Which of the following is a newly launched injectable contraceptive?

Appeared in: NHM MP Staff Nurse-2019

Explanation

Antara is the brand name for the injectable contraceptive Depot Medroxyprogesterone Acetate (DMPA), which has been introduced into India's National Family Planning Programme.
It is a progestin-only hormonal contraceptive administered as an intramuscular injection.
The standard dose is 150 mg given every three months, making it a convenient option for contraception.
Its primary mechanism of action is the suppression of ovulation, preventing the release of an egg from the ovary.

Option A: Mala-N is an oral contraceptive pill that must be taken daily. The question specifically asks for an injectable method.
Option B: PPIUCD stands for Post-Partum Intrauterine Contraceptive Device. It is a device placed inside the uterus, not an injection.
Option D: This option is incorrect because Antara is a valid example of a newly launched injectable contraceptive available in India.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Injectable Contraceptives in Public Health Programs as background academic context rather than a clinical decision trigger.
Nurses are central to the success of the Antara program through effective patient counseling on its benefits, side effects (especially menstrual changes), and the importance of adhering to the 3-monthly injection schedule.
Patient safety involves screening for contraindications such as current breast cancer, severe liver disease, or unexplained vaginal bleeding before administering the injection.
A key nursing intervention is managing patient concerns about delayed return to fertility after discontinuing Antara, providing reassurance and accurate information.

How to Approach the Question

First, identify the core requirement of the question: it asks for an 'injectable' contraceptive.
Analyze each option based on its method of administration.
Evaluate 'Mala-N'. Recall that this is a well-known brand of oral contraceptive pills, so it is not injectable. Eliminate this option.
Evaluate 'PPIUCD'. The name itself indicates it is an 'Intrauterine Contraceptive Device', which is inserted into the uterus, not injected. Eliminate this option.
Consider 'Antara'. Recall or recognize this as the brand name for the injectable contraceptive DMPA, which was launched as part of the government's family planning initiatives.
Since Antara fits the description of an injectable contraceptive, it is the correct answer, making 'None of the above' incorrect.

Concept Tested & Keywords

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E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) pp. 197-199, 198-200, 196-198

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