Provision of injectable contraception services through community-based distribution


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Author:FHI

Produced in collaboration with Save the Children USA, this step-by-step guide explains how to introduce injectable contraceptives — such as Depo Provera (or DMPA) — into an existing community-based distribution (CBD) program.

According to the World Health Organization, 36 of 46 African countries currently face critical shortages of doctors, nurses, and midwives. This deficit comes at a time when there is a growing demand for family planning services throughout Sub-Saharan Africa. This is especially true in rural areas, where modern contraceptive methods are scarce, and few trained personnel can provide these services. Providing injectable contraception to women through community-based distribution (CBD) programs is one way to meet this demand.

Based on the experience of two recent pilot projects in Uganda and Madagascar, the Implementation Handbook introduces a nine-step process and provides some helpful tools for the CBD of injectables.

Program managers, policy-makers, and others interested in providing greater access to family planning will appreciate the guidance offered by this handbook.


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