Progestin-Only Injectable Contraceptives: Training Schedule

Illustrative Training Schedule

Total Time: Approximately 10 hours of instruction time

DAY 1
Time / Topic / Method / Resources
8:00-8:15am / Welcome, Introductionand Objectives (15) / Discussion / Basic Slide Set: Session I, Slides 2-3
8:15-8:45am / Pre-test (30) / Test / Evaluation Tool: The Progestin-Only Injectables Pre-Test
8:45-10:45am / Session I: Characteristics of Progestin-Only Injectables(2 hours)
What are Progestin-Only Injectables? Key Points for Providers and Clients (5) / Lecturette / Basic Slide Set: Session I, Slides 4-5
Types of Progestin-Only Injectables (5) / Discussion / Basic Slide Set: Session I, Slide 6
Effectiveness (10) / Discussion / Basic Slide Set: Session I, Slide 7 and Optional Advanced Slide 2
Relative Effectiveness (5) / Lecturette / Basic Slide Set: Session I, Slide 8
Method Effectiveness (20) / Role Play / Handouts #1 and #2
Explaining How Injectables Work (5) / Lecturette / Basic Slide Set: Session I, Slide 9
Characteristics of Progestin-Only Injectables (10) / Brainstorming / Basic Slide Set: Session I, Slide 10
Health Benefits (5) / Lecturette / Basic Slide Set: Session I, Slide 11
Injectables and the Risk of Breast Cancer (5) / Lecturette / Basic Slide Set: Session I, Slide 12
Effect of DMPA on Bone Density (10) / Lecturette / Basic Slide Set: Session I, Slide 13
Infant Exposure to DMPA/NET-EN During Breastfeeding (10) / Lecturette / Basic Slide Set: Session I, Slide 14
Return to Fertility (10) / Lecturette / Basic Slide Set: Session I, Slide 15
Side Effects (10) / Lecturette / Basic Slide Set: Session I, Slide 16
and Optional Advanced Slides 3-4
Progestin-Only Injectables Fact Sheet (10) / Brainstorming / Basic Slide Set: Session I, Slide 17and Handout #3
10:45-11:00am / Tea Break

Page 1 of 4

Progestin-Only Injectable Contraceptives: Training Schedule

DAY 1, continued
Time / Topic / Method / Resources
11:00am-12:45pm / Session II: Who Can and Cannot Use Progestin-Only Injectables (1 hour, 40 mins)
Progestin-Only Injectables Are Safe for Most Women (10) / Lecturette / Basic Slide Set: Session II, Slide 2
Who Should Not Use Progestin-Only Injectables (10) / Lecturette / Basic Slide Set: Session I, Slides 3-4
Medical Eligibility Criteria (MEC); Categories 1-4 (25) / Brainstorming / Basic Slide Set: Session II, Slides
5-10 and Handouts #4-5
Injectables Use by Women with HIV and AIDS (5) / Lecturette / Basic Slide Set: Session II, Slide 11
Injectables Use by Postpartum Women (5) / Lecturette / Basic Slide Set: Session II, Slide 12
Understanding the Injectables Checklist (15) / Experiential Learning Exercise / Basic Slide Set: Session II, Slide 13
and Handouts #5-6
Progestin-Only Injectables Eligibility Checklist (1) (10) / Brainstorming / Handouts #5-6
Progestin-Only Injectables Eligibility Checklist (2) (10) / Brainstorming / Handouts #5-6
Progestin-Only Injectables Eligibility Checklist (3) (10) / Brainstorming / Handouts #5-6
12:45-1:45pm / Lunch
1:15-2:45pm / Session III: Providing Progestin-Only Injectables (4 hrs)
When A Woman Can Start Injectables (10) / Lecturette / Basic Slide Set: Session I, Slides 2-3
Describing Side Effects (10) / Lecturette / Basic Slide Set: Session III, Slide 4
Getting Your Injection
(10) / Lecturette / Basic Slide Set: Session III, Slide 5
Post-Injection Messages
(10) / Lecturette / Basic Slide Set: Session III, Slide 6
Counseling Reduces Discontinuation (10) / Lecturette / Basic Slide Set: Session III, Slide 7
Correcting Rumors and Misunderstandings (20) / Brainstorming / Basic Slide Set: Session III, Slide 8
Bleeding Changes (10) / Lecturette / Basic Slide Set: Session I, Slides 9-10 and Handout #7
2:45-3:00pm / Tea Break
3:00-4:00pm / Other Side Effects (10) / Lecturette / Basic Slide Set: Session III, Slide 11 and Handout #7
Problems That May Require Switching from Injectables to Another Method (10) / Lecturette / Basic Slide Set: Session III, Slide 12
DAY 1, continued
Time / Topic / Method / Resources
How to Take DMPA: DMPA Injection Schedule (10) / Discussion / Basic Slide Set: Session III, Slide 13
How to Take NET-EN: NET-EN Injection Schedule (10) / Discussion / Basic Slide Set: Session III, Slide 14
Managing Late Injections (10) / Discussion / Basic Slide Set: Session III, Slide 15
DAY 2
Time / Topic / Method / Resources
8:00-10:00am / Session III: Providing Progestin-Only Injectables, continued
Role Plays (30) / Handouts #8-9
Case Studies (45) / Handouts #10-11
Progestin-Only Injectables: Summary, Post-test, Applied Learning Case Studies and Course Evaluation (35) / Lecturette / Basic Slide Set: Session III, Slide 16 and Evaluation Tools: Post-test, Applied Learning Case Studies, and the Course Evaluation
10:00-10:15am / Tea Break
10:15-12:30 / Session IV: Practicing Provision of Progestin-Only Injectables (2 hrs, 10 min)
Session Overview (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 2 and Handout #12
How to Give the Injection: Steps 1-2 (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 3 and Handout #12
How to Give the Injection: Steps 3-5 (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 4
How to Give the Injection: Steps 6-9 (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 5
How to Give the Injection:
Step 10 (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 6
How to Give the Injection:
Step 11 (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 7
How to Give the Injection:
Steps12-13 (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 8
How to Give the Injection:
Steps 14-15 (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 9
Practice Safe Handling of Needles (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 10 and Handout #12
Risk of HIV Infection after a Needle Stick (5) / Discussion / Optional Additional Content Slide Set: Session IV, Slide 11
Caring for a Needle Stick Injury (5) / Lecturette / Optional Additional Content Slide Set: Session IV, Slide 12
Practice Finding the Injection Site (Arm) (15) / Demonstration/
Return Demonstration / Optional Additional Content Slide Set: Session IV, Slide 13
DAY 2, continued
Time / Topic / Method / Resources
Practice Finding the Injection Site (Hip and Buttock) (30) / Demonstration/
Return Demonstration / Optional Additional Content Slide Set: Session IV, Slide 14
Using the DMPA Reinjection Job Aid (15) / Discussion / Optional Additional Content Slide Set: Session IV, Slide 15 and Handout #14
Using the NET-EN Reinjection Job Aid (15) / Discussion / Optional Additional Content Slide Set: Session IV, Slide 16 and Handout #15
12:30-end / *Note to Facilitator: Classroom training may end here and participants proceed on to clinical practice. However, if you feel that participants need more practice on fruit/vegetable, continue in the classroom before proceeding to clinical practicum.

Page 1 of 4