Maternal and Child Health

Long-Acting Reversible Contraception (LARC)

Long-acting reversible contraception (LARC) is safe and highly effective in preventing unintended pregnancies. Unlike other forms of birth control, LARC requires no user intervention, works over long periods of time, and can be reversed. LARC includes intrauterine devices (IUDs) and contraceptive implants that prevent ovulation.

ASTHO is working to identify the opportunities, challenges, and technical assistance needs of states through a multi-state learning community to improve the capacity of states to successfully implement LARC, particularly immediately postpartum.

Immediately Postpartum Learning Community

ASTHO launched the LARC Learning Community, a collaborative of six states, in August 2014 to assist state health agencies in implementing LARC, specifically via initiatives focusing on postpartum insertion following delivery. The following materials document the launch of years 1 and 2 of the learning community and the results of “key informant interviews” to assess challenges and barriers to increase LARC access.

Year 1 (2014)

Year 2 (2015)

Learning community call recordings and presentations »

Guidance and Strategies for Implementing LARC

Fact Sheet on Long-Acting Reversible Contraception (LARC)
What is long-acting reversible contraception? What are the benefits of its use? What are the barriers for people in accessing it?  

Eight Domains for Success
Eight areas identified by the LARC learning community to increase access to LARC immediately postpartum 

LARC Immediately Postpartum and Service Locations
Providing immediate postpartum LARCs in the four most common settings.

LARC Payment and Reimbursement: Device Payment Strategies for Providers Factsheet
Covering the cost of LARC devices is critical to increasing women’s access

LARC Partnering to Increase Access and Coverage for Teens and Postpartum Women (webinar) | slide deck
Featuring presentations from Colorado, Iowa, and South Carolina

Recently Published

ASTHO staff seek opportunities to share findings, guidance, and strategies for LARC implementation by state health agencies in academic and profession-focused journals and publications.

Application of Implementation Science Methodology to Immediate Postpartum Long-Acting Reversible Contraception Policy Roll-Out Across States
Maternal and Child Health Journal, April 2016 (Subscription access is needed)

Working with State Health Departments on Emerging Issues in Maternal and Child Health: Immediate Postpartum Long-Acting Reversible Contraceptives
Journal of Women's Health, September 2015 (Subscription access is needed)

Medicaid Reimbursement Policies for LARC Aid Awareness, Use
National Institute for Children's Health Quality (NICHQ) blog, July 29, 2015

Educating Healthcare Workers on IUDs, Implants Halves Unintended Pregnancies, Study Finds, June 19, 2015

States Work to Improve Postpartum LARC Implementation
Association of Maternal and Child Health Programs - AMCHP Pulse, May/June 2015

LARC Now Considered a Top Method to Prevent Unintended Pregnancy, Dec. 19, 2014