How can you
increase LARC
access for youth
while ensuring
choice?
Jen Tuddenham
USAID Program Advisor
Marie Stopes International
SIFPO-MSI
SLIDE 1
What do we mean by choice?
SIFPO-MSI
SLIDE 2
LARCs are more
expensive…
Lack of trained
providers able
to provide
LARCs
Lack of
access to
facilities with
LARCs
Lack of
access to
information
on some
methods
It’s easier for providers
to just give a short
term method.....
SIFPO-MSI
SLIDE 3
What does method mix look like
when these barriers are reduced?
SIFPO-MSI
SLIDE 4
Private health
provider,
Madagascar
SIFPO-MSI
SLIDE 5
3,000 adolescents in Madagascar
using e-voucher for services every month
2/3 chose a
LARC
1/2 had STI
service
SIFPO-MSI
SLIDE 6
How can we support contraceptive choice
during provider counselling?
SIFPO-MSI
SLIDE 7
Compare the method mix….
Madagascar
adolescent method
mix (2011 DHS)
IUD
24%
Methods chosen
by e-voucher
clients, 2014
22%
Implant
58%
41%
54%
Short term method (excl
condoms)
Traditional method
2%
SIFPO-MSI
SLIDE 8
Questions for discussion

When does ‘reducing barriers’ become ‘promoting’
one method over another’?

How do we ensure voluntary choice for youth
when also trying to increase awareness of and
interest in LARCs?
SIFPO-MSI
SLIDE 9
Thank you!
SIFPO-MSI
SLIDE 10