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Progestin-Only Injectable Contraceptives

Progestin-Only Injectable Contraceptives. Session II: Who Can and Cannot Use Progestin-Only Injectables. Almost all women can use progestin-only injectables safely, including women who: Have or have not had children Cannot do or do not want to use other methods

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Progestin-Only Injectable Contraceptives

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  1. Progestin-Only Injectable Contraceptives Session II: Who Can and Cannot Use Progestin-Only Injectables

  2. Almost all women can use progestin-only injectables safely, including women who: Have or have not had children Cannot do or do not want to use other methods Are breastfeeding a baby who is at least 6 weeks old (WHO/MEC) Smoke (regardless of age or number of cigarettes) Have an STI, HIV or AIDS Just had a miscarriage or abortion Are taking medicines, including ARVs to treat AIDS Most health conditions do not affect safe and effective use of injectables Progestin-Only Injectables Are Safe For Most Women Source: CCP and WHO, 2011

  3. I cannot eat sweets. Hmm… that is high. Who Should Not Use Injectables (part 1) Has diabetes Has breast cancer Has serious liver disease Has very high blood pressure Had a heart attack or stroke or has blood clots Source: WHO, 2010.

  4. Who Should Not Use Injectables (part 2) Has systemic lupus Has abnormal vaginal bleeding Is pregnant My period is late… Is breastfeeding a baby less than six weeks old (WHO/MEC) Thinks she may be pregnant Source: WHO, 2010.

  5. Medical Eligibility Criteria What are medical eligibility criteria? Define the categories. Review the job aid.

  6. WHO’s Medical Eligibility Criteria Categories for IUDs, Hormonal and Barrier Methods Source: WHO, 2010.

  7. WHO’s Medical Eligibility Criteria Categories for IUDs, Hormonal and Barrier Methods Source: WHO, 2010.

  8. Category 1 Examples (not inclusive): Who Can UseDMPA or NET-EN Source: WHO, 2010.

  9. Category 2 Examples (not inclusive): Who Can UseDMPA or NET-EN Source: WHO, 2010.

  10. Category 3 and 4 Examples (not inclusive):Who Should Not UseDMPA and NET-EN Source: WHO, 2010.

  11. Injectables Use by Women with HIV and AIDS Women with HIV or AIDS can use without restrictions Injectable dose provides wide margin of effectiveness Return for injections on time if on any type of ARV treatment Encourage dual method use Source: WHO, 2010; Nanda, 2008; Cohn, 2007

  12. Injectables Use by Postpartum Women Non-breastfeeding women can initiate immediately postpartum Breastfeeding women Generally should not use injectables before 6 weeks postpartum No restrictions after 6 weeks postpartum Source: WHO, 2010.

  13. Understanding the Injectables Checklist Read questions 1–9 in the checklist and match them with the conditions and categories on the MEC quick reference chart. This set of questions identifies women who should not use injectables. This set of questions identifies women who are not pregnant. The checklist also gives instructions about initiating injectables.

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