142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Expanding Access to long acting Family Planning Services in a Government Tertiary Health Facility through Provision of Injectable Contraception

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Noor Afshan Sabzposh, MPH (SUNY Downstate, NY, USA) , Department of Obstetrics & Gynecology, J N Medical College, Aligarh, India
Prabhat Jha, M. Phil, JNU, New Delhi, INDIA , Urban Health Initiative, Urban Health Initiative, Aligarh, INDIA, Aligarh, India
Umam Farooq, MSW , Urban Health, UHI, Aligarh, India
Sanjeeda Noor, MBBS, JN Medical College , Urban Health Initiative, UHI, Aligarh, India
Ipsha Singh, MSW , UHI, UHI, Aligarh, India
Imam Bano, MBBS, MD (Ob & Gyn) , Dept of Obstetrics and Gynecology, J N Medical College, Aligarh, India
Zakia Arshad, MBBS, MS (OB & GYN) , FHI360, Urban Health Initiative, Aligarh, India
Introduction:National Family Health Survey-III (2005-06) reveals that one in five births are either mistimed or unwanted resulting from inadequate or incorrect contraceptive use. There is need to expand the basket of choice in Family Planning which ensures more privacy to women. A government Tertiary Facility, JN Medical College, took initiative and expanded the basket of long acting family planning methods with the injectable contraceptive depot-medroxy progesterone acetate (DMPA).   This method is increasing being one of the preferred choices among urban slum women. The increase in number of private provider providing DMPA has increased its accessibility and uptake by women.

Methodology: The Government Tertiary Health facility planned and showed willingness to add Provision of injectable contraception to be provided to clients. This was supported by availability of social marketed Injectable contraception & counselling at facility & community level.

Results: The number of client accepting this method acceptor of this method has increased from 88 in 2010 to 383 in 2013. Because of the confidence of Medical College, the other medical private medical practitioners are providing services and DMPA users increased from 276 in 2010 to 1684 in 2013.

Conclusion: The study finds that Injectable contraceptive has significant acceptability among the women of Urban Slums. It appears that injectable contraceptive have an important place among family planning methods. With increased accessibility and acceptance at the Government level, counseling at facility and community level and follow up of the clients, Injectable contraceptive has the potential to emerge an important family planning method.

Learning Areas:

Administration, management, leadership
Advocacy for health and health education
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public

Learning Objectives:
Demonstrate expansion of basket of family Planning choice and adoption of injectable contraception by government tertiary health facility helped in better access of Family planning options including injectable Contraception

Keyword(s): Accessibility, Decision-Making

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was Chairman of Dept. Ob & Gyn, JN Medical College in 2010, when injectable contraceptive was introduced in Medical College. Also, have worked on this issue as FOGSI member & involved in doing advocacy to make injectable contraceptive available & accessible to clients with Private sector. I have keen interest on this issue and this method is emerging as a popular Family Planning Choice. I continue to be Professor @ JNMC.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.