The feasibility of Sayana Press self-injection and the potential for this practice to
increase contraceptive continuation has never been assessed in family planning programs in
low-resource settings. The Malawi Ministry of Health (MOH) and the United States Agency for
International Development (USAID) Malawi Mission requested the Advancing Partners and
Communities (APC) project to assess self-injection of Sayana Press to inform their
decision-making for procurement of Sayana Press and distribution through the health system in
Malawi.