?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F27371%2F&rft.title=Family+planning+in+Sub-Saharan+Africa%3A+a+review+of+interventions+in+promotion+of+long-acting+reversible+contraception+&rft.creator=Fiato%2C+Natalie&rft.description=International+non-governmental+organizations+(INGOs)+in+the+field+of+sexual+and+reproductive+health+(SRH)+consider+access+to+family+planning+services+a+universal+human+right.++Family+planning+programs+should+strive+to+effectively+provide+information%2C+counseling%2C+and+contraceptive+services+to+allow+women+and+men+the+ability+to+freely+determine+when+and+how+many+children+they+desire+to+have.%0D%0A%0D%0AIn+developing+regions+of+the+world%2C+women+are+often+unable+to+obtain+or+use+modern+contraception+(mC)+for+many+reasons+relating+to+both+supply+and+demand+side+factors.++Use+of+mC+is+lowest+in+Sub-Saharan+Africa+(SSA).++Unmet+need+(i.e.%2C+women+who+desire+to+delay+childbearing+but+are+not+using+any+methods+to+do+so)+is+highest+in+this+region+as+well.++Higher+rates+of+unintended+pregnancy+are+directly+related+to+low+mC+use+and+high+unmet+need.++The+public+health+significance+of+this+relationship+is+great%3A+unintended+pregnancy+has+grave+health+implications+for+maternal+and+child+morbidity+and+mortality+in+the+developing+world.++%0D%0A%0D%0AWomen+of+reproductive+age+in+SSA+rely+primarily+on+traditional+and+short-acting+reversible+contraception%2C+which+are+prone+to+incorrect+or+inconsistent+usage+and+failure.++By+contrast%2C+long-acting+reversible+contraception+(LARC)+provides+up+to+ten+years+of+highly+effective+protection+against+pregnancy.++LARC+methods+are+among+the+safest%2C+most+cost-effective%2C+and+reliable+forms+of+contraception+available+today.++LARC+includes+the+copper+intrauterine+device+(IUD)%2C+levonorgestrel+intrauterine+system+(LNG-IUS)%2C+and+contraceptive+implant.++These+methods+are+appropriate+for+most+women%2C+and+can+be+used+to+space+or+limit+childbearing+until+the+user+is+ready+to+have+children.%0D%0A%0D%0ALARC+methods+have+historically+been+underutilized+in+SSA%2C+where+they+could+benefit+millions+of+women+seeking+to+control+their+fertility.++Relatively+few+interventions+exist+within+the+international+development+field+where+LARC+has+been+sustainably+introduced+into+the+mC+method+mix+in+SSA.++This+paper+reviews+and+examines+the+literature+on+published+interventions%2C+and+provides+international+development+practitioners+with+useful+recommendations+for+LARC+promotion+in+family+planning+programs+moving+forward.++These+recommendations+include+decentralizing+health+care+networks%2C+building+capacity+in+service+delivery+and+skills+training%2C+and+conducting+advocacy+and+education+through+social+and+behavioral+change+communication+(SBCC).%0D%0A&rft.date=2016-06-29&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F27371%2F1%2Ffiatonr_etd_4_2016.pdf&rft.identifier=++Fiato%2C+Natalie++(2016)+Family+planning+in+Sub-Saharan+Africa%3A+a+review+of+interventions+in+promotion+of+long-acting+reversible+contraception.++Master's+Thesis%2C+University+of+Pittsburgh.++++(Unpublished)++