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Webinar Waktu membaca: 3 minit

Melaksanakan Suntikan Sendiri DMPA-SC Semasa COVID-19 di Empat Negara Francophone

On December 21, 2020, Jhpiego, the IBP Network, and the Ouagadougou Partnership hosted a webinar on high-impact approaches to support the introduction and scale-up of the self-injectable contraceptive, depot-medroxyprogesterone acetate-subcutaneous (DMPA-SC; brand name Sayana Press), in Francophone family planning programs in West Africa. During the session, representatives from Burkina Faso, Guinea, Mali, and Togo shared their experiences—from strategies to results, as well as challenges, lessons learned, and recommendations. These country initiatives were implemented as part of Jhpiego’s regional project Accelerating Access to the DMPA-SC with support from theCatalytic Opportunities Fund,” an initiative managed by the CHAI Foundation.

Did you miss the webinar? Read our recap below or watch the recording dan download the presentation slides.

Pour lire l’article en français, cliquez ici.

Présentateurs : Aguiebina Ouedraogo, Dr Siré Camara, Yalkouyé Haoua Guindo et Dr Madéleine TCHANDANA
Présentateurs : Aguiebina Ouedraogo, Dr Siré Camara, Yalkouyé Haoua Guindo et Dr Madéleine TCHANDANA

High Impact Self-Injection Strategies

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:

  1. Advocacy for the creation of an enabling environment to introduce DMPA-SC, including self-injection
  2. Developing training kits, management tools and other materials, such as training guides, provider reference manuals, checklists, posters, client instructions, and calendars
  3. Providing health sites with contraceptive products, including DMPA-SC
  4. Training healthcare providers on the self-injection technique
  5. Providing guidance to pharmacy vendors
  6. Building virtual and face-to-face skills of public and private health facility providers
  7. Connecting private clinics/NGOs with municipal health departments
  8. Post-training follow-up and supervision
  9. Monitoring and evaluation of family planning data

What Were the Results?

Lessons Learned

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, alatan, 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’ guides, reference manuals, and data management tools.

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.

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

Conclusion: Two Approaches, Four Countries

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.

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.

Kredit Foto: Joshua Yospyn / JSI, ihsan flickr
Aïssatou Thioye

Pegawai Pengurusan Pengetahuan dan Perkongsian Afrika Barat, Ilmu BERJAYA, FHI 360

Aïssatou Thioye berada dalam bahagian penggunaan penyelidikan, dalam GHPN FHI360 dan bekerja untuk projek Knowledge SUCCESS sebagai Pengurus Pengetahuan dan Perkongsian untuk Afrika Barat. Dalam peranannya, ia menyokong pengukuhan pengurusan pengetahuan di rantau ini, menetapkan keutamaan dan mereka bentuk strategi pengurusan pengetahuan untuk kumpulan kerja teknikal FP/RH dan rakan kongsi di Afrika Barat. Dia juga berhubung dengan rakan kongsi dan rangkaian serantau.. Dari pengalaman beliau, Aïssatou telah bekerja lebih daripada 10 tahun sebagai wartawan akhbar, editor-perunding selama dua tahun, sebelum menyertai JSI di mana beliau bekerja dalam dua projek Pertanian dan Pemakanan, berturut-turut sebagai pegawai media massa kemudian pakar dalam Pengurusan Pengetahuan.******Aïssatou Thioye berada di Bahagian Penggunaan Penyelidikan GHPN FHI 360 dan bekerja untuk projek Knowledge SUCCESS sebagai Pegawai Pengurusan Pengetahuan dan Perkongsian untuk Afrika Barat. Dalam peranannya, beliau menyokong pengukuhan pengurusan pengetahuan di rantau ini, menetapkan keutamaan dan mereka bentuk strategi pengurusan pengetahuan di kumpulan kerja teknikal dan rakan kongsi FP/RH di Afrika Barat. Dia juga berhubung dengan rakan kongsi dan rangkaian serantau. Berhubung dengan pengalamannya, Aïssatou bekerja lebih daripada 10 tahun sebagai wartawan akhbar, kemudian sebagai editor-perunding selama dua tahun, sebelum menyertai JSI di mana beliau mengusahakan dua projek Pertanian dan Pemakanan, berturut-turut sebagai pegawai media massa dan kemudian sebagai pakar Pengurusan Pengetahuan.

Natalie Apcar

Pegawai Program, KM & Communications, Ilmu BERJAYA

Natalie Apcar is a Program Officer at the Johns Hopkins Center for Communication Programs, supporting knowledge management partnership activities, penciptaan kandungan, and communications for Knowledge SUCCESS. Natalie has worked for a variety of nonprofits and built a background in planning, pelaksanaan, and monitoring of public health programming, including gender integration. Other interests include youth and community-led development, which she got the chance to engage in as US Peace Corps Volunteer in Morocco. Natalie earned a Bachelor of Arts in International Studies from American University and a Master of Science in Gender, Development, and Globalization from the London School of Economics and Political Science.

Sophie Weiner

Pegawai Program, Pusat Johns Hopkins untuk Program Komunikasi

Sophie Weiner ialah Pegawai Program Pengurusan Pengetahuan dan Komunikasi di Pusat Program Komunikasi Johns Hopkins di mana beliau berdedikasi untuk membangunkan kandungan cetak dan digital, menyelaras acara projek, dan mengukuhkan kapasiti untuk bercerita dalam Francophone Afrika. Minatnya termasuk perancangan keluarga/kesihatan reproduktif, perubahan sosial dan tingkah laku, dan persimpangan antara populasi, kesihatan, dan persekitaran. Sophie memegang ijazah B.A. dalam Bahasa Perancis/Perhubungan Antarabangsa dari Universiti Bucknell, seorang M.A. dalam bahasa Perancis dari Universiti New York, dan ijazah sarjana dalam Terjemahan Sastera daripada Sorbonne Nouvelle.

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