Between 2008 and 2010, Marie Stopes International's (MSI) IUD provision in sub-Saharan Africa more than doubled. MSI provided 71,059 IUD insertions in 2008, 99,327 in 2009 and more than 167,000 in 2010.These figures demonstrate MSI’s growing success in increasing contraceptive choices and providing IUDs to underserved women in sub-Saharan Africa.MSI’s success in IUD provision is attributable to a number of innovative approaches: public-private partnerships; use of social franchising and voucher schemes; task shifting (delivery of services by mid-level providers); and provision of IUD services at outreach settings in rural communities. Recent evidence shows high client satisfaction levels and low IUD discontinuation rates at outreach settings, which highlights MSI’s effectiveness in maintaining high quality services to poor and underserved women.To increase women’s contraceptive choices in sub-Saharan Africa, and to expand access to quality LAPM services such as the IUD, MSI recommends the following:• training healthcare providers to reduce bias against provision of LAPMs• collaborating with governments to remove policy and regulatory barriers to expanding method choice• working with governments to ensure a steady and reliable supply of LAPMs and equipment• engaging with private providers to build their capacity to provide high quality, client-focused LAPM services• expanding availability of IUD services in rural areas, through the use of mid-level providers• increasing public awareness about the benefits of IUDs by employing method-specific marketing and interpersonal communications campaigns with a mixed media approach, including community theatre, radio and peer-to-peer interaction, in order to reach potential IUD and LAPM clients in rural and underserved areas.