Repositioning Injectable Contraceptives: Evidence from Bihar, India

Injectable contraceptives (IC) are not over-the-counter products and it needs to be promoted through the qualified health care providers. This paper investigates the possibility of promoting ICs from provider’s perspective by assessing current knowledge and perception on ICs. Utilizing a cross-section survey data conducted among 114 private providers of FP services in 15 towns of Bihar, the result showed that 78% providers were aware of ICs, though comprehensive knowledge is lacking, especially among MBBS doctors. Very less proportion of providers ever prescribed it (38%) or intend to prescribe (23.7%) in future. It may be useful to design and provide an orientation on ICs specifically covering - how it works, eligibility criteria before recommending IC, probable side-effects and management. Similarly, it is equally important to improve providers' positive attitude and belief towards ICs which may encourage them more to recommend this method more confidently and efficiently. These efforts may increase not only the use of ICs, but also the quality of service regarding ICs.