Expanding Method Choice in Africa with Long-Acting Methods: IUDs, Implants or Both?

Lenka Benova, London School of Hygiene & Tropical Medicine John Cleland, London School of Hygiene & Tropical Medicine Marina A.S. Daniele, London School of Hygiene & Tropical Medicine Moazzam Ali, World Health Organization

First published online:

| DOI: https://doi.org/10.1363/43e5217
Abstract / Summary

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.

Author's Affiliations

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.


The views expressed in this publication do not necessarily reflect those of the Guttmacher Institute.