Expanding Method Choice in Africa with Long-Acting Methods: IUDs, Implants or Both?
The objective of this article is to review key components of LARC uptake in Sub-Saharan Africa with the aim of guiding policies and programs. We assess trends in access to the IUD and implant, including method knowledge and availability at facilities; examine trends in use, source of supply, discontinuation and characteristics of users; and discuss the prospects for expanding method choice by increasing the availability of LARCs in national programs and the policy implications of our results.
Lenka Benova, John Cleland and Marina A.S. Daniele are members of the faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine. Moazzam Ali is medical officer, Department of Reproductive Health and Research, World Health Organization, Geneva.