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Adjusting Injectable Contraceptive Use for Months Since the Last Injection
1Frederick S. Pardee School of Global Studies, Boston University, 152 Bay State Road, Room G04C, Boston, MA, 02215, USA.
Studies in Family Planning
|February 4, 2024
Summary
Many women using injectable contraception in Malawi delay their next dose, potentially reducing pregnancy protection. Over 13% of users reported their last injection more than four months prior, indicating a need for better follow-up.
Area of Science:
- Public Health
- Reproductive Health
- Contraception
Background:
- Injectable contraceptives are widely used globally, especially in sub-Saharan Africa.
- Their extended duration offers user flexibility but carries a risk of delayed re-administration.
- Delayed injections can compromise contraceptive efficacy and increase pregnancy risk.
Purpose of the Study:
- To assess the timeliness of injectable contraceptive use in urban Malawi.
- To identify the proportion of women experiencing extended intervals between injections.
- To highlight potential gaps in effective contraceptive protection among users.
Main Methods:
- Conducted two field studies in urban Malawi.
- Collected self-reported data on injectable contraceptive use.
- Inquired about the time elapsed since the last injection.
Main Results:
- 13.8% of reported injectable users had their last injection over four months prior.
- 11% of reported injectable users had their last injection over six months prior.
- Significant proportion of women may have reduced or no pregnancy protection.
Conclusions:
- Reported injectable use in surveys may not reflect actual, effective method use.
- There is a critical need for enhanced follow-up mechanisms for injectable contraceptive users.
- Interventions are needed to ensure consistent and timely administration for sustained protection.
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