This document summarizes family planning methods used in Sub-Saharan Africa in the late 1990s and Kenya in 2008-2009. It finds that while 82% of married women in Sub-Saharan Africa were not using any family planning method in the late 1990s, injectables (21%) and pills (21%) emerged as the most popular modern methods. In Kenya in 2008-2009, injectables were the most commonly used method at 22%, followed by pills at 7%. The document also notes that misconceptions about contraception are common in Kenya, with over half believing injectables can cause permanent infertility and most agreeing contraception can harm health or reduce libido.

1. Douglas Huber, MD, MSc
Co-Chair, FP/RH Working Group, CCIH
CCIH Conference, 26 June 2015

2. Family Planning Methods, Sub-Saharan Africa
No
Method
82%
Any
Method
19%
Married Women 15 to 49 Using Family Planning, Late 1990s
IUD
5%
Condom
5%
Other Modern
5%
Rhythm
16%
Withdrawal
5%
Other
Traditional
11%
Female
Sterilization
11%
Injectables
21%
Pill
21%
Source: Population Reference Bureau, Family Planning Worldwide 2002
Data Sheet.
Note: Total exceeds 100 percent due to rounding.

3. Contraceptive prevalence rates by method,
Kenya currently married, 15-49 (Kenya DHS 2008-09)
• Injectables 22%
• Pill 7
• Female sterilization 5
• Rhythm (periodic abstinence) 5
• IUD 2
• Male condom 2
• Implants 2
• LAM (breastfeeding with crit.) 0.3
• Female condom 0.0
• ALL METHODS 46%

4. Contraceptive Misconceptions are Common in Kenya (Adapted
from MLE, Tupange, 3 June 2011)
Strongly agree+ agree with … Total
Use of injectable can make a woman
permanently infertile
53
People who use contraception end up with health
problems
76
Contraceptives can harm womb 64
Contraceptives reduces woman’s sexual urge 61

5. 5
Menstrual Changes During
DMPA Use
conceptual illustration
20
40
60
80
6 12 18 24
Months of use
Percent
of women
Prolonged or irregular bleeding
Amenorrhea
0
100

6. 6

7. A guide to family planning
for health workers and their clients
World Health Organization
March 2010 Adapted from the WHO's Decision-Making
Tool for Family Planning Clients and
Providers

8. 8
Injection
•Safe
•Hormone injection given every
2 months
(NET-EN) or 3 months (DMPA)
•Very effective when injections
are on time
•Use can be kept private

9. Injection
What it is
– Hormone injection.
– Prevents release of egg.
How to use
– Get an injection every 2 months (NET-EN) or 3 months (DMPA).
– If breastfeeding, can start 6 weeks after childbirth.
– Works best if you get your injections on time.
If late for an injection:
– DMPA: Can still get an injection up to 4 weeks late.
– NET-EN: Can still get an injection up to 2 weeks late.
If later, use condoms and return for an injection as soon as possible.
What to expect
– Irregular bleeding at first, then spotting or no monthly bleeding. This
is common and safe.
– Possible slight weight change.
– After stopping injections, it can take several months to become
pregnant.
Key points
– Does not cause infertility.
– Be sure to get next injection on time.
– Use condoms if you need protection from STIs or HIV/AIDS.
9
Injection
6

10. A guide to family planning for health workers
and their clients—WHO web site:
http://www.who.int/reproductivehealth/publications/family
_planning/9789241503754/en/index.html#
World Health Organization
March 2010 Adapted from the WHO's Decision-Making
Tool for Family Planning Clients and
Providers