 Checklist for Good-Quality Injectables Services
Family planning program managers can use this checklist to help ensure that programs are providing good-quality injectables services.
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| Clinics have adequate supplies |
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Sufficient single-dose vials are available. |
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Sufficient sterile syringes and needles are available. Use disposable syringes, ideally auto-disable (AD) syringes, if possible. If only reusable equipment is available, sterilize according to WHO recommendations (heating to 121°C (250°F) in high-pressure steam for at least 20 minutes). |
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Sufficient sharps containers are available for disposal of used needles and syringes. |
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Injectables are properly stored, upright and away from direct sunlight at 20–25°C (68–77°F). |
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The oldest stock of injectables is used first.
Tip: Establish a First-to-Expire/First-Out (FEFO) policy (see Pocket Guide to Managing Contraceptive Supplies*). |
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Timely supply orders are submitted.
Tip: Use PipeLine Software to assist with forecasting, pipeline management, and procurement planning.* |
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A clean space is designated for preparing and giving injections, with a sharps container nearby. |
| Providers safely give injections and manage waste properly |
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Providers screen clients for medical eligibility.
Tip: For screening, use the Checklist for Screening Clients Who Want to Initiate DMPA (or NET-EN) in the companion issue of INFO Reports. |
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Providers counsel clients, with particular emphasis on side effects and how to manage them. |
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Job descriptions define who:
- Oversees logistics, equipment, and supplies
- Counsels clients
- Provides injections
- Manages waste
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Providers and staff receive ongoing, supportive supervision.
Tip: Use the Standards-Based Management and Recognition (SBM-R) approach.* |
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Pre-service and in-service trainings are offered regularly for all staff involved in giving injections and managing waste.
Tip: For developing training tools and job aids, use Do No Harm: Injection Safety in the Context of Infection Prevention and Control: Training Tools and Job Aids.* |
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Guidelines are established for management of injection waste.
Tip: Use Management of Waste from Injection Activities at the District Level: Guidelines for District Health Managers.* |
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All staff members follow waste management guidelines. |
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The disposal area (for example, burial pit) is in a convenient location and secure from intruders. |
| Injectables services are organized efficiently |
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Injectables users receive routine repeat injections without a long wait.
Tip: Set up an "express line" for repeat injections. |
| Clients and the community are well informed about injectables |
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Mass media campaigns for family planning mention injectables, if possible. |
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Providers are knowledgeable about injectables and can respond accurately and helpfully to rumors and misperceptions. |
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Printed materials about injectables are available to clients. |
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* For more information, see Table 3. |
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See Companion INFO Reports on "Injectable Contraceptives: Tools for Providers"
