Family Planning

3. Prepare vial ó DMPA: Gently shake the vial.óóóNET-EN: Shaking the vial is not necessary.No need to wipe top of vial with antiseptic.If vial is cold, warm to skin temperature beforegiving the injection.4. Fill syringe ó Pierce top of vial with sterile needle and fillsyringe with proper dose.5. Inject formula ó Insert sterile needle deep into the hip(ventrogluteal muscle), the upper arm(deltoid muscle), or the buttocks (gluteal muscle,upper outer portion), whichever the womanprefers. Inject the contents of the syringe.óDo not massage injection site.6. Dispose of ó Do not recap, bend, or break needles beforedisposable disposal.syringes andó Place in a puncture-proof sharps container.needles safelyó Do not reuse disposable syringesand needles. They are meant to bedestroyed after a single use.Because of their shape, theyare very difficult to disinfect.Therefore, reuse might transmitdiseases such as HIV and hepatitis.óIf reusable syringe andneedle are used, they mustbe sterilized again aftereach use (see InfectionPrevention in the Clinic,p. 312).72 Family Planning: A Global Handbook for Providers