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.
Request for Proposals (RFP) Increasing Access to Contraception Learning Community
ASTHO is requesting proposals for the evaluation of the Increasing Access to Contraception Learning Community. Expected products include a completed process evaluation, Key Informant Interviews with Cohort 3 states, return on investment analysis, and the development of assessment and evaluation tools for participating states to monitor policy uptake, lessons learned and barriers to increasing access to contraception. Proposals are due by Nov. 30, 2016, at 11:59 p.m. ET. Please contact Christi Mackie at firstname.lastname@example.org with any questions.
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 »
LARC Resources from States and Partners
Recently Published Journal Articles by ASTHO Staff
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
StatePublicHealth.org, 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
StatePublicHealth.org, Dec. 19, 2014