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. 2018 Mar 21;6(1):55–72. doi: 10.9745/GHSP-D-17-00250

TABLE 2.

Global Monitoring Indicators for Pilot Introduction of DMPA-SC

Global Monitoring Indicator Purpose
Number of DMPA-SC doses administered to clients
  • Documents the number of DMPA-SC doses administered to clients, independent from other injectable products

  • Provides the denominator for indicators on new users, switching from DMPA-IM, and switching from other modern methods

Number and percentage of DMPA-SC doses administered to first-time users of modern contraception (“new users”)a
  • Indicates the total number of new users of modern contraception reached with DMPA-SC and the share of total DMPA-SC doses administered to first-time users, by health system level where relevant

  • Helps determine the extent to which the product is reaching new users, as opposed to users who had previously used another modern method

  • The denominator for the percentage indicator is the number of DMPA-SC doses administered to clients

Number and percentage of DMPA-SC doses administered to clients under age 20, to those ages 20 to 24, and those ages 25 and older (Niger, Senegal, and Uganda only)
  • Documents the extent to which providers administer DMPA-SC doses to adolescent girls and young women

  • May indicate whether DMPA-SC is an attractive method choice for adolescents and younger women

  • May highlight areas where additional training on provision of family planning methods (and/or injectables) to youth could be needed

  • The denominator for the percentage indicator is the sum of doses administered to clients in each age category

Number and percentage of DMPA-SC doses administered to clients who switched from DMPA-IM (Burkina Faso, Senegal, and Uganda only)
  • Documents the number and proportion of DMPA-SC doses administered to clients switching from DMPA-IM, in order to track an early concern of stakeholders that DMPA-SC—a more expensive product at the time—would potentially replace DMPA-IM

  • May indicate whether women and/or providers prefer DMPA-SC to DMPA-IM

  • May indicate the need to follow up with providers during supervision to ensure DMPA-SC is not promoted as a replacement for DMPA-IM

  • The denominator for the percentage indicator is the number of DMPA-SC doses administered to clients

Number and percentage of DMPA-SC doses administered to clients who switched from modern methods other than DMPA-IM (Burkina Faso and Senegal only)
  • Documents the number of DMPA-SC doses administered to clients switching from modern methods other than DMPA-IM

  • The denominator for the percentage indicator is the number of DMPA-SC doses administered to clients

Number of DMPA-IM doses administered to clients
  • Documents the volume of DMPA-IM doses administered to clients, independent from other injectable products

  • Provides input for the numerator and denominator for the indicator on relative proportions of DMPA-SC and DMPA-IM administered, by level

Relative proportions of DMPA-SC and DMPA-IM administered, by level (where both methods are available)
  • Documents the relative share of the market comprised of DMPA-SC and of DMPA-IM, by level, where providers offer both methods; may indicate the preference of women and/or providers for each method, though factors such as provider skill level and potential bias should also be considered

  • Numerators include the number of doses of DMPA-SC and DMPA-IM administered to clients; the denominator is the sum of the number of doses of DMPA-SC and DMPA-IM administered to clients

Number and percentage of facilities with a stock-out of DMPA-SC
  • Documents the extent of DMPA-SC stock-outs and contextualizes trends in DMPA-SC consumption and in the overall method mix

  • Helps identify locations where the distribution system and/orfacility stock management practices may require reinforcement

  • The denominator for the percentage indicator is the number of facilities active in the provision of DMPA-SC that reported during the same period

Number of facilities active in the provision of DMPA-SC that reported this period
  • Documents the number of facilities that reported on DMPA-SC in a given period

  • Provides input on data completeness

  • Provides the denominator for the percentage of facilities with a stock-out of DMPA-SC

Abbreviation: DMPA-SC, subcutaneous depot medroxyprogesterone acetate.

a

A first-time user of modern contraception—also referred to as “new user”—is defined as a client who has elected to use a modern method of contraception for the first time in her life.