{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T23:29:22Z","timestamp":1791934162578,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1216593"],"award-info":[{"award-number":["OPP1216593"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Studies in Family Planning"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Implementing self\u2010injection (SI) of subcutaneous depot\u2010medroxyprogesterone acetate (DMPA\u2010SC) is a key self\u2010care strategy for sexual and reproductive health, but SI uptake remains low, and assertions about the potential of SI to increase women's control over contraceptive use lack evidence. We sought to qualitatively explore how women with diverse contraceptive experiences\u2014including those with and without experience using SI\u2014view the benefits and challenges of SI as compared to other methods. We conducted 241 in\u2010depth interviews with women across four sub\u2010Saharan African countries and found alignment between the perceived and experienced benefits of SI across our diverse sample. Through the benefits of privacy, easier access, and self\u2010management, we found SI can promote greater control over the contraceptive experience by facilitating a woman's ability to act on her preferences and control who is involved in or aware of her contraceptive use. Interviews revealed SI's potential is, however, constrained by inherent limitations in the method; for example, it is often not private or accessible <jats:italic>enough<\/jats:italic> and many fear injecting themselves. SI has the most potential when implemented with programmatic solutions that mitigate challenges women experience or anticipate and allow more women to benefit from the privacy, easier access, and self\u2010management that SI offers.<\/jats:p>","DOI":"10.1111\/sifp.12277","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T07:33:23Z","timestamp":1731051203000},"page":"269-290","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Women's Perspectives on the Unique Benefits and Challenges of Self\u2010Injectable Contraception: A Four\u2010Country In\u2010Depth Interview Study in Sub\u2010Saharan Africa"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2713-0051","authenticated-orcid":false,"given":"Emily","family":"Himes","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine University of California San Francisco  San Francisco CA 94110 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3684-0314","authenticated-orcid":false,"given":"Lauren","family":"Suchman","sequence":"additional","affiliation":[{"name":"University of California San Francisco University of California San Francisco  San Francisco CA 94158 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Kamanga","sequence":"additional","affiliation":[{"name":"Midwifery Department Kamuzu University of Health Sciences  Blantyre 312225 Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Birabwa","sequence":"additional","affiliation":[{"name":"School of Public Health Makerere University  P. O. Box 7062 Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serah","family":"Gitome","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute  Nairobi 00200 Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Omoluabi","sequence":"additional","affiliation":[{"name":"AkenaPlus Health  Abuja 900108 Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Okumu","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute  Nairobi 00200 Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Nmadu","sequence":"additional","affiliation":[{"name":"AkenaPlus Health  Abuja 900108 Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Kwena","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute  Nairobi 00200 Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Liu","sequence":"additional","affiliation":[{"name":"University of California San Francisco University of California San Francisco  San Francisco CA 94158 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sneha","family":"Challa","sequence":"additional","affiliation":[{"name":"University of California San Francisco University of California San Francisco  San Francisco CA 94158 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinah","family":"Amongin","sequence":"additional","affiliation":[{"name":"School of Public Health Makerere University  P. O. Box 7062 Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Wekesa","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute  Nairobi 00200 Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa","family":"Ndunyu","sequence":"additional","affiliation":[{"name":"Department of Public Health Maseno University  Maseno 40105 Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Bukusi","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute  Nairobi 00200 Kenya"},{"name":"Departments of Global Health and Obstetrics and Gynecology University of Washington  Seattle WA 98195 USA"},{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences University of California San Francisco  San Francisco CA 94158 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Address","family":"Malata","sequence":"additional","affiliation":[{"name":"Academy of Medical Sciences Malawi University of Science and Technology  Limbe 312229 Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Atuyambe","sequence":"additional","affiliation":[{"name":"School of Public Health Makerere University  P. O. Box 7062 Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandayachepa","family":"Nyando","sequence":"additional","affiliation":[{"name":"Academy of Medical Sciences Malawi University of Science and Technology  Limbe 312229 Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chioma","family":"Okoli","sequence":"additional","affiliation":[{"name":"AkenaPlus Health  Abuja 900108 Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aminat","family":"Tijani","sequence":"additional","affiliation":[{"name":"AkenaPlus Health  Abuja 900108 Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelli","family":"Vallin","sequence":"additional","affiliation":[{"name":"University of California San Francisco University of California San Francisco  San Francisco CA 94158 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayobambo","family":"Jegede","sequence":"additional","affiliation":[{"name":"AkenaPlus Health  Abuja 900108 Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakede","family":"Dimowo","sequence":"additional","affiliation":[{"name":"AkenaPlus Health  Abuja 900108 Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred","family":"Maluwa","sequence":"additional","affiliation":[{"name":"Academy of Medical Sciences Malawi University of Science and Technology  Limbe 312229 Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoebe","family":"Alitubeera","sequence":"additional","affiliation":[{"name":"School of Public Health Makerere University  P. O. Box 7062 Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betty","family":"Kaudha","sequence":"additional","affiliation":[{"name":"School of Public Health Makerere University  P. O. Box 7062 Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes","family":"Kayego","sequence":"additional","affiliation":[{"name":"School of Public Health Makerere University  P. O. Box 7062 Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamandani","family":"Jumbe","sequence":"additional","affiliation":[{"name":"Academy of Medical Sciences Malawi University of Science and Technology  Limbe 312229 Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Innocencia","family":"Mtalimanja","sequence":"additional","affiliation":[{"name":"Academy of Medical Sciences Malawi University of Science and Technology  Limbe 312229 Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Waiswa","sequence":"additional","affiliation":[{"name":"School of Public Health Makerere University  P. O. Box 7062 Kampala Uganda"},{"name":"Global Public Health Karolinska Institute  Stockholm 171 77 Sweden"},{"name":"Busoga Health Forum  P.O.Box 805 Jinja Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of California San Francisco  San Francisco CA 94110 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9093-4322","authenticated-orcid":false,"given":"Kelsey","family":"Holt","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of California San Francisco  San Francisco CA 94110 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Access Collaborative. n.d.\u2010a. \u201cDMPA\u2010SC Digital Training Resources for Health Workers and Clients.\u201dDMPA\u2010SC Resource Library(blog). Accessed October 3 2023.https:\/\/fpoptions.org\/resource\/digital\u2010training\/."},{"key":"e_1_2_11_3_1","unstructured":"Access Collaborative. n.d.\u2010b. \u201cKenya's Journey to DMPA\u2010SC and Self\u2010Injection Scale\u2010Up.\u201d Accessed June 3 2023.https:\/\/fpoptions.org\/wp\u2010content\/uploads\/Kenya\u2010DMPA\u2010SC\u2010country\u2010brief\u2010PATH\u2010JSI\u20102021.pdf."},{"key":"e_1_2_11_4_1","unstructured":"Access Collaborative. n.d.\u2010c. \u201cUganda's Journey to DMPA\u2010SC and Self\u2010Injection Scale\u2010Up.\u201d Accessed July 19 2023.https:\/\/fpoptions.org\/wp\u2010content\/uploads\/Uganda\u2010DMPA\u2010SC\u2010country\u2010brief\u2010PATH\u2010JSI\u20102021.pdf."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0235601"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010022\u201002109\u2010x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.08.009"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272684X16685254"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(18)30061\u20105"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.02.011"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0275986"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2022.2090057"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742\u20104755\u201011\u20101"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20032744"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2017.06.010"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1363\/43e5117"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.03.032"},{"key":"e_1_2_11_18_1","unstructured":"\u201cDedoose Version 9.0.17 Cloud Application for Managing Analyzing and Presenting Qualitative and Mixed Method Research Data (2022).\u201d n.d.Los Angeles CA:SocioCultural Research Consultants LLC: SocioCultural Research Consultants LLC. Los Angeles CA: SocioCultural Research Consultants LLC.http:\/\/www.dedoose.com."},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0252745"},{"key":"e_1_2_11_20_1","unstructured":"Family Planning 2030.2018. \u201cSayana Press Pilot Introduction and Research.\u201d September 24 2018.https:\/\/fp2030.org\/resources\/sayana\u2010press\u2010pilot\u2010introduction\u2010and\u2010research."},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.07.002"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-16-00133"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102018\u2010001350"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010020\u201008977\u2010y"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2023.116285"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2020.1778610"},{"key":"e_1_2_11_27_1","unstructured":"PATH. n.d. \u201cThe Power to Prevent Pregnancy in Women's Hands.\u201d Accessed July 9 2023.https:\/\/www.path.org\/articles\/dmpa\u2010sc\/."},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978\u2010022\u201001476\u2010w"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP\u2010D\u201023\u201000143"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.18356\/1bd58a10-en"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102022\u2010008862"},{"key":"e_1_2_11_32_1","volume-title":"WHO Consolidated Guideline on Self\u2010Care Interventions for Health: Sexual and Reproductive Health and Rights","author":"World Health Organization","year":"2019"},{"key":"e_1_2_11_33_1","unstructured":"World Health Organization. n.d. \u201cSelf\u2010Care Interventions for Health.\u201dWorld Health Organization (blog). Accessed September 22 2022.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/self\u2010care\u2010health\u2010interventions."},{"key":"e_1_2_11_34_1","unstructured":"Wynne Leigh.2020. \u201cMalawi's Self\u2010Care Success Story.\u201dKnowledge SUCCESS(blog). July 22 2020.https:\/\/knowledgesuccess.org\/2020\/07\/22\/malawis\u2010self\u2010care\u2010success\u2010story\u2010rapid\u2010introduction\u2010of\u2010self\u2010injectable\u2010contraception\/."},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2020.1850829"}],"container-title":["Studies in Family Planning"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sifp.12277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T16:24:21Z","timestamp":1734020661000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sifp.12277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,7]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/sifp.12277"],"URL":"https:\/\/doi.org\/10.1111\/sifp.12277","archive":["Portico"],"relation":{},"ISSN":["0039-3665","1728-4465"],"issn-type":[{"value":"0039-3665","type":"print"},{"value":"1728-4465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,7]]},"assertion":[{"value":"2024-11-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}