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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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Web Table 1. Knowledge and Current Use of Injectable Contraceptives Reported by Married Women 15–49, All Surveys 1990–2006
  % Who Know   % Currently Using  
Region, Country & Year Any Modern Methoda Injectables   Any Methodb Any Modern Method Injectables % of Contraceptors Using Injectables
SUB-SAHARAN AFRICA
Benin 1996 76 61   15 3 1 5
Benin 2001 91 79   18 7 2 12
Burkina Faso 1992-93 63 41   8 4 0 0
Burkina Faso 1998-99 77 57   10 5 1 11
Burkina Faso 2003 90 76   10 9 3 26
Cameroon 1991 63 40   13 4 0 3
Cameroon 1998 77 58   18 7 1 4
Cameroon 2004 88 66   25 13 1 6
Cape Verde 1998 100 98   53 46 8 15
Central African Rep. 1994-95 69 36   9 3 1 7
Chad 1996-97 43 26   4 1 0 5
Chad 2004 49 32   3 2 1 18
Comoros 1996 98 94   20 11 4 22
Cote d'Ivoire 1994 72 53   10 4 1 8
Cote d'Ivoire 1998-99 87 69   14 7 1 10
DR Congo 2005 NA NA   42 13 1 2
Eritrea 1995 62 51   5 4 1 16
Eritrea 2002 87 74   8 7 3 33
Ethiopia 2000 85 70   8 6 3 38
Ethiopia 2005 87 83   15 14 10 67
Gabon 2000 95 57   29 12 1 2
Ghana 1993 91 79   20 10 2 8
Ghana 1998 93 83   21 13 3 15
Ghana 2003 98 92   24 19 5 22
Guinea 1999 69 55   6 4 1 16
Guinea 2005 93 78   5 4 1 20
Kenya 1993 97 93   32 27 7 23
Kenya 1998 98 95   38 32 12 31
Kenya 2003 95 94   38 31 14 38
Lesotho 2004 98 93   36 35 15 42
Madagascar 1992 62 48   16 5 2 10
Madagascar 1997 69 60   19 10 5 24
Madagascar 2003-04 84 78   25 18 10 41
Malawi 1992 92 68   11 7 2 14
Malawi 1996 99 93   18 14 6 33
Malawi 2000 98 96   28 26 16 59
Malawi 2004 99 97   31 28 18 58
Mali 1995/96 65 44   6 5 0 3
Mali 2001 76 57   6 6 2 35
Mauritius 1991c 100 94   73 48 4 5
Mozambique 1997 60 53   5 5 2 46
Mozambique 2003 90 78   15 12 5 32
Namibia 1992 90 85   27 26 8 29
Namibia 2000 98 96   43 43 19 44
Niger 1992 58 39   2 2 1 25
Niger 1998 75 63   5 5 2 30
Niger 2006 NA NA   5 5 2 29
Nigeria 1990 41 34   5 4 1 14
Nigeria 2003 76 61   10 7 2 20
Rwanda 1992 99 97   21 13 8 40
Rwanda 2000 97 88   12 4 2 16
Rwanda 2005 NA NA   17 10 5 28
Senegal 1992-93 70 34   6 5 0 3
Senegal 1997 83 58   9 8 2 19
Senegal 2005 94 83   11 10 3 29
South Africa 1998 98 97   56 55 23 41
South Africa 2003 96 87   60 60 28 47
Tanzania 1991-92 78 44   10 7 0 4
Tanzania 1996 88 77   18 13 5 24
Tanzania 1999 95 88   23 17 6 27
Tanzania 2004 97 94   25 20 8 32
Togo 1998 93 87   14 7 2 15
Uganda 1995 92 71   12 8 3 21
Uganda 2000-01 98 93   18 18 6 36
Zambia 1992 91 43   13 9 0 1
Zambia 1996 98 60   21 14 1 5
Zambia 2001-02 99 87   29 23 5 16
Zimbabwe 1994 99 87   47 42 3 7
Zimbabwe 1999 99 93   52 50 8 16
Zimbabwe 2005-06 NA NA   59 58 10 17
NEAR EAST & NORTH AFRICA
Egypt 1992 100 82   46 45 1 1
Egypt 1995 100 97   47 46 2 5
Egypt 2000 100 99   55 54 6 11
Egypt 2005 100 99   62 57 7 11
Jordan 1990 99 51   35 27 0 0
Jordan 1997 100 92   50 38 1 1
Jordan 2002 100 93   53 39 1 2
Mauritania 2000-01 68 57   8 5 1 11
Morocco 1992 99 62   41 36 0 0
Morocco 2003-04 100 96   60 52 2 4
Turkey 1993 99 39   62 35 0 0
Turkey 1998 99 76   63 38 1 1
Yemen 1991-92 53 32   7 6 1 9
Yemen 1997 79 56   13 10 1 9
ASIA
Bangladesh 1993-94d 100 97   44 37 5 10
Bangladesh 1996-97d 100 98   49 42 6 13
Bangladesh 1999-00d 100 98   53 44 7 14
Bangladesh 2004d 100 99   53 47 10 18
Cambodia 2000 95 90   21 19 7 35
Cambodia 2005              
India 1992-93e 96 19   40 37 0 0
India 1998-99 99 NA   48 43 NA NA
Indonesia 1991 94 88   49 47 12 24
Indonesia 1994 96 91   54 52 15 28
Indonesia 1997 97 94   57 55 21 37
Indonesia 2002-03 99 97   60 57 28 46
Nepal 1996 98 85   28 26 5 16
Nepal 2001 100 97   39 35 8 21
Nepal 2006 NA NA   48 44 10 21
Pakistan 1990-91 77 62   12 9 1 7
Philippines 1993 97 54   40 25 0 0
Philippines 1998 98 89   46 28 2 5
Philippines 2003 99 90   49 33 3 6
Vietnam 1997 99 56   75 56 0 0
Vietnam 2002 100 60   78 57 0 1
LATIN AMERICA & CARIBBEAN
Belize 1991c 69 90   47 44 4 9
Belize 1999 92 88   56 52 8 14
Bolivia 1994 77 54   41 18 1 2
Bolivia 1998 86 63   48 25 1 2
Bolivia 2003 92 80   56 32 8 14
Brazil 1996 100 89   76 70 1 2
Colombia 1990 100 92   66 55 2 3
Colombia 1995 100 95   70 59 3 4
Colombia 2000 100 98   76 64 4 5
Colombia 2005 100 99   77 68 6 8
Costa Rica 1993 100 89   75 65 1 1
Dominican Republic 1991 100 81   56 52 0 0
Dominican Republic 1996 100 91   63 59 1 1
Dominican Republic 1999 100 95   69 64 1 1
Dominican Republic 2002 100 97   68 66 2 3
Ecuador 1994 92 66   51 47 1 2
Ecuador 1999 95 78   67 52 3 4
El Salvador 1993 99 92   54 49 4 7
El Salvador 1998 96 95   61 55 9 15
El Salvador 2002-03c 99 97   67 61 18 27
Guatemala 1995 81 62   31 27 3 8
Guatemala 1998-99 85 73   38 31 4 10
Guatemala 2002 93 87   43 34 9 21
Haiti 1994/95 99 91   16 13 3 17
Haiti 2000 99 97   28 22 12 42
Haiti 2005-06 NA NA   30 24 11 36
Honduras 1996 99 87   50 41 0 0
Honduras 2001 100 98   61 51 10 16
Jamaica 1993c 100 99   63 59 6 10
Jamaica 1997 100 99   65 NA 11 17
Jamaica 2002 100 99   69 66 11 17
Nicaragua 1992-93 99 85   49 45 1 2
Nicaragua 1997-98 98 92   60 57 5 9
Nicaragua 2001 99 97   67 66 14 21
Paraguay 1990 96 89   44 35 5 12
Paraguay 1995-96 98 95   49 41 6 12
Paraguay 1998c 99 93   57 48 8 14
Paraguay 2004c 100 99   72 61 10 14
Peru 1991-92 95 82   57 33 2 3
Peru 1996 96 90   63 41 8 13
Peru 2000 98 96   67 50 15 22
Peru 2004 99 97   71 47 11 15
Puerto Rico 1996 100 84   78 68 1 1
EASTERN EUROPE & CENTRAL ASIA
Albania 2002 91 40   75 8 0 0
Armenia 2000 98 49   57 22 0 0
Armenia 2005 NA NA   51 19 0 0
Azerbaijan 2001c 98 10   55 12 0 0
Czech Republic 1993c 100 NA   69 45 0 0
Georgia 1999c 97 5   41 20 0 0
Georgia 2005
Kazakhstan 1995 99 35   56 46 0 1
Kazakhstan 1999 100 60   60 53 1 1
Kyrgyz Republic 199