Recommendations for Contraceptive Use
		Progestin-Only Injectables

Recommendations

Rationales

a) Both the arm (deltoid) and the gluteal muscle are acceptable. The choice should be made by client preference. The progestin-only injection is deep intra-muscular and should not be massaged.

a) The deltoid is generally more acceptable to the client and has easier access for service providers. Injectable Contraceptives: Their Role in Family Planning Care. Geneva, World Health Organization, 1990. Some providers prefer to offer NET-EN in the gluteal muscle because the oil-based NET-EN requires a larger bore needle and may be painful. Massaging at the site of progestin-only injection increases immediate absorption. The objective of the depot formulation in oil is to achieve slow release over time.

Any part of Recommendations for Updating Selected Practices in Contraceptive Use may be reproduced or adapted to meet local needs without prior permission from the TG/CWG Secretariat, provided the TG/CWG is acknowledged and the material is made available free of charge or at cost.