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Injectable Contraceptives Toolkit
Up-to-date evidence, best practices and related resources to Injectable Contraceptives
Resources for Program Managers
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Program managers may need to develop strategies to meet the rising demand for injectables. The resources listed here can help program managers increase efficiency, estimate costs of injectables, expand access to injectables, plan for safe injections and waste management, and supervise staff.
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Description: Recommendations for expanding injectables services without greatly increasing costs. Topics include serving clients efficiently, procuring supplies at low cost, and increasing productivity.Meeting Rising Demand Efficiently
[from "Expanding Services for Injectables" Population Reports issue K-6] -
COPE® Handbook: A Process for Improving Quality in Health Services
[EngenderHealth]Description: The COPE self–assessment technique helps supervisors and staff assess the quality of services, identify problems, recommend solutions, and implement the recommendations. -
CORE: A Tool for Cost and Revenue Analysis
[Management Sciences for Health]Description: CORE helps managers analyze a facility’s current and projected costs and revenues per service. Also projects effects of changes in prices and staff time on efficiency.
Estimating Costs of Injectables
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Description: Estimates the personnel, drug, and supply costs associated with providing injectables and other reproductive health services.
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Mother Baby Package: Costing Spreadsheet User GuideDescription: Estimates the costs of implementing a set of maternal and newborn health interventions at the district level, including the provision of injectable contraceptives.
[World Health Organization] -
Description: Prices from pharmaceutical suppliers and procurement agencies, based on their current catalogs or price lists. Also contains prices obtained from international development organizations and government agencies.
Expanding Access to Injectables
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Checklist for Improving Access to InjectablesDescription: Twenty ways to remove barriers and improve access to injectables.
[from "Expanding Services for Injectables," Population Reports issue K-6] -
Community Programs Can Safely Increase Access to InjectablesDescription: A two-page summary of community provision of injectables in Bangladesh, Ghana, Uganda, and other countries.
[from "Expanding Services for Injectables," Population Reports issue K-6] -
Safety and Feasibility of Community-Based Distribution of Depo-Provera in Nakasongola, UgandaDescription: Summarizes research on safety and feasibility of using the community-based distribution strategy. A comparison of community and clinic provision of DMPA found they were comparable in quality.
[Family Health International]
- Checklist for Good-Quality Injectables Services
[from "Expanding Services for Injectables," Population Reports issue K-6] Description: Eight ways to improve the safety of injections. -
Procuring Single-Use Injection Equipment and Safety Boxes: A Practical Guide for Pharmacists, Physicians, Procurement Staff and Programme Managers
[World Health Organization]Description: A guide to help programs procure single-use injection equipment and safety boxes and to develop a monitoring system to ensure quality and reliability. -
Best Infection Control Practices for Skin-Piercing Intradermal, Subcutaneous, and Intramuscular Needle Injections
[World Health Organization]Description: This two-page reference document summarizes best practices for safe injections determined through scientific evidence or expert consensus to protect patients, providers, and communities. -
Description: A manual to train health care workers to give safe injections and manage waste appropriately. While developed with vaccines in mind, the information also applies to contraceptive injections.
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Managing an Injection Safety PolicyDescription: This guide is designed to assist in benchmarking, assessing, planning, implementing, and evaluating a national strategy for the safe and appropriate use of injections.
[World Health Organization]
- Management of Waste from Injection Activities at the District Level: Guidelines for District Health Managers
[World Health Organization]
Description: A guide to help develop an action plan to reduce improper disposal of injection waste.
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A Guide for Supervising Injections
[World Health Organization]Description: A guide for supervisors to observe injection practices, provide feedback about safe and unsafe practices, and help resolve problems contributing to unsafe injections. -
Standards-Based Management and Recognition (SBM-R): A Field Guide
[JHPIEGO]
Description: A guide for managers and providers to improve performance and the quality of health care services using performance standards as the basis for the organization and function of services.




