Pre-injection preparation Administering the

Injectable Contraceptive (MPA):

Ensure proper counseling
Clean site of
1 injection with 2 Allow
to dry
antiseptic

Check vial for expiry date antiseptic

Aspirate first to
Shake well to dissolve
micro-crystals 3 deep
Insert sterile needle
into chosen 4 ensure needle is

If vial is cold, rub between palms

site of injection not in a vein
Injectable Contraceptive (MPA)
to achieve room temperature
Inject the contents
a new method of contraception for women
5 Wash hands with soap and 5 offullythe syringe
water

Ensure no air is pushed in syringe

6 while withdrawing solution

Information for Providers

Post-injection care: Follow-up care by provider:
Do not massage injection site Periodic home visits by ASHA
Do not give hot fomentation on injection site
Telephonic follow-up care by counselor/
Ask client to remain in the facility for 5-10 minutes provider
after receiving injection
Provide MPA card with due date of injection
to the client and maintain counterfoil at facility

Do not refrigerate Injectable Contraceptive

Always store in room temperature (15-30 degree centigrade)

MPA card :
There are two sections in MPA card:

Facility section: Client section:

To record client details and Reference for next date
update next date of injection of injection and other
instructions for client

Family Planning Division

Ministry of Health and Family Welfare
Government of India

Developed with support from National Technical Support Unit (NTSU), FP Division, MoHFW
 It is a reversible method of contraception
with no effect on fertility
What is Injectable Contraceptive (MPA)? How does Injectable Contraceptive
Who can opt for it? (MPA) work? Each injection gives protection for
It is an effective and safe
Injectable (MPA) is an intramuscular hormonal Ÿ It prevents monthly ovulation 90 days (i.e. 3 months). Ensures
option for breast-feeding
contraceptive method for women that provides Ÿ Thickens cervical mucus thus blocking clients’ privacy
women (after 6 weeks of
3 months’ protection with a single dose. sperms and confidentiality
delivery)
Ÿ Thins endometrium making
It is a safe and suitable method for nearly all women, implantation of egg difficult
including those who are unmarried and have no children.

When can one opt for Injectable
Contraceptive (MPA)?
Injectable contraceptive can be opted at any time
after proper screening.
The first dose can be taken:
Ÿ Anytime after regular menstruation; Or
Ÿ After 6 weeks of delivery; Or
Ÿ Immediately after abortion
Key considerations
to be shared with client
prior to administering
Injectable Contraceptive
(MPA):
Injectable contraceptive should
not be given to a woman with:
What if a client misses her dose It can easily be administered in
as per due date? the arm, thighs
or buttocks It reduces menstrual cramps and
Injectable contraceptive can be given:
improves anemia by
Ÿ Upto 2 weeks prior to assigned date of
reducing blood loss
dose; Or
Ÿ Upto 4 weeks post the assigned date
If the due date exceeds by 4 weeks, a dose
can be given immediately (after ruling out
pregnancy), along with a backup method
(condom) to be used for the next 7 days. It is a safe method for
It is a good most women, including
option for women who want those with HIV/AIDS
to delay childbearing for the
first and subsequent births
Menstrual irregularities: Light /
heavy bleeding or amenorrhoea
Why Injectable
Contraceptive is
Slight weight gain
the right choice
for you
No protection against HIV/STDs
Slight loss in BMD during
first 2 years of use
Counseling is a key component for acceptance and continuation of
Injectable Contraceptives (MPA)
Misconceptions about Injectable Contraceptives (MPA):

ng o ng o ng
Unexplained vaginal Wr
o
Wr Wr
bleeding It leads to It cannot be It may cause
infertility in women used by adolescent abortion or birth
women defects Client needs to be
Stroke or severe
diabetes counseled on
Delay in return
Breast cancer to fertility
(past / present)
(7-10 months
Next date of from last injection)
Active hepatitis
ong ong ong injection
or liver tumor Wr Wr Wr Possible
It leads to It may cause It leads to changes in Need for timely
Desire for rapid return changes in blood cancer (breast / cervix / fracture
to fertility
menstruation cycle and regular
pressure & blood endometrium / liver)
coagulation (prolonged/excessive Slight changes dose every
bleeding / in weight or 3 months
amenorrhea) mood swings