{"id":5413,"date":"2021-03-30T18:50:12","date_gmt":"2021-03-30T18:50:12","guid":{"rendered":""},"modified":"2026-04-28T12:45:29","modified_gmt":"2026-04-28T12:45:29","slug":"implementing-dmpa-sc-self-injection-during-covid-19-in-four-francophone-countries","status":"publish","type":"post","link":"https:\/\/kmtraining.org\/fr\/implementing-dmpa-sc-self-injection-during-covid-19-in-four-francophone-countries\/","title":{"rendered":"Implementing DMPA-SC Self-Injection During COVID-19 in Four Francophone Countries"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div class=\"vc_row wpb_row vc_row-fluid\" ><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_center wpb_content_element\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper  \"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/kmtraining.org\/wp-content\/uploads\/2023\/09\/young-girl-1176165_1920-1024x768.jpg\" class=\"vc_single_image-img attachment-large\" alt=\"\" title=\"young-girl-1176165_1920\" srcset=\"https:\/\/kmtraining.org\/wp-content\/uploads\/2023\/09\/young-girl-1176165_1920-1024x768.jpg 1024w, https:\/\/kmtraining.org\/wp-content\/uploads\/2023\/09\/young-girl-1176165_1920-300x225.jpg 300w, https:\/\/kmtraining.org\/wp-content\/uploads\/2023\/09\/young-girl-1176165_1920-768x576.jpg 768w, https:\/\/kmtraining.org\/wp-content\/uploads\/2023\/09\/young-girl-1176165_1920-1536x1152.jpg 1536w, https:\/\/kmtraining.org\/wp-content\/uploads\/2023\/09\/young-girl-1176165_1920-16x12.jpg 16w, https:\/\/kmtraining.org\/wp-content\/uploads\/2023\/09\/young-girl-1176165_1920.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/div>\n\t\t<\/figure>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3><strong>High Impact Self-Injection Strategies<\/strong><\/h3>\n<p>The speakers shared their experiences in what strategies their projects used to introduce and scale-up the use of DMPA-SC in key districts in their respective countries at the rural and urban levels. These strategies focused on building the capacity of healthcare providers and other key actors in the public and private systems. More specifically, these strategies included:<\/p>\n<ol>\n<li><strong>Advocacy for the creation of an enabling environment<\/strong> to introduce DMPA-SC, including self-injection<\/li>\n<li><strong>Developing training kits, management tools and other materials<\/strong>, such as training guides, provider reference manuals, checklists, posters, client instructions, and calendars<\/li>\n<li><strong>Providing health sites with contraceptive products<\/strong>, including DMPA-SC<\/li>\n<li><strong>Training healthcare providers<\/strong> on the self-injection technique<\/li>\n<li><strong>Providing guidance to pharmacy vendors<\/strong><\/li>\n<li><strong>Building virtual and face-to-face skills<\/strong> of public and private health facility providers<\/li>\n<li><strong>Connecting private clinics\/NGOs<\/strong> with municipal health departments<\/li>\n<li><strong>Post-training follow-up <\/strong>and supervision<\/li>\n<li><strong>Monitoring and evaluation<\/strong> of family planning data<\/li>\n<\/ol>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 20px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3><strong>What Were the Results?<\/strong><\/h3>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_raw_code wpb_raw_html wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div style='position: relative;width: auto;padding: 0 0 56.25%;height: 0;top: 0;left: 0;bottom: 0;right: 0;margin: 0;border: 0 none' id=\"experience-6050c272371c0\" data-aspectRatio=\"1.77777778\" data-mobile-aspectRatio=\"0.29189189\"><iframe allowfullscreen src='\/\/view.ceros.com\/johns-hopkins-ccp\/self-injection-in-fwa-results-1?mobileHeightOverride=1850' style='position: absolute;top: 0;left: 0;bottom: 0;right: 0;margin: 0;padding: 0;border: 0 none;height: 1px;width: 1px;min-height: 100%;min-width: 100%' frameborder='0' class='ceros-experience' title='Self-injection in FWA: Results [English]' scrolling='no'><\/iframe><\/div><script type=\"text\/javascript\" src=\"\/\/view.ceros.com\/scroll-proxy.min.js\" data-ceros-origin-domains=\"view.ceros.com\"><\/script>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 20px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3>Lessons Learned<\/h3>\n<p>All four countries agreed that success would not have been possible without the flexibility and willingness to shift in response to the COVID-19 pandemic. Adapting the trainings to a virtual format, implementing post-training follow-up from a distance, and creating WhatsApp groups were effective alternatives for building capacity and fostering learning exchange among providers offering DMPA-SC. Before each virtual training in Guinea, organizers distributed documents, tools, and materials to facilitate the training. Dr. Tchandana noted that Togo took learnings from the Rapid Response Mechanism (RRM) project of FP2020. This approach focuses on providing close assistance to providers for self-injection introduction. Communication materials, especially videos, also made trainings successful, as representatives from the Burkina and Guinea ministries of health agreed. Other examples include materials such as trainers\u2019 guides, reference manuals, and data management tools.<\/p>\n<p>Representatives from Guinea, Mali, and Burkina discussed the importance of advocacy to create an enabling environment for the introduction of DMPA-SC in the countries. This included creating an enabling environment both at the government level to ensure the availability of guidance and leadership, and with clients to generate demand for self-injection. In Burkina, one lesson learned was to consider provider motivation in client recruitment. Mali continues to advocate for free DMPA-SC services.<\/p>\n<p>Equally important in terms of relationship management, Guinea found, was the relationship between private clinics and the district health management teams to facilitate data reporting. Similarly, based on the Mali experience, Ms. Yalcouye emphasized the importance of ensuring the availability of data input tools and management support in public and private facilities. For all four countries, it was clear that training and supervision on data entry and use of data for decision making contributed to the success of the projects<\/p>\n<h3>Conclusion: Two Approaches, Four Countries<\/h3>\n<p>As webinar moderator Rodrigue Ngouana noted, Guinea and Mali introduced DMPA-SC\/self-injection at the urban level with the idea that the city would influence other regions of the country and foster an environment conducive to future expansion of the method. The Burkina and Togo approach focused on scale-up of self-injectables to different regions to allow for a wider choice of contraceptive methods. With the changing climate of COVID-19, all four countries had to adapt their implementation approaches, including training and knowledge sharing from a distance rather than in-person. These adaptations, and remarkable results, show that the CHAI projects have helped build capacity for the implementation of DMPA-SC\/self-injection in the countries.<\/p>\n<p>As programs plan and implement self-injectable contraception scale-up, it is important to note the experiences, lessons learned, and recommendations from these four countries.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\" ><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Did you miss this webinar? Watch the <a href=\"https:\/\/www.gotostage.com\/channel\/965084607443925509\/recording\/a81a6c95f6074704abcf3e7124ed8046\/watch?source=CHANNEL\" target=\"_blank\" rel=\"noopener\">recording<\/a> and <a href=\"https:\/\/drive.google.com\/file\/d\/1dWoUn_HzMbgoHkorUW2vAoQZzKxS2f4V\/view\" target=\"_blank\" rel=\"noopener\">download the presentation slides<\/a>.<\/p>\n<p><a href=\"\/2021\/03\/10\/experiences-de-mise-en-oeuvre-de-lauto-injection-du-dmpa-sc-pendant-covid-19-dans-quatre-pays-francophones\/\" target=\"_blank\" rel=\"noopener\">Pour lire l\u2019article en fran\u00e7ais, cliquez ici<\/a>.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Recap of a webinar on high-impact approaches to support the introduction and scale-up of the self-injectable contraceptive DMPA-SC in Francophone family planning programs in Burkina Faso, Guinea, Mali, and Togo.<\/p>","protected":false},"author":12,"featured_media":5380,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[260,99,79,146,61,304,149,295,65,87,77,268,196],"tags":[67,296,102,81,152,305,297,153,298,155,98,299,199],"class_list":["post-5413","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-burkina-faso","category-content-partner","category-contraceptive-methods","category-covid-19","category-fp-rh","category-guinea","category-jhpiego","category-mali","category-policy-and-advocacy","category-self-care","category-service-delivery","category-togo","category-west-africa","tag-advocacy","tag-burkina-faso","tag-contraceptive-access","tag-contraceptive-methods","tag-covid-19","tag-francophone-africa","tag-guinea","tag-injectables","tag-mali","tag-self-injection","tag-service-delivery","tag-togo","tag-west-africa"],"yoast_head":"<!-- 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