Family planning leaders and implementers can draw from an established evidence base to integrate DMPA-SC in efforts to address unmet need and increase access to contraception through a range of delivery channels.
Based on growing demand among stakeholders, providers, and family planning clients, as well as increased investment from the donor community, countries across sub-Saharan Africa and Asia are pursuing introduction and scale-up of DMPA-SC and self-injection. Through these country experiences, partners have generated evidence and practical guidance for ministries of health, nongovernmental implementing partners, and policymakers working to introduce and scale up DMPA-SC or similar products.
The Family Planning Financing Roadmap is a resource for USAID Mission staff and others working on family planning issues in developing countries. The website is designed to support sustainable family planning approaches for a wide range of users, from those who have very limited knowledge of health financing concepts to those who have some knowledge or experience and are looking to develop a deeper understanding of specific issues. The website has three main sections: learning materials, an interactive roadmap, and a community of practice.
The ExpandNet bibliography includes publications, websites, grey literature, and conference reports that either directly address scaling up or provide valuable insights on scaling up. Included are materials from a range of global health and development technical areas as well as the various sciences relevant to scale up.
This comprehensive toolkit is intended for agencies and organizations working to plan, implement, evaluate, promote, and scale up community-based access to injectables programs and to advocate for changes to national policy and service delivery guidelines.
This is a practical reference for global health practitioners working to introduce or scale up medical devices, diagnostics, or other consumer products. Its four-stage model uses case studies to highlight lessons and factors for consideration. Includes a practitioner’s workbook and a toolkit.
This brief outlines how, when appropriately designed and implemented, community health worker programs can increase use of contraception, particularly where unmet need is high, access is low, and geographic or social barriers to use of services exist. The brief describes the importance of community-based family planning programs as a means of reducing inequities in access to services and outlines key issues for planning and implementation.
This brief presents the conclusions of a technical consultation of experts that reviewed extensive evidence and recommended that community-based provision of injectable contraceptives by trained community health workers is safe and effective. The document highlights program guidance and operational issues as well as priorities for new research.
In Nigeria, 20% of women wish to use family planning and reproductive health services, but do not have access to them (USAID 2016). While family planning services and products are available at many public and private facilities, only 11% of women nationwide currently use a modern contraceptive method (NPC 2014). Along with male condoms and pills, injectables are among the most popular methods. However, they are more difficult to access because a trained healthcare worker must administer it with a needle and syringe. Launched in Nigeria in 2014, Sayana® Press is an all-in-one injectable contraceptive designed to overcome barriers to accessing family planning. The unique injection system eliminates the need for a needle and syringe, and enables health workers to administer the injection with basic training. With its ease of application and efficacy, widely distributing Sayana Press is the latest effort to expand contraceptive choice and access for all Nigerian women.