This proposed study, to be run by Marie Stopes International Organisation Nigeria (MSION) will investigate whether Community Health Extension Workers (CHEWs) in Nigeria can insert and remove contraceptive implants to the same level of safety and quality as a nurse or midwife, and whether this is acceptable to their clients and colleagues. The study will also document feasibility issues which would be relevant to any future national programmatic scale-up.

Inclusion Criteria:

• facilities are located with 20km of a referral facility
• facilities - facility staff are willing to participate, e.g. willingness to conduct family planning awareness-raising activities, willing to maintain project records
• facilities - selected provider at each facility expects to be in the facility for the 12-month period of client recruitment
• clients - women present to attending facilities and request a contraceptive implant

Exclusion Criteria:

• facilities - involved in overlapping interventions