Abstract:
Subfertility is a significant global reproductive health
challenge affecting approximately 1 in 6 individuals
worldwide. Despite having a comprehensive healthcare
system, Sri Lanka still faces challenges in providing
timely and effective fertility care. We propose integrating
Community Health Workers (CHWs) into the healthcare
system to address these challenges. The present study
aimed to assess the acceptability, appropriateness, and
feasibility of the Community Health Worker Facilitated
Fertility Care (CHWFFC) model in the Nallur MOH
area, Jaffna, Sri Lanka. The intervention, conducted
over six months, demonstrated promising outcomes,
including positive stakeholder feedback, reduced
PHMs’ workload, and an effective identification and
referral system for subfertile couples.