Injectable Contraceptives: Tools for providers

More than twice as many women are using injectable contraceptives today as a decade ago, and the numbers keep growing. Women choose injectables because they are highly effective, long-acting, reversible, and private. At the same time many women do not choose injectables or stop using them because of side effects--particularly irregular bleeding, no monthly bleeding, and weight gain--or because they have trouble returning for injections. Family planning programs are meeting increasing demand while helping providers to maintain good quality of care. Attention to quality, and to counseling especially, can be the difference between successful and unsuccessful efforts to expand access to injectables. Using the tools in this report, providers can 1) Counsel about injectables or answer clients' questions; 2) Identify women who may not be able to use DMPA or NET-EN for medical reasons; 3) Be reasonably sure that a woman is not pregnant before giving the first injection; 4) Review the steps required to give an injection safely; and 5) Help women be informed and satisfied continuing users of injectables.

Johns Hopkins Bloomberg School of Public Health,Center for Communication Programs,The INFO Project