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What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device

In 2015, a global learning agenda for the hormonal intrauterine device (IUD) was developed with priority research questions regarding use of the method in low- and middle-income countries. In addition, members of the Hormonal IUD Access Group aligned on a strategy to expand access in the context of...

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Autores principales: Rademacher, Kate H., Sripipatana, Tabitha, Danna, Kendal, Sitrin, Deborah, Brunie, Aurélie, Williams, Katie M., Afolabi, Kayode, Rasoanirina, Francia, Ramarao, Saumya, Pfitzer, Anne, Cain, Devon, Simon, Morgan, Menotti, Elaine, Hazelwood, Anna, Nwala, Anthony Adindu, Saidu, Zainab, Chowdhury, Raveena, Taiwo, Anne, Chidanyika, Agnes, Ndirangu, Gathari, Steiner, Markus J., Lepine, Marie Chantale, Homan, Rick, Saad, Abdulmumin, Vivalo, John, Dorflinger, Laneta J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Global Health: Science and Practice 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622288/
https://www.ncbi.nlm.nih.gov/pubmed/36316136
http://dx.doi.org/10.9745/GHSP-D-21-00789
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author Rademacher, Kate H.
Sripipatana, Tabitha
Danna, Kendal
Sitrin, Deborah
Brunie, Aurélie
Williams, Katie M.
Afolabi, Kayode
Rasoanirina, Francia
Ramarao, Saumya
Pfitzer, Anne
Cain, Devon
Simon, Morgan
Menotti, Elaine
Hazelwood, Anna
Nwala, Anthony Adindu
Saidu, Zainab
Chowdhury, Raveena
Taiwo, Anne
Chidanyika, Agnes
Ndirangu, Gathari
Steiner, Markus J.
Lepine, Marie Chantale
Homan, Rick
Saad, Abdulmumin
Vivalo, John
Dorflinger, Laneta J.
author_facet Rademacher, Kate H.
Sripipatana, Tabitha
Danna, Kendal
Sitrin, Deborah
Brunie, Aurélie
Williams, Katie M.
Afolabi, Kayode
Rasoanirina, Francia
Ramarao, Saumya
Pfitzer, Anne
Cain, Devon
Simon, Morgan
Menotti, Elaine
Hazelwood, Anna
Nwala, Anthony Adindu
Saidu, Zainab
Chowdhury, Raveena
Taiwo, Anne
Chidanyika, Agnes
Ndirangu, Gathari
Steiner, Markus J.
Lepine, Marie Chantale
Homan, Rick
Saad, Abdulmumin
Vivalo, John
Dorflinger, Laneta J.
author_sort Rademacher, Kate H.
collection PubMed
description In 2015, a global learning agenda for the hormonal intrauterine device (IUD) was developed with priority research questions regarding use of the method in low- and middle-income countries. In addition, members of the Hormonal IUD Access Group aligned on a strategy to expand access in the context of volunteerism and contraceptive method choice. This article synthesizes evidence generated since then and describes steps taken to address demand- and supply-side barriers to access. Findings demonstrated high continuation rates and satisfaction among hormonal IUD users that are comparable to other long-acting reversible contraceptives (LARCs). Across studies, a sizable number of users reported they would have chosen a short-acting method or no method at all if the hormonal IUD were not an option, which suggests that women did not see the hormonal IUD as interchangeable with other LARC options and thus it may fill an important niche in the market. With several countries now poised to scale up the method, resource mobilization will be key. On the demand side, investments in implementation research will be critical to understanding how best to launch and scale the method, while ensuring the sustainability of multiple quality-assured suppliers with affordable public-sector pricing will be necessary on the supply side.
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spelling pubmed-96222882022-11-14 What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device Rademacher, Kate H. Sripipatana, Tabitha Danna, Kendal Sitrin, Deborah Brunie, Aurélie Williams, Katie M. Afolabi, Kayode Rasoanirina, Francia Ramarao, Saumya Pfitzer, Anne Cain, Devon Simon, Morgan Menotti, Elaine Hazelwood, Anna Nwala, Anthony Adindu Saidu, Zainab Chowdhury, Raveena Taiwo, Anne Chidanyika, Agnes Ndirangu, Gathari Steiner, Markus J. Lepine, Marie Chantale Homan, Rick Saad, Abdulmumin Vivalo, John Dorflinger, Laneta J. Glob Health Sci Pract Review In 2015, a global learning agenda for the hormonal intrauterine device (IUD) was developed with priority research questions regarding use of the method in low- and middle-income countries. In addition, members of the Hormonal IUD Access Group aligned on a strategy to expand access in the context of volunteerism and contraceptive method choice. This article synthesizes evidence generated since then and describes steps taken to address demand- and supply-side barriers to access. Findings demonstrated high continuation rates and satisfaction among hormonal IUD users that are comparable to other long-acting reversible contraceptives (LARCs). Across studies, a sizable number of users reported they would have chosen a short-acting method or no method at all if the hormonal IUD were not an option, which suggests that women did not see the hormonal IUD as interchangeable with other LARC options and thus it may fill an important niche in the market. With several countries now poised to scale up the method, resource mobilization will be key. On the demand side, investments in implementation research will be critical to understanding how best to launch and scale the method, while ensuring the sustainability of multiple quality-assured suppliers with affordable public-sector pricing will be necessary on the supply side. Global Health: Science and Practice 2022-10-31 /pmc/articles/PMC9622288/ /pubmed/36316136 http://dx.doi.org/10.9745/GHSP-D-21-00789 Text en © Rademacher et al. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-21-00789
spellingShingle Review
Rademacher, Kate H.
Sripipatana, Tabitha
Danna, Kendal
Sitrin, Deborah
Brunie, Aurélie
Williams, Katie M.
Afolabi, Kayode
Rasoanirina, Francia
Ramarao, Saumya
Pfitzer, Anne
Cain, Devon
Simon, Morgan
Menotti, Elaine
Hazelwood, Anna
Nwala, Anthony Adindu
Saidu, Zainab
Chowdhury, Raveena
Taiwo, Anne
Chidanyika, Agnes
Ndirangu, Gathari
Steiner, Markus J.
Lepine, Marie Chantale
Homan, Rick
Saad, Abdulmumin
Vivalo, John
Dorflinger, Laneta J.
What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device
title What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device
title_full What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device
title_fullStr What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device
title_full_unstemmed What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device
title_short What Have We Learned? Implementation of a Shared Learning Agenda and Access Strategy for the Hormonal Intrauterine Device
title_sort what have we learned? implementation of a shared learning agenda and access strategy for the hormonal intrauterine device
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622288/
https://www.ncbi.nlm.nih.gov/pubmed/36316136
http://dx.doi.org/10.9745/GHSP-D-21-00789
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