Meeting the Contraceptive Needs of a Community: Increasing Access to Long-Acting Reversible Contraception
- PMID: 30228573
- PMCID: PMC6140203
Meeting the Contraceptive Needs of a Community: Increasing Access to Long-Acting Reversible Contraception
Abstract
To control their reproductive lives, women must have access to all contraceptive methods including the most effective reversible methods, intrauterine devices, and implants. The Contraceptive CHOICE Project, a study of 9,256 women in St. Louis, showed that when barriers to contraception are removed, many women choose intrauterine devices and implants, substantially reducing rates of unintended pregnancy and abortion. This article discusses strategies we learned from the CHOICE Project to improve uptake of the most effective contraceptive methods.
Figures




Similar articles
-
Unmet Need for Family Planning and Experience of Unintended Pregnancy Among Female Sex Workers in Urban Cameroon: Results From a National Cross-Sectional Study.Glob Health Sci Pract. 2020 Mar 31;8(1):82-99. doi: 10.9745/GHSP-D-19-00330. Print 2020 Mar 30. Glob Health Sci Pract. 2020. PMID: 32234842 Free PMC article.
-
Long-acting reversible contraception immediately after medical abortion: systematic review with meta-analyses.Hum Reprod Update. 2020 Feb 28;26(2):141-160. doi: 10.1093/humupd/dmz040. Hum Reprod Update. 2020. PMID: 32096862
-
The contraceptive CHOICE project round up: what we did and what we learned.Clin Obstet Gynecol. 2014 Dec;57(4):635-43. doi: 10.1097/GRF.0000000000000070. Clin Obstet Gynecol. 2014. PMID: 25286295 Free PMC article.
-
The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception.Am J Obstet Gynecol. 2010 Aug;203(2):115.e1-7. doi: 10.1016/j.ajog.2010.04.017. Epub 2010 Jun 11. Am J Obstet Gynecol. 2010. PMID: 20541171 Free PMC article.
-
Strategies to prevent unintended pregnancy: increasing use of long-acting reversible contraception.Hum Reprod Update. 2011 Jan-Feb;17(1):121-37. doi: 10.1093/humupd/dmq026. Epub 2010 Jul 15. Hum Reprod Update. 2011. PMID: 20634208 Review.
Cited by
-
Long-Acting Reversible Contraceptive Users' Knowledge, Conversations with Healthcare Providers, and Condom Use: Findings from a U.S. Nationally Representative Probability Survey.Int J Sex Health. 2021 Jan 19;33(2):163-174. doi: 10.1080/19317611.2020.1870024. eCollection 2021. Int J Sex Health. 2021. PMID: 38596749 Free PMC article.
References
-
- Finer LB, Zolna MR. Declines in unintended pregnancy in the United States, 2008–2011. New England Journal of Medicine. 2016;374(9):843–852. http://nejm.org/doi/full/10.1056/NEJMsa1506575. - DOI - PMC - PubMed
-
- Jones RK, Kavanaugh M. Changes in Abortion Rates Between 2000 and 2008 and Lifetime Incidence of Abortion. Obstet Gynecol. 2011;117(6):1358–1366. - PubMed
-
- Kost K, Maddow-Zimet I. U.S. Teenage Pregnancies, Births and Abortions, 2011: State Trends by Age, Race and Ethnicity. New York: Guttmacher Institute; 2016. http://www.guttmacher.org/report/us-teen-pregnancy-state-trends-2011.
-
- Institute TG. Fulfilling the Promise: Public Policy and U.S. Family Planning Clinics. New York: Guttmacher Institute; 2000.
-
- Mayer JP. Unintended childbearing, maternal beliefs, and delay of prenatal care. Birth. 1997;24(4):247–252. - PubMed
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical