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Building capacity through digital approaches: Can eLearning replace in-person training?

Using eLearning to train health workers on family planning counseling can be an effective training approach, particularly when carefully planned and coordinated to maximize the benefits. On August 26, 2021, the DMPA-SC Access Collaborative hosted this webinar on eLearning for health workers learning to counsel clients on DMPA-SC including self-injection in Senegal and Uganda. During 2019-2020, this approach was launched and evaluated in four regions of Senegal and four districts in Uganda.

The findings and recommendations from the experiences in Senegal and Uganda may offer lessons for other countries wishing to implement digital learning approaches. The webinar presenters raised important considerations about stakeholder coordination, internet and technology access, eLearning platforms, establishing training targets, training content, and the important role of post-training supervision.

Institutional author(s): PATH, JSI
Publication date: August, 2021

Webinar recording

Digital Health to Support Family Planning Providers: Improving knowledge, capacity, and service quality

With growing evidence that technologies can yield time and resource efficiencies and improve quality of care—resulting in better patient outcomes—in 2019 the World Health Organization (WHO) issued recommendations for digital interventions for health systems strengthening. This brief uses the WHO definition of digital health from the draft Global Strategy on Digital Health 2020-2024: “the field of knowledge and practice associated with the development and use of digital technologies to improve health.” The recommendations include interventions in mHealth (medical and public health practice supported by mobile devices) and eHealth (the use of information and communication technologies for health), with the most recent evidence largely focused on mHealth.


Institutional author(s): High Impact Practices in Family Planning (HIPs)
Publication date: December, 2020

Brief Web page

DMPA-SC Job Aid Pilot and Evaluation in Madagascar: Background, Results and Next Steps

With funding from the Catalytic Opportunity Fund (COF), JSI, Inc. evaluated the feasibility of using a low-cost training mechanism, known as OAS or “Orientation, Aide par Fiche Technique (job aid)”, to facilitate DMPA-SC scale-up among injection-experienced providers. It was piloted in four pilot districts in Madagascar, covering 76 basic health facilities.

Respondents had a very positive view of the OAS strategy and agreed it was a good alternative to more traditional training that can be scaled up in areas with injection experienced providers. The most significant impact of the OAS strategy has been correcting errors to ensure proper administration of DMPA-SC, thereby eliminating rumors and previous complaints.

This report covers the background, pilot and evaluation, results, and next steps relating to the OAS strategy in Madagascar.

Institutional author(s): JSI
Publication date: 2020

Remote training for contraceptive service delivery

The COVID-19 pandemic has drastically affected the capacity of organisations to train health providers, jeopardising their ability to maintain SRH (sexual and reproductive health) services for women and girls. Due to risk of infection, movement restrictions and the diversion of medical personnel and resources away from essential services, traditional in-person trainings and assessments are no longer feasible. This learning brief summarises learning on approaches to remote training of health workers in developing countries.

Institutional author(s): ITAD
Publication date: August, 2020

Brief Web page

Supportive supervision checklist for DMPA-SC self-injection programs

This checklist is a customizable tool that can be used to monitor Subcutaneous DMPA (DMPA-SC, Sayana® Press) contraceptive self-injection programs and health worker practices. The questions can be adapted as needed to align with local program designs and guidelines. To access the MS Word version of this tool in English or French, please email

Institutional author(s): PATH
Publication date: August, 2020

Tool Supportive supervision checklist for DMPA-SC self-injection programs

WHO Guideline: recommendations on digital interventions for health system strengthening

This guideline presents recommendations based on a critical evaluation of the evidence on emerging digital health interventions that are contributing to health system improvements, based on an assessment of the benefits, harms, acceptability, feasibility, resource use and equity considerations.

Institutional author(s): World Health Organization (WHO)
Publication date: June, 2019

Guide Web page

DMPA-SC self-injection job aid and reinjection calendar for clients

This instruction sheet (job aid) and calendar are designed to help support clients learning to self-inject DMPA-SC.

Institutional author(s): PATH
Publication date: 2018

Reinjection timing recommendations for DMPA-SC

PATH developed this fact sheet in response to questions about the recommended reinjection time frames for subcutaneous DMPA (DMPA-SC). This document summarizes the World Health Organization (WHO) recommendations for reinjection timing. The brief also explains why clients living with HIV, including those using antiretroviral therapies, can use DMPA on the same schedule as any other client.

Institutional author(s): PATH
Publication date: 2017