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Digital training for self-injectable contraceptives: a feasibility and acceptability pilot study.
Rhiana Mills1, Rapha Krong2, Fiona Kithinji2
1Research and Evaluation, SH:24 CIC, London, UK rhiana@sh24.org.uk.
BMJ Sexual & Reproductive Health
|August 19, 2024
Summary
Digital training for self-injectable contraceptives via WhatsApp video calls proved feasible and acceptable for participants in Kenya. This innovative approach overcomes barriers to accessing essential reproductive health services.
Area of Science:
- Reproductive Health
- Digital Health Interventions
- Contraceptive Technology
Background:
- Self-injectable contraceptives, like depot medroxyprogesterone acetate, offer convenience but require initial in-person training.
- This training can be a barrier to adoption, limiting access to essential reproductive health services.
- Digital training offers a potential solution to overcome geographical and logistical challenges.
Purpose of the Study:
- To assess the feasibility and acceptability of digital self-injection training for contraceptives.
- To explore the effectiveness of remote training methods for self-administration of injectable contraceptives.
Main Methods:
- A pilot study in Kenya involved 11 participants currently using injectable contraceptives.
- Training was delivered remotely by a clinician via WhatsApp video call, including simulated and supervised self-injections.
- Participant proficiency was assessed using a checklist, and feedback was gathered via questionnaires and observation.
Main Results:
- All participants achieved proficiency in self-injection after digital training.
- The remote training method was reported as acceptable by participants.
- Lack of quality digital devices was identified as a barrier to training.
Conclusions:
- Remote training via WhatsApp video calls is a feasible and acceptable method for teaching self-injection of contraceptives.
- Lessons learned provide practical insights for digital skill-based health communication.
- Further research is recommended to evaluate the efficacy and broader applicability of digital self-injection training.
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