{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:50:08Z","timestamp":1791561008658,"version":"4.3.4"},"reference-count":0,"publisher":"African Journal of Reproductive Health (AJRH)","issue":"18","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJRH"],"published-print":{"date-parts":[[2026,9,30]]},"abstract":"<jats:p>Drawing on women\u2019s lived experiences using self-injectable (SI) contraception, this study explores the method\u2019s integration into rural Malawi and the impact on women\u2019s lives. We conducted in-depth interviews with 18 SI users from Ntchisi and Mulanje districts. A two-phase analysis\u2014first thematic, then narrative\u2014identified benefits, challenges, and motivations for use. Our findings illustrate that many women transitioned from provider-administered injectables to SI, seeing value in its convenience and cost savings when health facilities were distant. Having multiple units at home offered protection against common stockouts. Women reported increased autonomy, greater privacy, and more partner cooperation than with provider-dependent methods. Many were motivated to promote SI through social networks. Challenges included inconsistent supply, varying reliability of Health Surveillance Assistants (HSAs), and early difficulties with self-administration. Findings highlight the need to invest in HSAs, ensure consistent supply, and leverage social support to optimize implementation of this innovative contraceptive method.<\/jats:p>","DOI":"10.29063\/ajrh2026\/v30i18.5","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:03:58Z","timestamp":1791558238000},"page":"46-59","source":"Crossref","is-referenced-by-count":0,"title":["Lived experiences of self-injectable contraceptive use among women in rural Malawi"],"prefix":"10.29063","volume":"30","author":[{"given":"Mandayachepa","family":"Nyando","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Himes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Kamanga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred","family":"Maluwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Address","family":"Malata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Innocencia","family":"Mtalimanja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamanda","family":"Jumbe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelli","family":"Vallin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Suchman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Holt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11599","published-online":{"date-parts":[[2026,9,30]]},"container-title":["AFRICAN JOURNAL OF REPRODUCTIVE HEALTH"],"original-title":[],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:03:59Z","timestamp":1791558239000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajrh.info\/index.php\/ajrh\/article\/view\/7288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":0,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2026,9,30]]},"published-print":{"date-parts":[[2026,9,30]]}},"URL":"https:\/\/doi.org\/10.29063\/ajrh2026\/v30i18.5","relation":{},"ISSN":["1118-4841","2141-3606"],"issn-type":[{"value":"1118-4841","type":"print"},{"value":"2141-3606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]}}}