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Supportive supervision checklist for DMPA-SC self-injection programs

This checklist is a customizable tool that can be used to monitor Subcutaneous DMPA (DMPA-SC, Sayana® Press) contraceptive self-injection programs and health worker practices. The questions can be adapted as needed to align with local program designs and guidelines. To access the MS Word version of this tool in English or French, please email

DMPA-SC is an easy-to-use injectable contraceptive that is ideally suited for remote access and self-injection. For more information, visit or sign up for our newsletter.

Publication date: August 2019

Available materials

  1. English

    1. DMPA-SC self-injection program: supportive supervision checklist 116.3 KB PDF

      Hard copies are not available.

  2. French

    1. Programme d’auto-injection du DMPA-SC : liste de contrôle et de supervision formative [French] 186.1 KB PDF

      Hard copies are not available.