - 2017 TUNISIA MOROCCO Exploring possible introduction Pilot initiated Policy dialogue underway and scale up in progress Policies support CBA2I ALGERIA WESTERN LIBYA SAHARA EGYPT MAURITANIA MALI NIGER ERITREA SENEGAL THE CHAD SUDAN GAMBIA DJIBOUTI BURKINA FASO GUINEA GUINEA BISSAU BENIN NIGERIA COTE TOGO ETHIOPIA SIERRA DTVOIRE GHANA CENTRAL SOUTHSUDAN LEONE AFRICAN LIBERIA REPUBLIC CAMEROON DEMOCRATIC UGANDA SOMALIA EQUATORIAL REP. OF KENYA GUINEA THE REPUBLIC GABON CONGO OF THE CONGO RWANDA BURUNDI Afghanistan, Bangladesh, Nepal and Pakistan: CHW are providing injectable contraceptives. ANGOLA TANZANIA As of March 2017, a total of 11 countries have adopted policies that support CBA2I, 3 countries have policy dialogue and scale-up underway (Liberia, Zambia, Benin) and 6 additional countries have completed pilots or have pilots underway (DRC, Sierra Leone, Tanzania, Togo, Burkina Faso, Niger). Map is completed to the best of FHI 360’s knowledge. If you have suggestions or additions, please email: cba2i@fhi360.org Updated March 2017 MALAWI ANGOLA ZAMBIA MOZAMBIQUE MADAG ASCAR NAMIBIA ZIMBABWE BOTSWANA LESOTHO SWAZILAND SOUTH AFRICA

Status of CBA2I in Africa - 2018 TUNISIA MOROCCO Exploring possible introduction Pilot initiated Policy dialogue underway and scale up in progress Policies support CBA2I ALGERIA WESTERN LIBYA SAHARA EGYPT MAURITANIA MALI NIGER ERITREA SENEGAL THE CHAD SUDAN GAMBIA DJIBOUTI BURKINA FASO GUINEA GUINEA BISSAU BENIN NIGERIA COTE TOGO ETHIOPIA SIERRA DTVOIRE GHANA CENTRAL SOUTHSUDAN LEONE AFRICAN LIBERIA REPUBLIC CAMEROON DEMOCRATIC UGANDA SOMALIA EQUATORIAL REP. OF KENYA GUINEA THE REPUBLIC GABON CONGO OF THE CONGO RWANDA BURUNDI Afghanistan, Bangladesh, Nepal and Pakistan: CHW are providing injectable contraceptives. ANGOLA TANZANIA As of February 2018, a total of 12 countries have adopted policies that support CBA2I, 6 countries have policy dialogue and scale-up underway (Liberia, Niger, Burkina Faso and DRC, Tanzania and Benin) and 2 additional countries have completed pilots or have pilots underway (Sierra Leone and Togo). These slides illustrate how much momentum this practice has gained, as the evidence base has grown and countries have begun to focus on expanding access to FP at the community level to meet their development goals. These presentation focuses on SSA because that’s where FHI 360 has worked, however, Afghanistan and Pakistan both have robust CBA2I programs. One factor that helps explain the momentum we’ve seen since 2009 is the global advocacy efforts of FHI 360 and other organizations. Map is completed to the best of FHI 360’s knowledge. If you have suggestions or additions, please email: cba2i@fhi360.org Updated February 2018 MALAWI ANGOLA ZAMBIA MOZAMBIQUE MADAG ASCAR NAMIBIA ZIMBABWE BOTSWANA LESOTHO SWAZILAND SOUTH AFRICA