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POPLINE provides access to 380,000 carefully selected publications and resources related to family planning and reproductive health
Uptake and Discontinuation of Long-Acting Reversible Contraceptives (LARCs) in Low-Income Countries, published by ICF International, focuses on the contraceptive dynamics of LARC use among married women in low-income countries. The authors use a lifecycle approach to understand how women start these methods, how and why they stop, and what their status is three months after stopping. They also examine how individual and country characteristics affect the risk of discontinuation while still in need (DWSIN). High levels of DWSIN suggest method dissatisfaction and may leave women vulnerable to unwanted pregnancies if they do not start a new method.
Successful family planning programs should include a broad mix of contraceptive methods. Offering short-acting methods such as injectables, oral contraceptive pills, and barrier methods; long-acting reversible contraceptives (LARCs) like the intrauterine device (IUD) and implants; and permanent methods like vasectomy and tubal ligation allows programs to meet the varied and changing needs of their diverse clients. LARCs are an essential part of the method mix because they include both hormonal and nonhormonal options, are highly effective for years at a time, and are removable at any time.
Search POPLINE on these LARC topics:
- LARCs and youth
- LARCs as emergency contraception
- LARCs and task shifting/task sharing
- LARCs and community-based distribution programs
- LARCs and contraceptive security
Visit K4Health's LARCs page for:
- Overview: of LARCs including key messages;
- Take a Course: The Global Health eLearning Center offers two LARC-focused courses: IUDs and Long-Acting and Permanent Methods (LA/PMs) – A Smart FP/RH Program Investment;
- Access Tools: K4Health Toolkits and other programmatic resources;
- Review the Evidence: articles from Global Health: Science and Practice Journal and other key documents;
- Illustrate and Advocate: Images from Photoshare, videos, and other multimedia resources;
- Share and Connect: watch a webinar on Long-acting Reversible Contraceptive Methods hosted by Health Communication Capacity Collaborative (HC3).
In general, across the developing world, wealthier women are more likely than poorer women to use long-acting and permanent methods (LAPM) of contraception than short-acting methods, according to new research published in Global Health: Science and Practice. The findings are based on analysis of Demographic and Health Survey data from 30 low- and middle-income countries. Learn more about the association between wealth and LAPM use in the March issue of GHSP.
As always the journal features important contributions to many different fields in global health, adding the "practice" perspective to scientific research. Highlights from this month include articles covering a range of global health topics on family planning and immunization integration, expanding access to the IUD, preventing cervical cancer through a single-visit approach, and more.
Global Health: Science and Practice is a no-fee, open-access, peer-reviewed, online journal. GHSP aims to improve health practice, especially in low- and middle-income countries, by publishing current research and program experiences. GHSP is currently indexed in PubMed, PubMed Central, POPLINE, and the Development Experience Clearinghouse (DEC). Unlike other journals, there are no fees to submit or publish your articles in GHSP. In addition, GHSP focuses on publishing articles with practical, program-implementation experiences with details on how activities were actually conducted—the kind of implementation detail that most other journals tend to shy away from. To submit a manuscript, read the Instructions for Authors and submit your manuscripts for consideration.
National government policies can have a great impact on a country’s family planning services and can function as facilitators for or barriers to effective service provision. In Chad, a country with extremely poor sexual and reproductive health indicators, in recent years the government has shown great commitment to improving family planning service delivery through changes in national policy.
Policy changes have been influenced by evidence from non-governmental organizations working on the ground and a firm commitment of multi-sectorial stakeholders, opening up possibilities for significant expansion of family planning service provision, including long-acting contraceptives (LARCs). Chad’s experience can serve as a model to expand access to sexual and reproductive health services in other countries through similar policy changes.
As CARE®’s experience in Chad shows, evidence-based policy changes can potentially transform the provision of high-quality family planning services. Read the full report.
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