Repeat Injection Visits

  1. Ask how the client is doing with the method and whether she is satisfied. Ask if she has any questions or anything to discuss.
  2. Ask especially if she is concerned about bleeding changes. Give her any information or help that she needs (see Managing Any Problems).
  3. Give her the injection. Injection of DMPA can be given up to 4 weeks late. Injection of NET-EN can be given up to 2 weeks late. 
  4. Plan for her next injection. Agree on a date for her next injection (in 3 months or 13 weeks for DMPA, 2 months for NET-EN). Remind her that she should try to come on time, but she should come back no matter how late she is. (See Managing Late Injections.)
  5. Every year or so, check her blood pressure if possible (see Medical Eligibility Criteria, Question 3).
  6. Ask a long-term client if she has had any new health problems. Address problems as appropriate. See New Problems That May Require Switching Methods.
  7. Ask a long-term client about major life changes that may affect her needs—particularly plans for having children and STI/HIV risk. Follow up as needed.