Task-shifting through community health workers: factors influencing access and utilization of modern family planning methods in Ziniaré, Burkina Faso

Despite ASBC-led task-shifting improving awareness, engagement, and access to FP services, the difference in contraceptive prevalence between intervention and control communes (48% vs. 53%, OR = 0.68, 95% CI: 0.27-1.68, <i>p</i> = 0.4) does not provide strong evidence of a measurable impact. The study was likely underpowered to detect this within the limited 8-month period. Strengthening community-based FP requires longer implementation, enhanced confidentiality, culturally sensitive strategies, education promotion, male engagement and continued ASBC support.