K Series
Series K, Number 6
Injectables and Implants

Expanding Services for Injectables

How Family Planning Programs and Providers Can Meet Clients' Needs for Injectable Contraceptives

CONTENTS

Home (Key Points)

Injectables Today and Tomorrow
Box: Injectables Tomorrow: Subcutaneous DMPA and Home Injection
Web Table 1. Knowledge and Current Use of Injectable Contraceptives Reported by Married Women 15–49, All Surveys 1990–2006
Web Table 2. Knowledge and Current Use of Injectable Contraceptives Reported by Married Women 15–49, Most Recent Surveys 1990–2006
Web Figure. Donor Shipments of Injectables Increasing

Supply Meets Demand With Forecasting and Ingenuity
Web Table 3. Key Resources for Program Managers and Providers

Training to Meet Demand

Box: With Training, a Range of Providers Can Give Contraceptive Injections

Give Injections and Dispose of Waste Safely

Community Programs Can Safely Increase Access to Injectables

Meeting Rising Demand Efficiently

Communication Helps Women Try and Use Injectables

Questions and Answers About Injectables

Box: Women With HIV/AIDS Can Use Injectables

Bibliography

Credits

Coming Soon: "Injectables Toolkit" Web site. Go to http://www.injectablestoolkit.org for job aids and information about injectable contraceptives.

Quick Look
• Table 1: Estimated Worldwide Use of Injectables Among Married Women Ages 15–49, 2006
• Table 2: Formulations, Injection Schedules, and Availability of Injectable Contraceptives
• Table 3: Key Resources for Program Managers and Providers

From INFO's Toolbox
Tools for Program Managers
• Checklist: Good-Quality Injectables Services
• Checklist: Improving Access to Injectables

Tools for Providers are in the companion INFO Reports. See also Population Reports, "When Contraceptives Change Monthly Bleeding," Series J, No. 54, August 2006.

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See More Population ReportsSee Companion INFO Reports on "Injectable Contraceptives: Tools for Providers"
See More Population ReportsSee more Population Reports

Web Table 1. Knowledge and Current Use of Injectable Contraceptives Reported by Married Women 15–49, All Surveys 1990–2006
  % Who Know   % Currently Using  
Region, Country & Year Any Modern Methoda Injectables   Any Methodb Any Modern Method Injectables % of Contraceptors Using Injectables
SUB-SAHARAN AFRICA
Benin 1996 76 61   15 3 1 5
Benin 2001 91 79   18 7 2 12
Burkina Faso 1992-93 63 41   8 4 0 0
Burkina Faso 1998-99 77 57   10 5 1 11
Burkina Faso 2003 90 76   10 9 3 26
Cameroon 1991 63 40   13 4 0 3
Cameroon 1998 77 58   18 7 1 4
Cameroon 2004 88 66   25 13 1 6
Cape Verde 1998 100 98   53 46 8 15
Central African Rep. 1994-95 69 36   9 3 1 7
Chad 1996-97 43 26   4 1 0 5
Chad 2004 49 32   3 2 1 18
Comoros 1996 98 94   20 11 4 22
Cote d'Ivoire 1994 72 53   10 4 1 8
Cote d'Ivoire 1998-99 87 69   14 7 1 10
DR Congo 2005 NA NA   42 13 1 2
Eritrea 1995 62 51   5 4 1 16
Eritrea 2002 87 74   8 7 3 33
Ethiopia 2000 85 70   8 6 3 38
Ethiopia 2005 87 83   15 14 10 67
Gabon 2000 95 57   29 12 1 2
Ghana 1993 91 79   20 10 2 8
Ghana 1998 93 83   21 13 3 15
Ghana 2003 98 92   24 19 5 22
Guinea 1999 69 55   6 4 1 16
Guinea 2005 93 78   5 4 1 20
Kenya 1993 97 93   32 27 7 23
Kenya 1998 98 95   38 32 12 31
Kenya 2003 95 94   38 31 14 38
Lesotho 2004 98 93   36 35 15 42
Madagascar 1992 62 48   16 5 2 10
Madagascar 1997 69 60   19 10 5 24
Madagascar 2003-04 84 78   25 18 10 41
Malawi 1992 92 68   11 7 2 14
Malawi 1996 99 93   18 14 6 33
Malawi 2000 98 96   28 26 16 59
Malawi 2004 99 97   31 28 18 58
Mali 1995/96 65 44   6 5 0 3
Mali 2001 76 57   6 6 2 35
Mauritius 1991c 100 94   73 48 4 5
Mozambique 1997 60 53   5 5 2 46
Mozambique 2003 90 78   15 12 5 32
Namibia 1992 90 85   27 26 8 29
Namibia 2000 98 96   43 43 19 44
Niger 1992 58 39   2 2 1 25
Niger 1998 75 63   5 5 2 30
Niger 2006 NA NA   5 5 2 29
Nigeria 1990 41 34   5 4 1 14
Nigeria 2003 76 61   10 7 2 20
Rwanda 1992 99 97   21 13 8 40
Rwanda 2000 97 88   12 4 2 16
Rwanda 2005 NA NA   17 10 5 28
Senegal 1992-93 70 34   6 5 0 3
Senegal 1997 83 58   9 8 2 19
Senegal 2005 94 83   11 10 3 29
South Africa 1998 98 97   56 55 23 41
South Africa 2003 96 87   60 60 28 47
Tanzania 1991-92 78 44   10 7 0 4
Tanzania 1996 88 77   18 13 5 24
Tanzania 1999 95 88   23 17 6 27
Tanzania 2004 97 94   25 20 8 32
Togo 1998 93 87   14 7 2 15
Uganda 1995 92 71   12 8 3 21
Uganda 2000-01 98 93   18 18 6 36
Zambia 1992 91 43   13 9 0 1
Zambia 1996 98 60   21 14 1 5
Zambia 2001-02 99 87   29 23 5 16
Zimbabwe 1994 99 87   47 42 3 7
Zimbabwe 1999 99 93   52 50 8 16
Zimbabwe 2005-06 NA NA   59 58 10 17
NEAR EAST & NORTH AFRICA
Egypt 1992 100 82   46 45 1 1
Egypt 1995 100 97   47 46 2 5
Egypt 2000 100 99   55 54 6 11
Egypt 2005 100 99   62 57 7 11
Jordan 1990 99 51   35 27 0 0
Jordan 1997 100 92   50 38 1 1
Jordan 2002 100 93   53 39 1 2
Mauritania 2000-01 68 57   8 5 1 11
Morocco 1992 99 62   41 36 0 0
Morocco 2003-04 100 96   60 52 2 4
Turkey 1993 99 39   62 35 0 0
Turkey 1998 99 76   63 38 1 1
Yemen 1991-92 53 32   7 6 1 9
Yemen 1997 79 56   13 10 1 9
ASIA
Bangladesh 1993-94d 100 97   44 37 5 10
Bangladesh 1996-97d 100 98   49 42 6 13
Bangladesh 1999-00d 100 98   53 44 7 14
Bangladesh 2004d 100 99   53 47 10 18
Cambodia 2000 95 90   21 19 7 35
Cambodia 2005              
India 1992-93e 96 19   40 37 0 0
India 1998-99 99 NA   48 43 NA NA
Indonesia 1991 94 88   49 47 12 24
Indonesia 1994 96 91   54 52 15 28
Indonesia 1997 97 94   57 55 21 37
Indonesia 2002-03 99 97   60 57 28 46
Nepal 1996 98 85   28 26 5 16
Nepal 2001 100 97   39 35 8 21
Nepal 2006 NA NA   48 44 10 21
Pakistan 1990-91 77 62   12 9 1 7
Philippines 1993 97 54   40 25 0 0
Philippines 1998 98 89   46 28 2 5
Philippines 2003 99 90   49 33 3 6
Vietnam 1997 99 56   75 56 0 0
Vietnam 2002 100 60   78 57 0 1
LATIN AMERICA & CARIBBEAN
Belize 1991c 69 90   47 44 4 9
Belize 1999 92 88   56 52 8 14
Bolivia 1994 77 54   41 18 1 2
Bolivia 1998 86 63   48 25 1 2
Bolivia 2003 92 80   56 32 8 14
Brazil 1996 100 89   76 70 1 2
Colombia 1990 100 92   66 55 2 3
Colombia 1995 100 95   70 59 3 4
Colombia 2000 100 98   76 64 4 5
Colombia 2005 100 99   77 68 6 8
Costa Rica 1993 100 89   75 65 1 1
Dominican Republic 1991 100 81   56 52 0 0
Dominican Republic 1996 100 91   63 59 1 1
Dominican Republic 1999 100 95   69 64 1 1
Dominican Republic 2002 100 97   68 66 2 3
Ecuador 1994 92 66   51 47 1 2
Ecuador 1999 95 78   67 52 3 4
El Salvador 1993 99 92   54 49 4 7
El Salvador 1998 96 95   61 55 9 15
El Salvador 2002-03c 99 97   67 61 18 27
Guatemala 1995 81 62   31 27 3 8
Guatemala 1998-99 85 73   38 31 4 10
Guatemala 2002 93 87   43 34 9 21
Haiti 1994/95 99 91   16 13 3 17
Haiti 2000 99 97   28 22 12 42
Haiti 2005-06 NA NA   30 24 11 36
Honduras 1996 99 87   50 41 0 0
Honduras 2001 100 98   61 51 10 16
Jamaica 1993c 100 99   63 59 6 10
Jamaica 1997 100 99   65 NA 11 17
Jamaica 2002 100 99   69 66 11 17
Nicaragua 1992-93 99 85   49 45 1 2
Nicaragua 1997-98 98 92   60 57 5 9
Nicaragua 2001 99 97   67 66 14 21
Paraguay 1990 96 89   44 35 5 12
Paraguay 1995-96 98 95   49 41 6 12
Paraguay 1998c 99 93   57 48 8 14
Paraguay 2004c 100 99   72 61 10 14
Peru 1991-92 95 82   57 33 2 3
Peru 1996 96 90   63 41 8 13
Peru 2000 98 96   67 50 15 22
Peru 2004 99 97   71 47 11 15
Puerto Rico 1996 100 84   78 68 1 1
EASTERN EUROPE & CENTRAL ASIA
Albania 2002 91 40   75 8 0 0
Armenia 2000 98 49   57 22 0 0
Armenia 2005 NA NA   51 19 0 0
Azerbaijan 2001c 98 10   55 12 0 0
Czech Republic 1993c 100 NA   69 45 0 0
Georgia 1999c 97 5   41 20 0 0
Georgia 2005
Kazakhstan 1995 99 35   56 46 0 1
Kazakhstan 1999 100 60   60 53 1 1
Kyrgyz Republic 1997 100 67   58 49 1 2
Moldova 1997c 99 25   73 50 0 0
Moldova 2005 NA NA   66 43 0 0
Romania 1993c 95 NA   57 13 0 0
Romania 1999c 99 26   64 29 2 3
Turkmenistan 2000 99 75   52 53 1 2
Ukraine 1999c 99 51   68 38 0 0
Uzbekistan 1996 96 64   55 51 1 3
Data sources: Data from the Demographic and Health Surveys and Reproductive Health Surveys are used and, for countries without these surveys, data from the United Nations, 2006 {United Nations (UN), 2006 #477}, the US Census Bureau's International Database {US Census Bureau, 2006 #490}, and other nationally representative surveys.
Folk methods are not included due to their ineffectiveness; lactational amenorrhea (LAM) is not included due to its low levels of use and limited levels of correct use.
Numbers for "Any Method" may vary in other publications depending on whether folk methods, LAM, etc, are included.
a Modern methods: female and male sterilization, oral contraceptives, IUDs, male condoms, female condoms, implants, injectables, diaphragms, cervical caps, vaginal foaming tablets, and spermicides.
b Any method: any modern or traditional methods (periodic abstinence and withdrawal).
c Data for women 15–44.
d Data for women 10–49.
e Data for women 13–49.

 

Web Table 2. Knowledge and Current Use of Injectable Contraceptives Reported by Married Women 15–49, Most Recent Surveys 1990–2006
  % Who Know   % Currently Using  
Region, Country & Year Any Modern Methoda Injectables   Any Methodb Any Modern Method Injectables % of Contraceptors Using Injectables
SUB-SAHARAN AFRICA
Benin 2001 91 79   18 7 2 12
Burkina Faso 2003 90 76   10 9 3 26
Cameroon 2004 88 66   25 13 1 6
Cape Verde 1998 100 98   53 46 8 15
Central African Rep. 1994-95 69 36   9 3 1 7
Chad 2004 49 32   3 2 1 18
Comoros 1996 98 94   20 11 4 22
Cote d'Ivoire 1998-99 87 69   14 7 1 10
DR Congo 2005 NA NA   42 13 1 2
Eritrea 2002 87 74   8 7 3 33
Ethiopia 2005 87 83   15 14 10 67
Gabon 2000 95 57   29 12 1 2
Ghana 2003 98 92   24 19 5 22
Guinea 2005 93 78   5 4 1 20
Kenya 2003 95 94   38 31 14 38
Lesotho 2004 98 93   36 35 15 42
Madagascar 2003-04 84 78   25 18 10 41
Malawi 2004 99 97   31 28 18 58
Mali 2001 76 57   6 6 2 35
Mauritius 1991c 100 94   73 48 4 5
Mozambique 2003 90 78   15 12 5 32
Namibia 2000 98 96   43 43 19 44
Niger 2006 NA NA   5 5 2 29
Nigeria 2003 76 61   10 7 2 20
Rwanda 2005 NA NA   17 10 5 28
Senegal 2005 94 83   11 10 3 29
South Africa 2003 96 87   60 60 28 47
Tanzania 2004 97 94   25 20 8 32
Togo 1998 93 87   14 7 2 15
Uganda 2000-01 98 93   18 18 6 36
Zambia 2001-02 99 87   29 23 5 16
Zimbabwe 1999 99 93   52 50 8 16
Zimbabwe 2005-06 NA NA   59 58 10 17
NEAR EAST & NORTH AFRICA
Egypt 2005 100 99   62 57 7 11
Jordan 2002 100 93   53 39 1 2
Mauritania 2000-01 68 57   8 5 1 11
Morocco 2003-04 100 96   60 52 2 4
Turkey 1998 99 76   63 38 1 1
Yemen 1997 79 56   13 10 1 9
ASIA
Bangladesh 2004d 100 99   53 47 10 18
Cambodia 2000 95 90   21 19 7 35
India 1998-99 99 NA   48 43 NA NA
Indonesia 2002-03 99 97   60 57 28 46
Nepal 2006 NA NA   48 44 10 21
Pakistan 1990-91 77 62   12 9 1 7
Philippines 2003 99 90   49 33 3 6
Vietnam 2002 100 60   78 57 0 1
LATIN AMERICA & CARIBBEAN
Belize 1999 92 88   56 52 8 14
Bolivia 2003 92 80   56 32 8 14
Brazil 1996 100 89   76 70 1 2
Colombia 2005 100 99   77 68 6 8
Costa Rica 1993 100 89   75 65 1 1
Dominican Republic 2002 100 97   68 66 2 3
Ecuador 1999 95 78   67 52 3 4
El Salvador 2002-03c 99 97   67 61 18 27
Guatemala 2002 93 87   43 34 9 21
Haiti 2005-06 NA NA   30 24 11 36
Honduras 2001 100 98   61 51 10 16
Jamaica 2002 100 99   69 66 11 17
Nicaragua 2001 99 97   67 66 14 21
Paraguay 2004c 100 99   72 61 10 14
Peru 2004 99 97   71 47 11 15
Puerto Rico 1996 100 84   78 68 1 1
EASTERN EUROPE & CENTRAL ASIA
Albania 2002 91 40   75 8 0 0
Armenia 2005 NA NA   51 19 0 0
Azerbaijan 2001c 98 10   55 12 0 0
Czech Republic 1993c 100 NA   69 45 0 0
Georgia 1999c 97 5   41 20 0 0
Kazakhstan 1999 100 60   60 53 1 1
Kyrgyz Republic 1997 100 67   58 49 1 2
Moldova 2005c NA NA   66 43 0 0
Romania 1999c 99 26   64 29 2 3
Turkmenistan 2000 99 75   52 53 1 2
Ukraine 1999c 99 51   68 38 0 0
Uzbekistan 1996 96 64   55 51 1 3
Data sources: Data from the Demographic and Health Surveys and Reproductive Health Surveys are used and, for countries without these surveys, data from the United Nations, 2006 {United Nations (UN), 2006 #477}, the U.S. Census Bureau's International Database {US Census Bureau, 2006 #490}, and other nationally representative surveys.
Folk methods are not included due to their ineffectiveness; lactational amenorrhea (LAM) is not included due to its low levels of use and limited levels of correct use.
Numbers for "Any Method" may vary in other publications depending on whether folk methods, LAM, etc., are included.
a Modern methods: female and male sterilization, oral contraceptives, IUDs, male condoms, female condoms, implants, injectables, diaphragms, cervical caps, vaginal foaming tablets, and spermicides.
b Any method: any modern or traditional methods (periodic abstinence and withdrawal).
c Data for women 15–44.
d Data for women 10–49.
e Data for women 13–49.

 

Web Table 3: Key Resources for Program Managers and Providers
Resource Availability
Ensuring Reliable Supplies
Title: Pocket Guide to Managing Contraceptive Supplies
Organization: U.S. Centers for Disease Control and Prevention
Description: A quick reference guide for staff who manage contraceptive supplies and logistics. Includes logistics formulas and principles to help manage supplies correctly and efficiently.		 Available online:
http://www.cdc.gov/reproductivehealth/Products&Pubs/PocketGuide.htm
To order print copies, contact:
U.S. Centers for Disease Control and Prevention
Division of Reproductive Health, MS K-22
4770 Buford Highway, NE
Atlanta, GA 30341-3717, USA
Tel: +1 770 488 5612
Fax: +1 770 488 5967
E-mail: jtj2@cdc.gov
Title: PipeLine Software Tool
Organization: John Snow, Inc./DELIVER
Description: Helps program managers monitor stock and plan procurement through forecasting, ensuring that products arrive on time, maintaining consistent stock levels, and preventing stockouts.		 Available online: http://www.infoforhealth.org/short_url/?PipeLine
To request the PipeLine CD, contact:
John Snow Inc./DELIVER Project
616 N. Fort Myer Drive, 11th Floor
Arlington, VA 22209, USA
Tel: +1 703 528 7474
Fax: +1 703 528 7480
E-mail: deliver_pubs@jsi.com
Web site: www.jsi.com
Title: Procuring Single-Use Injection Equipment and Safety Boxes: A Practical Guide for Pharmacists, Physicians, Procurement Staff and Programme Managers
Organization: World Health Organization (WHO)
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.		 Available online:
http://www.who.int/injection_safety/toolbox/docs/en/Procurement.pdf
To order print copies, contact:
World Health Organization
Department of Essential Health Technologies
20 Avenue Appia
1211, Geneva 27, Switzerland
Tel: +41 22 791 4385
Fax: +41 22 791 4836
E-mail: eht@who.int
Web site: www.who.int/eht
Title: Guidelines for the Storage of Essential Medicines and Other Health Commodities
Organization: John Snow, Inc./DELIVER and WHO
Description: A guide for managing commodities, maintaining product quality, constructing a medical store, and managing waste.		 Available online:
http://portalprd1.jsi.com/pls/portal/docs/PAGE/DEL_CONTENT_PGG/
DEL_PUBLICATION_PG1/DEL_GUIDE_HANDBK_PG1/STORAGE_POCKETGUIDE.PDF
To order print copies, contact:
John Snow, Inc./DELIVER Project
1616 N. Fort Myer Drive, 11th Floor
Arlington, VA 22209, USA
Tel: +1 703 528 7474
Fax: +1 703 528 7480
E-mail: deliver_pubs@jsi.com
Web site: www.jsi.com
Title: UNFPA Procurement Services
Organization: United Nations Population Fund (UNFPA)
Description: UNFPA is the largest public sector procurer of contraceptives. UNFPA accepts standard orders of US$6,000 or more, and also accepts emergency procurement orders.		 For more information, contact:
UNFPA
Procurement Services Section
Midtermolen 3, P.O. Box 2530
1200 Copenhagen, Denmark
Web site: www.unfpa.org/procurement/index.htm
Safe Injections and Waste Management
Title: Safe Injection and Waste Management: A Reference for Logistics Advisors
Organization: JSI
Description: A reference guide to help design and support programs for safe injections and waste disposal. The guide includes assessment tools and additional references.		 Available online:
http://portalprd1.jsi.com/pls/portal/docs/PAGE/DEL_CONTENT_PGG/
DEL_PUBLICATION_PG1/DEL_GUIDE_HANDBK_PG1/SAFE_INJ_REF.PDF
To order print copies, contact:
John Snow, Inc./DELIVER Project
1616 N. Fort Myer Drive, 11th Floor
Arlington, VA 22209, USA
Tel: +1 703 528 7474
Fax: +1 703 528 7480
E-mail: deliver_pubs@jsi.com
Web site: www.jsi.com
Title: Management of Waste from Injection Activities at the District Level: Guidelines for District Health Managers
Organization: WHO
Description: A guide to help develop an action plan to reduce improper disposal of injection waste.		 Available online:
http://www.who.int/water_sanitation_health/
medicalwaste/phe_wsh_mwi_injections_report_en.pdf
To order print copies, contact:
World Health Organization Press
20 Avenue Appia
1211, Geneva 27, Switzerland
Tel: +41 22 791 3264
Fax: +41 22 791 4857
E-mail: bookorders@who.int
Web site: www.who.int
Title: Managing an Injection Safety Policy
Organization: WHO
Description: A framework for program managers to assess, plan, implement, and evaluate a strategy for the safe and appropriate delivery of injections.		 Available online:
http://www.who.int/injection_safety/toolbox/en/
ManagingInjectionSafety.pdf
To order print copies, contact:
World Health Organization
Department of Essential Health Technologies
20 Avenue Appia
1211, Geneva 27, Switzerland
Tel: +41 22 791 1275
Fax:+41 22 791 4836
E-mail: sign@who.int
Title: Giving Safe Injections: Using Auto-Disable Syringes for Immunization
Organization: PATH
Description: A manual to train health care workers to give safe injections and manage waste appropriately.		 Available online:
http://www.path.org/files/SI_Giving_Safe_Injections_complete.pdf
To order print copies, contact:
PATH
1455 NW Leary Way
Seattle, WA 98107, USA
Tel: 206-285-3500
Fax: 206-285-6619
E-mail: publications@path.org
Title: Do No Harm: Injection Safety in the Context of Infection Prevention and Control: Training Tools and Job Aids (forthcoming)
Organization: John Snow, Inc. and WHO
Description: A tool for implementing national injection safety training program strategies. Includes sample handouts and job aids.		 For more information, contact:
John Snow, Inc./DELIVER Project
1616 N. Fort Myer Drive, 11th Floor
Arlington, VA 22209, USA
Tel: +1 703 528 7474
Fax: +1 703 528 7480
E-mail: deliver_pubs@jsi.com
Web site: www.jsi.com
Training and Supervision
Title: Comprehensive Family Planning and Reproductive Health Training Curriculum Module 6: DMPA Injectable Contraceptive
Organization: Pathfinder International
Description: An adaptable module to train providers in the safe provision of DMPA using simulations, case studies, role plays, and clinical practice.		 Available online:
http://www.pathfind.org/pf/pubs/module_6.pdf
To order print copies, contact:
Pathfinder International
9 Galen Street, Suite 217
Watertown, MA 02472, USA
Tel: +1 617 924 7200
Fax: +1 617 924 3833
E-mail: information@pathfind.org
Web site: www.pathfind.org
Title: Standards-Based Management and Recognition (SBM-R)—A Field Guide, Facilitator's Handbook, and CD-ROM
Organization: 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.		 For more information, contact:
JHPIEGO
1615 Thames Street
Baltimore, MD 21231, USA
Tel: + 1 410 537 1473
E-mail: orders@jhpiego.net
Web site: www.jhpiego.org
Title: A Guide for Supervising Injections
Organization: WHO
Description: A guide for supervisors to observe injection practices, provide feedback about safe and unsafe practices, and help resolve problems contributing to unsafe injections.		 Available online:
http://www.who.int/injection_safety/toolbox/en/InjectionSupervisionGuide.pdf
To order print copies, contact:
World Health Organization
Department of Essential Health Technologies
20 Avenue Appia
1211, Geneva 27, Switzerland
Tel: +41 22 791 4385
Fax: +41 22 791 4836
E-mail: eht@who.int
Web site: www.who.int/eht
Title: Training Health Workers in the Management of Sharps Waste
Organization: PATH
Description: A guide for training injection providers and waste handlers to manage sharps waste appropriately at the primary care level.		 Available online:
http://www.path.org/publications/pub-series.php?stk=Training%20Health%20
Workers%20in%20the%20Management%20of%20Sharps%20Waste
To order print copies, contact:
PATH
1455 NW Leary Way
Seattle, WA 98107, USA
Tel: +1 206 285 3500
Fax: +1 206 285 6619
E-mail: publications@path.org
Web site: www.path.org
Improving Efficiency
Title: CORE: A Tool for Cost and Revenue Analysis
Organization: Management Sciences for Health, Inc. (MSH)
Description: CORE helps managers analyze and compare a facility's current and projected costs and revenues.		 http://erc.msh.org/mainpage.cfm?file=5.10.htm&module=toolkit&language=English
For more information, contact:
Elizabeth Lewis
Management Sciences for Health, Inc.
748 Memorial Drive
Cambridge, MA 02139, USA
E-mail: core@msh.org
Web site: www.msh.org
Title: COPE Handbook: A Process for Improving Quality in Health Services and A Toolbook to Accompany the COPE Handbook
Organization: EngenderHealth
Description: The COPE self-assessment technique helps supervisors and staff asses the quality of services, identify problems, recommend solutions, and implement the recommendations.		 Available online:
http://www.engenderhealth.org/res/offc/qi/cope/handbook/index.html
To order print copies, contact:
EngenderHealth
New York, NY 10001, USA
Tel: +1 212 561 8000
Fax: +1 212 561 8067
E-mail: info@engenderhealth.org
Web site: www.engenderhealth.org
Title: Maternal and Reproductive Health Costing Model, Version 1.1 (Millennium Project Version)
Organization: UNFPA
Description: A tool to help program managers estimate the personnel, drug, and supply costs associated with providing injectables and other reproductive health services.		 Excel spreadsheets available online:
http://www.unmillenniumproject.org/policy/needs03.htm
For more information, contact:
Millennium Project
One United Nations Plaza
21st Floor, R. 2160
New York, NY 10017, USA
E-mail: Eva Weissman (weissman@unfpa.org) or
  Janneke Saltner (saltner@unfpa.org)
Title: International Drug Price Indicator Guide
Organization: MSH
Description: This guide provides prices from pharmaceutical suppliers and procurement agencies, international development organizations and government donor agencies.		 Available online:
http://erc.msh.org/mainpage.cfm?file=1.0.htm
&id=1&temptitle=Introduction&module=DMP&language=English
To order print copies, contact:
Management Sciences for Health, Inc.
748 Memorial Drive
Cambridge, MA 02139, USA
Web site: www.msh.org
Helping Clients Make an Informed Choice
Title: Decision-Making Tool for Family Planning Clients and Providers
Organization: WHO and the INFO Project,
Johns Hopkins Bloomberg School of Public
Health/Center for Communication Programs
Description: An evidence-based counseling resource for providers to help clients make informed choices about family planning.		 Available online:
http://www.infoforhealth.org/pubs/globalhandbook/
To order print copies, contact:
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
111 Market Place, Suite 310
Baltimore, MD 21202, USA
Tel: +1 410 659 6300
Fax: +1 410 659 6266
E-mail: orders@jhuccp.org
Web site: www.jhuccp.org
Title: Medical Eligibility Criteria for Contraceptive Use
Organization: WHO
Description: A guide for the safe use of 19 methods for women and men with known medical conditions.		 PDF available online. See Web Table 3 for URL.
To order print copies, contact:
Department of Reproductive Health and Research
World Health Organization
1211 Geneva 27, Switzerland
Tel:+ 41 22 791 3372
Fax: + 41 22 791 4189
E-mail: rhrpublications@who.int
Title: Family Planning: A Global Handbook for Providers (forthcoming)
Organization: WHO & INFO
Description: A guide for providing family planning methods, including counseling and managing side effects. Also covers prevention and identification of sexually transmitted infections, including HIV, and numerous health topics related to family planning.		 To order print copies, contact:
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
111 Market Place, Suite 310
Baltimore, MD 21202, USA
Tel: +1 410 659 6300
Fax: +1 410 659 6266
E-mail: orders@jhuccp.org
Web site: www.infoforhealth.org/pubs/globalhandbook/
Communicating About Injectables
Title: Media/Materials Clearinghouse (M/MC)
Organization: Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
Description: A resource for health communication materials from around the world, with over 200 items pertaining to injectables.		 For more information, contact:
Media/Materials Clearinghouse
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
111 Market Place, Suite 310
Baltimore, MD 21202, USA
Web site: www.m-mc.org/
Title: A Field Guide to Designing a Health Communication Strategy: A Resource For Health Communication Professionals
Organization: Johns Hopkins Bloomberg School of Public Health Center for Communication Programs
Description: A guide for developing behavior change communication efforts with clear goals, segmented audiences, participation from all stakeholders, and effective messages based on sound research and theory.		 Available online:
http://www.jhuccp.org/pubs/fg/02/
To order print copies, contact:
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
111 Market Place, Suite 310
Baltimore, MD 21202, USA
Tel: 410-659-6135
Fax: 410-659-6266
E-mail: webmaster@jhuccp.org


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Knowledge for Health Project, The Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs (CCP), Family Health International(FHI), Management Sciences for Health (MSH), With IT Support from Google.

Disclaimer: The information provided on this web site is not official U.S. Government information and does not represent the views or positions of the U.S. Agency for International Development, the U.S. Government or The Johns Hopkins University.