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Global Health: Science and Practice

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Table of Contents

August 2016 | Volume 4 | Number Supplement 2

Long-Acting Reversible Contraception Crucial to Meeting Unmet Need Goals by 2020: Key Papers From the 2016 International Conference on Family Planning

INTRODUCTION

  • Open Access
    Long-Acting Reversible Contraceptives: An Important Focus at the 2016 International Conference on Family Planning
    Global Health: Science and Practice August 2016, 4(Supplement 2):S1; https://doi.org/10.9745/GHSP-D-16-00241

EDITORIALS

  • Open Access
    Effective LARC Providers: Moving Beyond Training
    James D Shelton and Anne E Burke
    Global Health: Science and Practice August 2016, 4(Supplement 2):S2-S4; https://doi.org/10.9745/GHSP-D-16-00234

    Effective and productive providers are the key to successful provision of long-acting reversible contraceptives (LARCs). But LARCs demand more of providers than short-acting resupply methods. In addition to sound training, key elements to developing highly productive providers of LARCs include a thorough understanding of the service delivery system context; selecting providers with the most potential, especially from mid-level cadres; strong mentoring and supportive supervision; and attention to the supply chain and to demand-side support.

ORIGINAL ARTICLES

  • Open Access
    Rapid Contraceptive Uptake and Changing Method Mix With High Use of Long-Acting Reversible Contraceptives in Crisis-Affected Populations in Chad and the Democratic Republic of the Congo
    Jesse Rattan, Elizabeth Noznesky, Dora Ward Curry, Christine Galavotti, Shuyuan Hwang and Mariela Rodriguez
    Global Health: Science and Practice August 2016, 4(Supplement 2):S5-S20; https://doi.org/10.9745/GHSP-D-15-00315

    Offering a broad choice of contraceptives can rapidly expand use in crisis-affected settings, particularly when the choice includes long-acting reversible contraceptives (LARCs). Over 5 years, the governments of Chad and the Democratic Republic of the Congo, with support from an NGO, provided nearly 85,000 new clients with contraceptives. LARC users, which included an increasing number of IUD users, accounted for 73%.

  • Open Access
    Applying a Total Market Lens: Increased IUD Service Delivery Through Complementary Public- and Private-Sector Interventions in 4 Countries
    Julia N White and Jamaica Corker
    Global Health: Science and Practice August 2016, 4(Supplement 2):S21-S32; https://doi.org/10.9745/GHSP-D-15-00307

    Between 2013 and 2014, IUD services provided to women increased more than threefold–from 22,893 to 79,162–in 417 public facilities in Guatemala, Laos, Mali, and Uganda through a Population Services International pilot that engaged the public sector alongside existing private-sector interventions within an informed choice context. Based on family planning market analyses, the country-specific interventions focused on strengthening policy, service delivery, supply chain management, and demand promotion.

  • Open Access
    Mentoring, Task Sharing, and Community Outreach Through the TutoratPlus Approach: Increasing Use of Long-Acting Reversible Contraceptives in Senegal
    Babacar Gueye, Jennifer Wesson, Djimadoum Koumtingue, Sara Stratton, Claire Viadro, Hawa Talla, Etienne Dioh, Carol Cissé, Boniface Sebikali and Bocar Mamadou Daff
    Global Health: Science and Practice August 2016, 4(Supplement 2):S33-S43; https://doi.org/10.9745/GHSP-D-15-00328

    Mentoring, task sharing, and community outreach at 100 rural facilities in Senegal led to an 86% increase over 6 months in the number of women choosing long-acting reversible contraceptives (from 1,552 to 2,879). Concurrent improvement of facilities and provider skills, coupled with the application of Senegal’s task-sharing policy, are increasing the range of contraceptive methods available to women throughout the country.

  • Open Access
    The Tupange Project in Kenya: A Multifaceted Approach to Increasing Use of Long-Acting Reversible Contraceptives
    Michael Muthamia, Kenneth Owino, Paul Nyachae, Margaret Kilonzo, Mercy Kamau, Jane Otai, Mark Kabue and Nelson Keyonzo
    Global Health: Science and Practice August 2016, 4(Supplement 2):S44-S59; https://doi.org/10.9745/GHSP-D-15-00306

    Use of long-acting reversible contraceptives increased significantly among women in a poor, urban setting through training, mentoring, commodity security, quality improvement, multiple service delivery models, and multiple demand-promotion approaches.

  • Open Access
    Strengthening Postabortion Family Planning Services in Ethiopia: Expanding Contraceptive Choice and Improving Access to Long-Acting Reversible Contraception
    Melaku Samuel, Tamara Fetters and Demeke Desta
    Global Health: Science and Practice August 2016, 4(Supplement 2):S60-S72; https://doi.org/10.9745/GHSP-D-15-00301

    In Ethiopia, a comprehensive strategy to improve postabortion family planning services has produced overall improvement in the uptake of postabortion family planning and a rise in the choice of more effective long-acting reversible contraceptives to produce a more balanced method mix.

  • Open Access
    Ugandan Women’s View of the IUD: Generally Favorable but Many Have Misperceptions About Health Risks
    Rogers Twesigye, Peter Buyungo, Henry Kaula and Dennis Buwembo
    Global Health: Science and Practice August 2016, 4(Supplement 2):S73-S82; https://doi.org/10.9745/GHSP-D-15-00304

    Women in Uganda are aware of the IUD and think it is an effective method, but many think it can damage the womb or make a woman infertile. Addressing public misperceptions through interpersonal communication and the mass media, and provider misperceptions through training, can help to build demand for the IUD in Uganda.

  • Open Access
    Expanding Access to a New, More Affordable Levonorgestrel Intrauterine System in Kenya: Service Delivery Costs Compared With Other Contraceptive Methods and Perspectives of Key Opinion Leaders
    Kate H Rademacher, Marsden Solomon, Tracey Brett, John H Bratt, Claire Pascual, Jesse Njunguru and Markus J Steiner
    Global Health: Science and Practice August 2016, 4(Supplement 2):S83-S93; https://doi.org/10.9745/GHSP-D-15-00327

    At a public-sector transfer price of US$15 per unit, the direct service delivery cost of Medicines360's levonorgestrel intrauterine system (LNG IUS) per couple-years of protection is comparable with the cost of other contraceptive products commonly procured in Kenya. Interviews with key opinion leaders suggest that introduction of a more affordable LNG IUS could help increase demand for the method.

  • Open Access
    Vouchers in Fragile States: Reducing Barriers to Long-Acting Reversible Contraception in Yemen and Pakistan
    Luke Boddam-Whetham, Xaher Gul, Eman Al-Kobati and Anna C Gorter
    Global Health: Science and Practice August 2016, 4(Supplement 2):S94-S108; https://doi.org/10.9745/GHSP-D-15-00308

    Vouchers for family planning in Pakistan and Yemen reduced barriers, such as cost and availability, and encouraged public and private providers to improve skills, leading to an increase in uptake of long-acting reversible contraceptives and permanent methods.

  • Open Access
    Increasing Uptake of Long-Acting Reversible Contraceptives in Cambodia Through a Voucher Program: Evidence From a Difference-in-Differences Analysis
    Ashish Bajracharya, Lo Veasnakiry, Tung Rathavy and Ben Bellows
    Global Health: Science and Practice August 2016, 4(Supplement 2):S109-S121; https://doi.org/10.9745/GHSP-D-16-00083

    By reducing financial and information barriers, a family planning voucher program in Cambodia significantly increased contraceptive choice and uptake of more effective long-acting reversible contraceptives among poor women and women with the least education. Without vouchers, many of these women would not have used contraception or would not have chosen their preferred method.

  • Open Access
    The Mayer Hashi Large-Scale Program to Increase Use of Long-Acting Reversible Contraceptives and Permanent Methods in Bangladesh: Explaining the Disappointing Results. An Outcome and Process Evaluation
    Mizanur Rahman, M Moinuddin Haider, Sian L Curtis and Peter M Lance
    Global Health: Science and Practice August 2016, 4(Supplement 2):S122-S139; https://doi.org/10.9745/GHSP-D-15-00313

    The Mayer Hashi program resulted in a modest increase in use of long-acting reversible contraceptives and permanent methods in Bangladesh, but less of an increase than in comparison nonprogram districts, which appears to have been the result of weaknesses in the health system environment in the program districts. Addressing system issues to support providers beyond training might have led to better results.

FIELD ACTION REPORTS

  • Open Access
    Increasing Use of Postpartum Family Planning and the Postpartum IUD: Early Experiences in West and Central Africa
    Tsigue Pleah, Yolande Hyjazi, Suzanne Austin, Abdoulaye Diallo, Blami Dao, Rachel Waxman and Priya Karna
    Global Health: Science and Practice August 2016, 4(Supplement 2):S140-S152; https://doi.org/10.9745/GHSP-D-16-00039

    Competency-based training in postpartum family planning and postpartum IUD (PPIUD) service delivery of antenatal, maternity, and postnatal care providers from 5 francophone African countries generated an enthusiastic response from the providers and led to government and donor support for expansion of the approach. More than 2,000 women chose and received the PPIUD between 2014 and 2015. This model of South–South cooperation, when coupled with demand promotion, supportive supervision, and reliable collection of service outcome data, can help to expand PPIUD services in other regions as well.

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In this issue

Global Health: Science and Practice: 4 (Supplement 2)
Global Health: Science and Practice
Vol. 4, No. Supplement 2
August 11, 2016
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