Home-based administration of Sayana® Press: review and assessment of needs in low-resource settings

Keith, Bonnie; Wood, Siri; Tifft, Sara; Hutchings, Jane

doi:10.1016/j.contraception.2014.03.003

Cited by 15 publications

(10 citation statements)

References 28 publications

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“…The Uniject™ injection system has been described as especially suitable for community-based distribution and for women to administer themselves through self-injection (PATH 2017a; PATH 2017b). As such, DMPA-SC and the possibility of self-injection have become promising pathways for increasing access to a safe and effective contraceptive option in low-resource settings (Keith et al 2014). In addition, self-injection of DMPA-SC is a method of self-care for women, and thus has the potential to increase the privacy and autonomy of users to decide whether, when, and how many children to have (Murray et al 2017).…”

mentioning

confidence: 99%

Introduction of DMPA-SC self-injection in Ghana: A feasibility and acceptability study using Sayana® Press

Nai¹,

Aboagye²,

Fuseini³

et al. 2020

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mentioning

confidence: 99%

Introduction of DMPA-SC self-injection in Ghana: A feasibility and acceptability study using Sayana® Press

Nai¹,

Aboagye²,

Fuseini³

et al. 2020

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“…The satisfaction surveys in the included studies reflect that women are willing and able to self‐administer an injectable contraceptive; however, these included studies took place in high‐resource settings. A literature review examined the feasibility of self‐injection with DMPA‐SC in low‐resource settings . The review described the Uniject ™ system that consists of a pre‐filled, non‐reusable, blister injection system with a bubble reservoir and an integrated ultrathin needle .…”

Section: Discussionmentioning

confidence: 99%

“…Implementation considerations include injection storage and waste disposal, and ensuring stakeholder support and a proper infrastructure that can facilitate the delivery of the injectable. It also noted the importance of initial as well as continued follow‐up of training to optimise the woman's ability to manage the self‐injection schedule . With the advent of a simplified delivery system, it is important to engage in research that compares this system with traditional delivery modes to further evaluate compliance, safety, continuation, and satisfaction towards self‐administration.…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally, contraceptive injectables have been provided in clinical settings by trained healthcare personnel. Innovations to the injectable delivery system, as well as the availability of a newer subcutaneous formulation of DMPA, have simplified the process, making it possible to consider the engagement of a wider range of healthcare providers, and even women themselves, in the provision of these methods outside of a clinical setting …”

Section: Introductionmentioning

confidence: 99%

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Self‐administration of injectable contraceptives: a systematic review

Kim

Fønhus

Ganatra

2016

BJOG

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BackgroundThe contraceptive injectable is a safe and effective method that is used worldwide. With the variety of injectable delivery systems, there is potential for administration by the woman herself. Self‐administration of the contraceptive injectable is the subject of this systematic review.ObjectivesTo assess how effective and safe the contraceptive injectable method is when women themselves perform/administer it, compared with when the usual healthcare providers administer it.Search strategyWe searched PubMed, Popline, Cochrane, CINAHL, and Embase for articles with subject headings or text words related to ‘self‐administration’ and ‘contraception’.Selection criteriaStudies that compared the administration of the contraceptive injectable by the woman herself versus administration by the healthcare provider were included. Outcomes of interest were continuation rates, safety, and the women's overall satisfaction with the contraceptive provider and method.Data collection and analysisWe undertook data extraction, descriptive analysis, and assessment of risk of bias.Main resultsThree studies met the inclusion criteria. The best available evidence shows that there may be little or no difference in continuation rates when women self‐administer contraceptive injections (326 per 1000 women; 95% CI 192–554 per 1000 women) compared with administration by healthcare providers (304 per 1000 women). Safety was not estimable as no serious adverse events were reported in any of the studies. With regards to overall satisfaction towards the provider and the method, the effect of the intervention was uncertain.Authors’ conclusionsFindings suggest that with appropriate information and training the provision of contraceptive injectables for the woman to self‐administer at home can be an option in some contexts.Tweetable abstractThis review assessed the continuation rates and safety of self‐administration of the contraceptive injection.

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“…Although Sayana Press is currently labeled for provision by a trained clinical provider, studies in the United States and Scotland show that selfadministration is acceptable and feasible [15]. Keith et al [15,16 && ] conducted a review and assessment of needs around home-based and self-injection (HSI) in low-resource settings, and a qualitative study on perceptions of HSI in Ethiopia.…”

Section: New Contraceptive Technologymentioning

confidence: 99%

Community-based provision of family planning in the developing world

Malkin

Stanback²

2015

Current Opinion in Obstetrics &Amp; Gynecology

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Decades of previous research on community-based family planning has focused on the traditional community health worker. Yet, recent developments in this field have expanded many areas that have been studied previously. A major emphasis of recent research has dealt with broadening the community-based locations from which clients can obtain injectable contraception. Drug shops in developing countries are promising locations for family planning services. They are ubiquitous, frequently accessed, and generally sustainable businesses. Also, a new formulation of injectable contraception in an easy-to-use delivery device is garnering global attention for its potential benefits in community-level use. Additional research and programmatic interventions are needed to better understand the training, policy, regulatory, and logistical needs to ensure quality service delivery.

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Home-based administration of Sayana® Press: review and assessment of needs in low-resource settings

Cited by 15 publications

References 28 publications

Introduction of DMPA-SC self-injection in Ghana: A feasibility and acceptability study using Sayana® Press

Introduction of DMPA-SC self-injection in Ghana: A feasibility and acceptability study using Sayana® Press

Self‐administration of injectable contraceptives: a systematic review

Community-based provision of family planning in the developing world

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