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What Have We Learned About the Hormonal IUD?

Reports and results from hormonal IUD research in low- and middle-income settings

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October 2020

ICA Foundation: Supporting LNG-IUS Access in Low- and Middle-Income Countries Brief

This research utilization and impact brief comes out of the Population Council 2019 Annual Report and highlights the ICA Foundation's efforts with the hormonal IUD. It summarizes the ICA Foundation's research, research use and impact.

Research Coordination, Pilot Program

October 2019

Hormonal IUD Learning Site Visits: Expanding Contraceptive Method Choice in Kenya

This report summarizes, a 2-day experiential learning site visit organized to Kisumu county to learn more about recent experiences with hormonal IUS provision in public sector settings. The site visit provided an opportunity for the national Ministry of Health, county governments and implementing partners to learn from field experiences and have an open exchange of ideas, knowledge, and implementation strategies for comprehensive FP/LARC services, including the hormonal IUS. This initiative was co-coordinated between Envision FP and MCSP.

Pilot Program

January 2023

Evidence from Clinical Trial Data Addressing Common Misconceptions about the Hormonal IUD

Secondary analysis of the data collected through the ACCESS IUS trial, conducted by Medicines360, indicates that rigorous clinical trial data could adequately address common misconceptions about the hormonal IUD, which may be barriers to method use. These slides, originally presented at ICFP 2022, share user outcomes from the trial.

Research Coordination

September 2020

EECO: Hormonal IUD Pilot Introduction Findings in Madagascar

This presentation from September 2020 summarizes findings from the pilot introduction of the hormonal IUS in Madagascar, conducted through a longitudinal study with IUS users and providers. The study objective was to understand user experiences and profiles, as well as IUS continuation rates.

Pilot Program

November 2021

Cost Effectiveness Analysis of Including Hormonal IUD in the Contraceptive Method Mix in Nigeria and Zambia: Summary of Results

This analysis estimates the incremental cost-effectiveness of the hormonal IUD compared to other contraceptive methods available in Nigeria and Zambia over a 5-year and 10-year period. Separate models were built for Nigeria and Zambia reflecting the different service delivery contexts, contraceptive prevalence, and current method mix. Costs were estimated from the perspective of the health system as well as from the societal perspective.

Cost Assessment

December 2018

Cost Assessment of Hormonal IUD in Nigeria

This presentation from December 2018 assesses costs of LNG-IUS introduction in Nigeria. It outlines the calculation of direct service delivery costs, average staff time for insertion and removal, and commodity costs, providing insight into how the LNG-IUS compares with other contraceptive methods currently available in Nigeria.

Cost Assessment

January 2023

Ce qu’il faut pour Introduire une Nouvelle Méthode Contraceptive: Première Expérience avec le DIU Hormonal à Madagascar

Cette présentation, initialement présentée à l'ICFP 2022, décrit l'effort d'introduction du DIU hormonal à Madagascar. L'objectif de cette discussion était d'utiliser les leçons apprises des panélistes pour améliorer et étendre les efforts d'introduction du DIU hormonal dans les pays PF2030, y compris les pays francophones où l'accès a été limité.

Introduction & Scale-Up

February 2024

Annotated Bibliography: Hormonal IUD

This annotated bibliography, updated in February 2024, contains research, toolkits, articles, and other resources relating to the hormonal IUD. These resources focus particularly on use and availability of this method in low- and middle-income settings, including insights about acceptability among clients and providers and supply-side facilitators and barriers to access. Some resources highlight potential next steps to increase method uptake at the country level.

Research Coordination

December 2018

A Global Learning Agenda for the Hormonal IUD: Addressing Challenges and Opportunities to Increase Access

This commentary prepared by a global working group offers a shared learning agenda to answer critical questions, harmonize approaches, avoid duplication, and facilitate introduction of the method within the context of informed choice.

Research Coordination

May 2020

LEAP: A Mixed-Methods, Longitudinal Study of the User Population in Zambia

This presentation provides an overview of a mixed methods study conducted in Zambia under the LEAP Initiative with funding from the Bill & Melinda Gates Foundation.

User Perspectives

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A global consortium of family planning method introduction leadership dedicated to expanding access to the hormonal IUD

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