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DMPA-SC and self-injection training materials

The Training Resource Package (TRP) for Family Planning’s Progestin-Only Injectable module includes sessions V and VI which are focused on DMPA-SC and self-injection, as well as a number of related handouts and resources. Developed in partnership with the Access Collaborative, these materials are intended for training health care providers who offer progestin-only injectable contraception (“injectables”) in the public or private sector.

The TRP website features training information and materials for a wide range of family planning methods. This includes curriculum components and tools for trainers to design, implement, and evaluate family planning and reproductive health training.

Institutional author(s): USAID, World Health Organization (WHO), UNFPA, PATH
Publication date: 2022

Training supply recommendations for DMPA-SC rollout

DMPA-SC is a three-month injectable contraceptive that is easy to use and uniquely suited for self-injection. Demonstration and practice injections are a key part of training programs for both health workers and self-injection clients. Based on lessons learned in five countries, this memo summarizes PATH’s recommendations regarding devices for injection demonstration and practice, injection practice models, and waste disposal.

Institutional author(s): PATH
Publication date: 2022

DMPA-SC digital training resources for health workers and clients

By leveraging digital training tools, family planning programs can integrate new approaches that help reduce the costs, time, and inconvenience associated with traditional classroom training. The Access Collaborative has developed digital training resources for health workers and clients learning to administer DMPA-SC.

A 10-lesson DMPA-SC eLearning course for health workers is available for free in English and French and can be taken on computer or mobile device with internet access. Content includes an emphasis on informed choice counseling, new lessons on calculating the injection date and conducting follow-up visits, and updated information on training clients to self-inject.

In addition to the eLearning course, PATH and JSI have developed short 5- to 7-minute DMPA-SC training videos for both self-injection clients and health workers. Available in English and French, the videos can be translated or adapted to fit in program contexts.

If you are interested in introducing DMPA-SC digital training approaches in your program, please contact the Access Collaborative at FPoptions@path.org.

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

DMPA-SC training videos for clients and health workers

These short training videos are intended for both self-injection clients and health workers learning to administer the contraceptive DMPA-SC. The 5-minute self-injection training video is intended for women who have made the decision to self-inject DMPA-SC in the context of informed choice counseling. The 7-minute training video is for health workers who are giving injections to women who have chosen to use DMPA-SC in the context of informed choice counseling.

If you are interested in customizing these videos for your family planning program, we can make the voiceover scripts and video files available. To request these files please email FPoptions@path.org.

Institutional author(s): PATH, JSI
Publication date: 2019

How to Introduce and Scale Up DMPA-SC: Practical Guidance from PATH Based on Lessons Learned During Pilot Introduction

This document was created to support ministry of health and nongovernmental partners as they develop strategies to introduce and scale up subcutaneous DMPA (DMPA-SC, brand name Sayana® Press) to increase contraceptive options and access. Available in English and French, the publication provides practical guidance based on results, evidence, and learning from the pilot introductions of DMPA-SC in four countries in Africa.

Institutional author(s): PATH
Publication date: 2018

Training for Mid-Level Managers (MLM) Module 4: Supportive Supervision

This training module is part of a World Health Organization series of modules on immunization training. Supportive supervision involves supervisors and health workers working together to solve problems and improve performance. The module outlines key steps and practical implementation strategies.

Institutional author(s): World Health Organization (WHO)
Publication date: June, 2008

DMPA-SC integration in preservice training: Lessons from Uganda

Updating family planning and reproductive health preservice training is an important approach to make an impact on the health workforce and foster successful programs. In 2021, the DMPA-SC Access Collaborative, in collaboration with Uganda’s Ministry of Health and Ministry of Education and Sports, conducted a regional training for clinical and health training institutions on the topic of DMPA-SC including self-injection. This training integrated DMPA-SC content into the health provider preservice curriculum, trained tutors, and helped advance national scale-up of self-injection. As a result, 92 Ugandan health training institutions included self-injection content in their preservice curriculum for nurses, midwives, and clinical officers, and 190 tutors were trained—which will help ensure training of many more providers in the future.

During this process, the Access Collaborative gained valuable insights with relevance to other country contexts. This webinar held on January 27, 2022 highlighted lessons learnt, challenges, recommendations, and considerations for the inclusion of self-injection content in provider preservice training. In the Ugandan context, these include:

  • How inclusion of self-injection in preservice training can help reach FP2030 country commitments.
  • Virtual preservice training approaches during the COVID-19 pandemic.
  • Costs for the inclusion of self-injection in preservice training.
  • The role of regulators and the Ministry of Health in ensuring availability of DMPA-SC for preservice training.

Institutional author(s): PATH, JSI
Publication date: January, 2022

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

Training videos on injectable contraception and family planning

These training videos from Global Health Media cover a variety of family planning and other health topics. In addition to DMPA-SC (referred to as Depo SubQ), topics include: contraceptive methods, family planning learning aids, contraceptive method skills (“how-to” films), counseling, reproductive health, and clinic-based infection prevention and control. Videos are tailored for health workers, women, or their partners, and many are available in English, French, Spanish and other languages.

The videos for health workers are also available in the Family Planning Videos app which can be downloaded from Google Play or the App store. Videos for women and partners are available in the Birth & Beyond app, also on Google Play and the App store. If you would like to narrate any videos in your local language, please contact Global Health Media.

Institutional author(s): Global Health Media
Publication date: 2021

The Catalytic Opportunity Fund for Scale-Up of DMPA-SC: Learning from high-impact, short-term funding opportunities

Over the past two years, a number of implementing partners have leveraged the Catalytic Opportunity Fund (COF) to support the scale-up of DMPA-SC in focal countries. Administered by the Clinton Health Access Initiative (CHAI), the COF is a rapid funding mechanism that aims to support short-term DMPA-SC scale-up activities that unlock or generate additional resources. COF grantees carry out a diverse range of activities with short-term, small grants that make significant contributions to the national introduction and scale-up of DMPA-SC in their countries.

During this DMPA-SC Learning and Action Network (LAN) knowledge-sharing webinar held on May 19, 2021, successful COF grantees representing the Society for Family Health, Pathfinder International, Marie Stopes, and Jhpiego shared about the fund’s impact on their work and key lessons learned. The virtual discussion encouraged all stakeholders—program implementers, researchers, government officials, health providers, and members of civil society—to consider applicable strategies and mechanisms for efficient, sustainable, and scalable product introduction.

For more information, please contact the Access Collaborative FPoptions@path.org or the COF at COF@clintonhealthaccess.org.

Institutional author(s): PATH, Clinton Health Access Initiative (CHAI), JSI, Society for Family Health, Pathfinder International, MSI Reproductive Choices, Jhpiego
Publication date: May, 2021