Long Acting Family Planning Methods: Research and Program Applications 2010 The Population Council, Inc. Outline Integration of LA Methods into Postpartum Services Offering FP during Postpartum Care Contact Opportunities Immediate postpartum (2-6 days) 40 days / six weeks Breastfeeding women 6 months onwards n Method Options Method Provision in Maternity Ward Leads to Higher Use Prevalence Rate at Six Months, Peru Source: Karen Foreit et al Effectiveness and cost-effectiveness of postpartum IUD insertion in Lima, Peru FP Services in the Maternity Ward is Better than Referral, Nicaragua Source: Freddy Sols et al Situational Analysis of the use of contraception in the postpartum, postabortion, and PMTCT programs, Nicaragua Lessons on Integration of FP and Postpartum Why Shift Tasks Between Workers? Task-shifting Can Work! Sources: Vernon et al Increasing use of the IUD through Community and Clinic based Education Activities in Rural Honduras 2007; Vernon et al Improving Access to Long-Term Contraceptives in Rural Guatemala through the Ministry of Health 2005. Zarin Sino-implant (II) Mirena and generic LNG IUS One year Contraceptive Vaginal Ring Sino-implant (II) LNG Intra Uterine Systems New Contraceptive Rings * Delivers NES/EE 150/15g /day, 13 cycles 3 weeks in followed by 1 week off Developed by the Population Council Sponsored by USAID, NICHD, WHO Contraceptive vaginal ring (NES/EE) one year* Progesterone 3-month Progesterone receptor modulator vaginal ring Dual-protection ring with anti-retroviral agents and contraceptive steroids Advantages of Contraceptive Vaginal Rings Summary