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Understanding systemic barriers (and opportunities) to increasing uptake of DMPA-SC self-injection in health facilities in Nigeria.

Several health facilities record an increasing trend on key performance indicators following state and partner led health interventions whereas others persistently perform sub-optimally. Insights indicate that this disparity is attributable to provider knowledge, attitude and skill, availability of commodity as well as other systemic issues.

The Delivering Innovations in Self Care (DISC) collaborated with partners to implement interventions in over 500 health facilities across 15 states. Project strategy evolved with time, beginning with demand creation, and later iterating to include service delivery interventions. A key component of the project intervention is the Moment of Truth’ innovation which is a proven training model focused on the improving consumer/provider interaction that leads to an increase in the voluntary conversion rate to self-injection among women who opt for injectable contraception.

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