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K Series
Series K, Number 6
Injectables and Implants

Expanding Services for Injectables

How Family Planning Programs and Providers Can Meet Clients' Needs for Injectable Contraceptives

CONTENTS

Home (Key Points)

Injectables Today and Tomorrow
 Box: Injectables Tomorrow: Subcutaneous DMPA and Home Injection
 Web Table 1. Knowledge and Current Use of Injectable Contraceptives Reported by Married Women 15–49, All Surveys 1990–2006
 Web Table 2. Knowledge and Current Use of Injectable Contraceptives Reported by Married Women 15–49, Most Recent Surveys 1990–2006
 Web Figure. Donor Shipments of Injectables Increasing

Supply Meets Demand With Forecasting and Ingenuity
 Web Table 3. Key Resources for Program Managers and Providers

Training to Meet Demand

Box: With Training, a Range of Providers Can Give Contraceptive Injections

Give Injections and Dispose of Waste Safely

Community Programs Can Safely Increase Access to Injectables

Meeting Rising Demand Efficiently

Communication Helps Women Try and Use Injectables

Questions and Answers About Injectables

Box: Women With HIV/AIDS Can Use Injectables

Bibliography

Credits

Coming Soon: "Injectables Toolkit" Web site. Go to http://www.injectablestoolkit.org for job aids and information about injectable contraceptives.

Quick Look
Table 1: Estimated Worldwide Use of Injectables Among Married Women Ages 15–49, 2006
Table 2: Formulations, Injection Schedules, and Availability of Injectable Contraceptives
Table 3: Key Resources for Program Managers and Providers

From INFO's Toolbox
Tools for Program Managers
Checklist: Good-Quality Injectables Services
Checklist: Improving Access to Injectables

Tools for Providers are in the companion INFO Reports. See also Population Reports, "When Contraceptives Change Monthly Bleeding," Series J, No. 54, August 2006.

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See More Population ReportsSee Companion INFO Reports on "Injectable Contraceptives: Tools for Providers"
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Checkmark image within a CheckboxChecklist for Improving Access to Injectables

To meet the rising demand for injectables, program managers need to make it easier for women to get to services—and without a long wait. The items in this checklist can help to remove barriers and improve access to injectables.

Women can get to services easily
Checkbox   Services in cities and towns are conveniently located. They are within walking distance or close to public transportation.
Checkbox   Injectables are available five or more days a week.
Checkbox   Clinic hours allow women to visit without taking time off from work.
Checkbox   Most clients wait no more than one hour for service.
Checkbox   Users of injectables receive routine repeat injections without a long wait—for example, in an express line.
Services are offered in rural areas through community programs
Checkbox   Services are available to women who cannot leave their homes or villages.
Checkbox   Outreach clinics are set up at least once a month.
Checkbox   Community health workers provide injectables or refer women to accessible clinics.
Injectables are available from:
Checkbox   Hospitals
Checkbox   Family planning clinics
Checkbox   Maternity clinics
Checkbox   Clinics providing postabortion care
Checkbox   Private doctors and nurse-midwives (Is there a network of private providers offering injectables?)
Checkbox   Pharmacies, including those working with social marketing programs
Location of service outlets and their hours are well known to women and their partners
Outlets are well marked. Location and hours are:
Checkbox   Publicized at public events set up to provide information about family planning
Checkbox   Included in counseling at clinics providing maternity and postabortion care
Checkbox   Broadcast on radio and television, if possible
Checkbox   Publicized regularly in newspapers and magazines
Checkbox   Posted on billboardsFrom INFO's Toolbox


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