This story highlights how TCIHC’s advocacy effort effectively enabled Antara to be administered at the urban primary health care level. TCIHC presented a training need analysis of existing staff nurses and auxiliary nurse midwives (ANMs) who, if trained, could competently administer it. On Nov. 14,  2017, the Director of Health and Family Welfare at the Health Directorate issued a letter making the new contraceptive available in UPHCs. The letter also clearly mentioned the need for training of doctors and paramedical staff for urban areas, which was not sanctioned by the Government of India.

Following this letter, Indore took the lead in facilitating trainings of  medical officers and paramedical staff on the new contraceptives.