title: Scaling up depot medroxyprogesterone acetate (DMPA): a systematic literature review illustrating the AIDED model.
abstract: BACKGROUND
  Use of depot medroxyprogesterone acetate (DMPA), often known by the brand name Depo-Provera, has increased globally, particularly in multiple low- and middle-income countries (LMICs). As a reproductive health technology that has scaled up in diverse contexts, DMPA is an exemplar product innovation with which to illustrate the utility of the AIDED model for scaling up family health innovations.
  
  
  METHODS
  We conducted a systematic review of the enabling factors and barriers to scaling up DMPA use in LMICs. We searched 11 electronic databases for academic literature published through January 2013 (n = 284 articles), and grey literature from major health organizations. We applied exclusion criteria to identify relevant articles from peer-reviewed (n = 10) and grey literature (n = 9), extracting data on scale up of DMPA in 13 countries. We then mapped the resulting factors to the five AIDED model components: ASSESS, INNOVATE, DEVELOP, ENGAGE, and DEVOLVE.
  
  
  RESULTS
  The final sample of sources included studies representing variation in geographies and methodologies. We identified 15 enabling factors and 10 barriers to dissemination, diffusion, scale up, and/or sustainability of DMPA use. The greatest number of factors were mapped to the ASSESS, DEVELOP, and ENGAGE components.
  
  
  CONCLUSIONS
  Findings offer early empirical support for the AIDED model, and provide insights into scale up of DMPA that may be relevant for other family planning product innovations.
authors.affiliation: Yale School of Public Health, New Haven, CT 06520-8034, USA. leslie.curry@yale.edu
authors.forename: Leslie
authors.initials: L
authors.lastname: Curry
authors.forename: Lauren
authors.initials: L
authors.lastname: Taylor
authors.forename: Sarah Wood
authors.initials: SW
authors.lastname: Pallas
authors.forename: Emily
authors.initials: E
authors.lastname: Cherlin
authors.forename: Rafael
authors.initials: R
authors.lastname: Pérez-Escamilla
authors.forename: Elizabeth H
authors.initials: EH
authors.lastname: Bradley
mesh_terms: D003271:Contraceptive Agents, Female / Q000008:administration & dosage / Q000627:therapeutic use*; D003692:Delayed-Action Preparations; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D017258:Medroxyprogesterone Acetate / Q000008:administration & dosage / Q000627:therapeutic use*; D008962:Models, Theoretical; D034121:Reproductive Health Services / Q000639:trends*
chemical_list: D003271:Contraceptive Agents, Female; D003692:Delayed-Action Preparations; D017258:Medroxyprogesterone Acetate
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