Long-Acting and Permanent Methods (LA/PMs) of Contraception

Programs should offer a sustainable, well-balanced range of contraceptive methods that will allow clients to choose the method that best suits their needs. Making long-acting and permanent methods (LA/PMs) available is particularly important. This group of methods includes implants, IUDs, female sterilization, and vasectomy. These are the most effective and cost-effective contraceptives, and they require little action by the client. Despite these advantages, they are often difficult for clients to access and are not used as widely as other methods. Because LA/PMs are highly effective, their wider availability and use would reduce fertility rates more than would wider use of most other methods. Also, countries would be able to meet their reduced fertility goals more cost-effectively.

The resources below may be used in advocacy and communication efforts to support programming for long-acting and permanent methods.

Implants for Adolescents: An option worth considering for health timing and spacing of pregnancy

Pathfinder International, Extending Service Delivery Project [ESD]
2010 | 2 p
This brief makes the case that implants may be a good option for adolescents and that providers may want to consider counseling adolescents on implants, in addition to other methods, as they address the unique family planning needs of young people.
 
2009 | 2 p
This e-bulletin discusses the introduction of a new, lower-cost contraceptive implant, theSino-Implant (II), including cost implications, quality assurance and programmatic considerations, among others.
 
EngenderHealth, The ACQUIRE Project
2008 | 2 p
This two-page advocacy brief, third in a series of five, answers key questions about LA/PMs including implants. The brief is designed for policy and reproductive health decision-makers such as health ministers, but is written in a way designed to be accessible to anyone within the reproductive...
 

Family Health International [FHI]

2008 | 26 p
This guide may be used in advocacy and communication efforts and makes the case for supporting LA/PMs with discussion on implants among them. 
 
Family Health International [FHI]
2008
This newsletter examines the unrealized potential of LA/PMs to help family planning programs meet the needs of clients and improve public health. Although there are some challenges associated with the provision of LA/PMs, these can be overcome by improving service delivery and educating potential...
 
EngenderHealth, The ACQUIRE Project
2008 | 4 p
This four-page advocacy brief looks at the continued need for LA/PMs, within the context of individual health and well-being as well as international development. It presents LA/PMs as vital options for clients and programs and outlines key actions that can be taken by national policy...
 
U.S. Agency for International Development [USAID]
2006 | 2 p
This two-page issue brief provides a concise summary of key elements relating to LA/PMs and is a simple tool to use in advocacy efforts.