This assessment tested a model to train nurse auxiliaries at Guatemalan health centers and posts to determine whether these providers could deliver adequate, cost-effective services. Ninety providers were trained and delivered a total of 725 IUD services (measured over of two 12-month phases). The overall number of IUD services increased, as did the couple-years of protection for IUDs.  The quality of services provided by trainees improved over time and the main recommendation derived was to scale up the strategy nationally.

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