Contraceptive self-injection through routine service delivery: Experiences of Ugandan women in the public health system.
DMPA-SC
Uganda
depot medroxyprogesterone acetate
family planning
injectable contraception
self-administration
self-injection
Journal
Frontiers in global women's health
ISSN: 2673-5059
Titre abrégé: Front Glob Womens Health
Pays: Switzerland
ID NLM: 101776281
Informations de publication
Date de publication:
2022
2022
Historique:
received:
01
04
2022
accepted:
07
07
2022
entrez:
5
9
2022
pubmed:
6
9
2022
medline:
6
9
2022
Statut:
epublish
Résumé
Contraceptive self-injection (SI) is a new self-care practice with potential to transform women's family planning access by putting a popular method, injectable contraception, directly into the hands of users. Research shows that SI is feasible and acceptable; evidence regarding how to design and implement SI programs under real-world conditions is still needed. This evaluation examined women's experiences when self-injection of subcutaneous depot medroxyprogesterone acetate (DMPA-SC) was introduced in Uganda alongside other contraceptive options in the context of informed choice. We conducted structured survey interviews with 958 randomly selected SI clients trained in three districts in 2019. SI clients demonstrated their injection technique on a model to permit an assessment of injection proficiency. A randomly selected subset of 200 were re-interviewed 10-17 months post-training to understand resupply experiences, waste disposal practices and continuation. Finally, we conducted survey interviews with a random sample of 200 clients who participated in training but declined to self-inject. Data were analyzed using Stata IC/14.2. Differences between groups were measured using chi square and
Identifiants
pubmed: 36060608
doi: 10.3389/fgwh.2022.911107
pmc: PMC9433546
doi:
Types de publication
Journal Article
Langues
eng
Pagination
911107Informations de copyright
Copyright © 2022 Cover, Namagembe, Morozoff, Tumusiime, Nsangi and Drake.
Déclaration de conflit d'intérêts
Authors JC, AN, JT, JD, CM, and DN were employed by PATH.
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