Thursday, March 21, 2019

DMPA-SC self-injection in Ghana, Malawi, DRC, Senegal, and Uganda


 A new type of injectable contraception is transforming the way women and adolescent girls access and use family planning. Subcutaneous DMPA, or DMPA-SC,*is an innovative product that makes injections simpler. Because DMPA-SC is easy to use, any trained person can administer it, including community health workers, pharmacists, and even women themselves. 
 As we work to ensure a wide variety of contraceptives is available in the basket of choice, Clients should consider how offering DMPA-SC can address unmet need and increase access through a range of delivery channels.Benefiting users, providers, and health systems 
 
 Advantages

99 percent effective at preventing unintended pregnancy when given correctly and on time every three months.
 Lower dose of contraceptive hormone than intramuscular DMPA (DMPA-IM). Shorter needle for easier and more comfortable injections. 
Small and light.  
Discreet contraception for women and adolescent girls. 
Stable at room temperature (15°C to 30°C). Simplified logistics—no need to match vial with syringe and needle.  
Easy to deliver through all public- and private-sector channels.  
Preferred by most women and providers over DMPA-IM.

            “Self-administration of DMPA-SC is feasible, acceptable, effective, and improves continuation... [now] what is most needed is implementation research to analysehow self-administration is implemented in practice and to understand the barriers and facilitators to successful implementation.”  
                                                      –Julia E. Kohn, Lancet Global Health

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