Implementation considerations

• The administration of an injectable contraceptive involves using a syringe and may be intramuscular or subcutaneous.
• It is important to have adequate mechanisms for the disposal of used sharps, syringes and needles.
• It is important to ensure a consistent supply of the injectables, especially at the point of sale for women to obtain and use on their own.
• The investment in initial training is a consideration where the health worker is not already certified to provide injections. It is important to have mechanisms to link the health worker to the health system and ensure a referral pathway.

KEY HUMAN RIGHTS CONSIDERATIONS RELEVANT TO POST-ABORTION CONTRACEPTION

• Contraception should be provided only where the person has given free and informed consent to receive it.
• States must ensure availability of the full range of contraceptive options, including a wide range of modern, safe and affordable methods.
• States must ensure adequate access to essential medicines, including contraceptives, in an affordable and non-discriminatory manner.
• Everyone has a right to evidence-based information on all aspects of SRH, including contraceptives.
• Contraceptive information and services must be provided without discrimination, coercion or violence.
• Everyone has a right to privacy and confidentiality in the receipt of contraceptive information and services.
• Post-abortion contraceptive information and services should be available and accessible to adolescents without requiring parental or guardian authorization.
• States must guarantee that practices of conscientious refusal/objection do not infringe on the right to contraceptive information and services. For further information and sources, please refer to Box 1.2 and Web annex A: Key international human rights standards on abortion.