Most sexually active adolescents in sub-Saharan Africa are not using modern methods of contraception. While long-acting reversible contraceptive methods (LARCs) – such as the intrauterine device (IUD) and the implant – are highly effective, convenient and cost-effective, their uptake among young women is low.
Through rapid assessments, an evidence scan and a Springboard discussion, HC3 identified key barriers to LARC uptake among youth. For example, health care providers are often not aware that LARCs are safe and effective for all women of reproductive age, including adolescents and young people that have not yet had children. Additionally, youth’s own beliefs – often shared and reinforced by providers – that LARCs are for older, married women who are mothers already, or that LARCs can cause health problems, further hamper LARC acceptance for and by youth.
