Figures & Tables
Tables
- TABLE 1.
Eligibility Criteria by Study Population for Market Research on 4- and 6-Month Injectable Contraceptive Methods, Kampala, Uganda, and Lagos, Nigeria
Study Population Eligibility Criteriaa Phase 1: Focus group discussions Injectable users 18–24 years Current users of DMPA injectables
Injectable users 25+ years Potential injectable users 18–24 years Current users of modern methods other than injectables or sterilization
Previous injectable users willing to use again
Non- or never-users willing to consider DMPA injectables
Potential injectable users 25+ years Men 18–24 years Men who have not undergone a vasectomy and were in a sexual relationship with a woman
Men 25+ years Phase 2: Cocreation workshop Recruited from focus group discussions Injectable users
Potential injectable users
Newly recruited from health facilities Abbreviations: DMPA, depot medroxyprogesterone acetate.
↵a In addition to the criteria in the table, all participants needed to be at least aged 18 years, provide informed consent, and agree to be audio-recorded.
- TABLE 2.
Number of FGDs and Participants for Market Research of 4- and 6-Month Injectable Contraceptive Methods
Kampala Lagos FGDs Participants FGDs Participants Injectable users 18–24 years 2 10 2 9 Injectable users 25+ years 2 10 2 10 Potential injectable users 18–24 years 2 10 2 12 Potential injectable users 25+ years 2 10 2 12 Men 18–24 yearsa 1 3 2 12 Men 25+ yearsa 2 8 2 12 Total 11 51 12 67 Abbreviation: FGD, focus group discussion.
↵a Male FGDs in Lagos were stratified by marital status. In Kampala, all participants in the 18–24-year-old male FGD were unmarried; one of the male 25+ groups included all married participants and the other included some unmarried and some married men.
Both Kampala Lagos Perceived benefits of 4-month injectable Fewer facility visits
Offered option to self-inject
Shorter reinjection window (grace period)
– Perceived benefits of 6-month injectable Fewer facility visits
Administered by health worker
Intermediate duration
Long duration
Concerns about 4-month injectable Side effects
Delayed return to fertility
Cost
Self-efficacy to self-inject
Stock-outs
– Shorter reinjection window (grace period)
Concerns about 6-month injectable Delayed return to fertility
Side effects
Cost
– Target audience for 4-month injectable Younger
Busy lifestyles
Limited access to facilities
Unmarried
Without children
Do not want long-acting reversible contraception
Frequent sexual activity
Married and unmarried
Wanting to space children
Target audience for 6-month injectable Older
Married
Has children
In committed relationship
Frequent sexual activity
Taking other medications
Young, single mothers wanting to avoid frequent facility visits
Reasons for preferring 6-month injectable over 4-month injectable Longer duration
Fewer facility visits
Easier to remember reinjection interval
Provider administered
Easier to differentiate
– – Reasons for preferring 4-month injectable over 6-month injectable – Intermediate duration
Broader appeal
Ideal duration of injectables 6–12 months
– – Ideal number of injectable options As many as needed to meet needs of users
2 options (4- and 6-month) up to 12 options
3 options (3-, 4-, and 6-month)
Element Kampala Lagos Positioning statement The 4-month injection gives women the power and convenience to prevent unplanned pregnancy while they pursue their dreams. The 4-month injection supports women in taking full charge of the prevention of unplanned pregnancies, by offering them flexibility and peace of mind in a package that they can choose to use safely and easily, anytime and anywhere. Brand pillars Method can be self-administered, which can ensure privacy particularly for those who face stigma accessing family planning.
The shorter grace period of 1 week is perceived as indicating quicker return to fertility.
Control Method can be self-administered anytime, anywhere.
Fewer visits to health facilities.
Requires less administrative action in comparison to daily pills and shorter term injectables.
Easy to self-administer compared to other products in the market.
Easy to store safely, use, and dispose.
Guaranteed duration of effectiveness for 4 months.
Brand promise The method will bring women no shame; it will foster excellence by giving women time and opportunity to grow and succeed at their plans, as well as giving them the flexibility to change their plans when they want to. Contraception for the woman who wants full control. Brand personality The method needs to have an inclusive, aspirational, and creative personality.
The tone of the communication of the method should convey ambition and offer a sense of confidence and ability to reach new heights.
The style of the communication should portray real women from all parts of Uganda choosing the 4-month method in different seasons of life, such as university student at the start of the semester, home assistant starting a new job in the city, and a woman exploring a new relationship.
Stay calm, there's no need to panic anymore.
You hold the key - you decide.
Focus on your dreams.
Explore your options.
Take your time, at your pace.
The following emotions should be associated with users of the method: Happy and calm because they are less worried when having sex.
Hopeful due to availability of a solution to prevent unplanned pregnancies.
Afforded more flexibility (reduced visits to facility) and additional flexibility for those who preferred self-administration.
Friendly: relatable with a touch of humor.
Uplifting: inspiring, affirmative, and supportive of women.
Confident: open and proactively informative about the product.
Element Kampala Lagos Positioning statement Opportunity to create ideal child spacing at a reduced cost and with fewer visits to a facility. A contraceptive that offers busy women the certainty they need to plan long term and the time to do what matters most. Brand pillars Low cost of being a twice/year method.
Long-acting pregnancy protection without having to use a long-acting reversible contraception, which are perceived by some to have adverse side effects including a long return to fertility.
No detectable presence in the body so can be used discreetly.
Liberating: only 2 facility visits per year and can be used discreetly.
Certainty: long duration allows users to make long-term plans.
Reliability: guaranteed duration of effectiveness for 6 months.
Brand promise Will foster the healthy growth of one's family by providing a pregnancy prevention method for an adequate duration between pregnancies. This promise helps fulfill the parental desire of dedicated time to nurturing their children—more than providing basics but also building deep relationships with them. Contraception for the woman who wants the certainty to pursue more in life. Brand personality This method needs to have a frugal, trustworthy, responsible, and family-oriented personality.
The tone of the communication of the new 6-month method should therefore convey joy with a stress-free approach to family life, providing comfort and security to a home.
The communication style should portray different stages of family life; from the couple deciding together, to the birth of the first child, and the steady growth of the family.
Stress free and pocket-friendly.
Providing a sense of priority and wise living.
Dedication and strong commitment to a healthy family.
We are stronger together.
Open communication that is easy to understand.
The following emotions should be associated with users of the method: Peace of mind because of the long duration of effectiveness.
Achieving the “good life” by supporting child spacing and reducing strain on resources.
Safety because it is administered at a health facility.
Allowing for regular intimacy due to longer duration.
Friendly: relatable, with a touch of humor.
Uplifting: inspiring, affirmative, and supportive of women.
Assertive: reinforcing certainty and conviction of the woman's decision-making.
Confident: open and proactively informative about the product.
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