title: Home-based administration of Sayana® Press: review and assessment of needs in low-resource settings.
abstract: A new presentation of the subcutaneous (SC) injectable contraceptive depot medroxyprogesterone acetate (DMPA) increases the possibilities for home and self-administration of this popular contraceptive method. Sayana® Press is DMPA-SC in the prefilled Uniject™ injection system and consists of one dose that provides 3 months of contraceptive protection. Studies indicate that lay caregiver and self-injection of various medications, including other injectable presentations of DMPA-SC, are acceptable and effective. Introduction of Sayana® Press in developing countries could extend injectable contraceptive delivery safely and effectively beyond the clinic and, eventually, into the home, allowing lay caregiver or self-administration. Research needs for low-resource settings include assessing the acceptability and feasibility of self-injection with Sayana® Press. Feasibility studies necessary for implementing a sustainable home-based delivery program include assessment of training, health systems, policies, infrastructure needs and programmatic considerations to optimize women's ability to manage their self-injection schedule.
authors.affiliation: PATH, Seattle, WA 98121, USA.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Keith
authors.affiliation: PATH, Seattle, WA 98121, USA. Electronic address: swood@path.org.
authors.forename: Siri
authors.initials: S
authors.lastname: Wood
authors.affiliation: PATH, Seattle, WA 98121, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Tifft
authors.affiliation: PATH, Seattle, WA 98121, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Hutchings
mesh_terms: D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D003906:Developing Countries; D005260:Female; D006699:Home Care Services; D006801:Humans; D007279:Injections, Subcutaneous; D017258:Medroxyprogesterone Acetate / Q000008:administration & dosage*; D020380:Needs Assessment; D012646:Self Administration
chemical_list: D003271:Contraceptive Agents, Female; D017258:Medroxyprogesterone Acetate
keywords: Acceptability; Family planning; Feasibility; Injectable contraceptive; Sayana Press; Self-injection