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Understanding Barriers to Uptake of LARC

Health & Psychology Zimbabwe

In Zimbabwe, less than three percent of women use Long-Acting Reversible Contraception (LARC) methods, leading to high rates of unintended pregnancy often with adverse consequences for women and families such as decreased education and employment opportunities. Major barriers to the uptake of LARC methods include lack of awareness and misconceptions among women, as well as inadequate or lack of provider training. This project evaluates the impact of a community-based intervention to increase LARC uptake in Population Services International, Zimbabwe (PSI/Z) clinics. The intervention is modeled after a similar program in Zambia that utilized hairdressers to educate women about female condoms. Hairdressers are randomly assigned to one of three groups and trained to discuss LARC methods with their clients. Administrative data from PSI/Z clinics are used to determine LARC uptake and new client visits. Researchers then compare results from the different groups to determine the most effective method to increase LARC uptake, and design a full scale evaluation of that method. Results forthcoming.

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  • Population Services International
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