Jim Shelton's Pearls

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October 10, 2005

Community Based Provision of Injectables

I know provision of oral contraceptives and condoms at the household level is a well-established practice. But what about injectables?  It seems to me that especially with the current autodisable syringes which can be used only once, that provision of injectables in the community, by community workers should be practical, feasible and safe.

Yes.  Such delivery of injectables is increasing.  Moreover, a recent study in Uganda by Family Health International documented the safety and feasibility.  In this study, provision of DMPA by trained community-based reproductive health workers (CRHWs) in their own homes or in the homes of clients was compared to provision by nurses in clinics.  Quality of care indicators were acceptable and similar for both groups.  However, the percentage of clients receiving a second injection was slightly higher among the clients of the CRHWs.

References:
Safety and feasibility of community-based distribution of Depo Provera. Preliminary Report. Nakasolongola, Uganda. April 2005.

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The "Pearls" offer answers to commonly asked questions about family planning. These "Pearls" are prepared by Dr. James D. Shelton, Senior Medical Scientist, Office of Population, United States Agency for International Development (USAID)

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