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

Int Perspect Sex Reprod Health. 2017 Dec 1;43(4):183-191. doi: 10.1363/43e5217.


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.

MeSH terms

  • Africa South of the Sahara
  • Choice Behavior
  • Contraception / methods
  • Contraception / standards*
  • Contraceptive Agents, Female / standards*
  • Family Planning Services / organization & administration*
  • Female
  • Health Policy
  • Health Services Accessibility / organization & administration*
  • Humans
  • Intrauterine Devices, Medicated / statistics & numerical data*


  • Contraceptive Agents, Female