Long-acting reversible contraception access

Program basics

  • Intrauterine devices (IUDs) and implants that can prevent pregnancy for 3–10 years
  • Better than 99% effective, higher effectiveness rate than other birth control alternatives
  • Can be used safely by teens and adults
  • Often available at low or no cost through family planning sites and other sources of care

Strength of evidence

Evidence level: Strong (second-highest tier)

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Strong (second-highest tier)

Ranked as having the second-highest level of evidence by County Health Rankings and Roadmaps


Target population

Community-wide

Program cost

Variable

Implementation locations

  • Nationwide

Dates active

Not available

Outcomes and impact

  • Increased utilization of long-acting reversible contraception (LARC)
  • Reduced unintended pregnancies
  • Increased trainings for medical professionals to performing these services
  • Increased monitoring of reproductive health in primary care settings
  • Long-term satisfaction with LARC methods

Keys to successful implementation

  • Note: This content is under review
  • Programs using this strategy should bridge gaps in contraceptive provision. For example, target same-day contraception access in clinics and hospitals instead of multiple follow-ups at later dates.
  • Successful programs conduct training for practitioners that cover not only medical procedures but also counseling and information with respect to contraceptive options and how they work to prevent pregnancy
  • Partnerships with health centers and health care providers facilitate the integration of reproductive and contraceptive health care as part of primary health care
  • Partnerships with community health workers allow identification of community needs and prioritization of resources
  • Media coverage can be leveraged to expand reach of information
  • Sociocultural stigma and inadequate funding for already under-resourced communities are the biggest barriers that prevent participation in contraceptive access programs

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