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Drug Delivery: Parenteral Route01:29

Drug Delivery: Parenteral Route

The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
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Parenteral drug delivery systems play a crucial role in modern therapeutics by enabling the direct administration of drugs into the systemic circulation, bypassing the gastrointestinal tract. These systems are particularly valuable for poorly absorbed oral medications that are unstable in the digestive environment or require rapid onset or sustained therapeutic levels. Delivery is achieved through intravenous, intramuscular, or subcutaneous routes, each selected based on the drug's properties...
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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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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
PubMed
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.

Keywords:
Contraceptive Devices, FemaleHealth Services AccessibilityHealth Services Researchfamily planning serviceshormonal contraceptionlong-acting reversible contraception

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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.