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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 2021

Updated Global Learning Agenda for the Hormonal IUD

In 2021, the Hormonal IUD Access Group members worked with governments and local stakeholders to update the global learning agenda for the hormonal IUD. This version builds on the original learning agenda created in 2015. Countries who are currently scaling up the method or are considering introduction can adapt and use this framework to identify and answer priority research and evaluation questions. Topics in the updated learning agenda include market potential; users’ and providers experiences; service delivery approaches; non-contraceptive attributes; cost-effectiveness; equity; and evaluating capacity for scale-up.

Research Coordination

October 2019

Meeting Report: Hormonal IUD Learning Site Visits in Kenya

This report summarizes a 2-day experiential learning site visit organized to Kisumu county in Kenya to learn more about recent experiences with hormonal IUD 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 IUD. This initiative was co-coordinated by FHI 360 and Jhpiego through the USAID-funded Envision FP and MCSP projects.

Pilot Program

December 2019

MCSP: Incorporating the Hormonal IUD into the Contraceptive Method Mix in the Public Health Sector in Zambia

This brief describes Maternal and Child Survival Program (MCSP) interventions in four provinces in Zambia and the results of the implementation research conducted along with the interventions. The MCSP study, with funding from USAID, aimed to establish the profile of women adopting the hormonal IUD method, their experiences using it, and providers’ perspectives on factors for successful introduction.

Pilot Program, User Perspectives, Provider Perspectives

December 2019

MCSP: Incorporating the Hormonal IUD into the Contraceptive Method Mix in the Public Health Sector in Kenya

This brief describes work conducted under the Maternal and Child Survival Program (MCSP) project with funding from USAID to introduce the hormonal IUD in two counties in Kenya including results of the implementation research. The MCSP study aimed to document women's experiences using the method and providers’ perspectives on factors for successful introduction.

Pilot Program, User Perspectives, Provider Perspectives

April 2019

Hormonal IUD Dashboard: Perspectives of Hormonal IUD Users Across Introduction Programs

This dashboard from April 2019 compares data across Kenya, Zambia, Nigeria, and Madagascar, where pilot introductions of the hormonal IUD took place. Data are presented about users' motivations for selecting the hormonal IUD and what their second-choice method would have been, offering insights into the most desirable aspects of the method for current users in real-world settings.

Research Coordination, User Perspectives

April 2019

LEAP: Understanding the Market Potential of the IUD in Kenya and Nigeria: Key Findings from Focus Group Discussions

This presentation from April 2019 outlines findings from qualitative market research in Kenya and Nigeria. Focus group discussions were held to understand appealing and concerning aspects of the hormonal IUD among respondents. This analysis, authored by Routes2Results and PSI, helped create a framework for follow-on quantitative evaluations of market demand.

Market Assessment, User Perspectives

December 2018

LEAP: Providers' Perspectives in Nigeria: Qualitative Results

This presentation from December 2018 extracts key takeaways from in-depth interviews with providers of the hormonal IUD in Nigeria. Authored by Dr. Aurélie Brunie (FHI 360), this presentation outlines perceptions of the method among respondents and their recommendations of how to further expand access to the method.

Provider Perspectives

May 2020

LEAP: Mixed-Methods, Longitudinal Study Results in Nigeria

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

User Perspectives

November 2019

LEAP: IUD User Profiles

To inform demand generation and marketing campaigns, this slide deck presents three profiles typical of hormonal IUD users based on data from Nigeria and Zambia. The slides include recommendations on how to reach and communicate with potential clients like those represented in the profiles.

Market Assessment

November 2019

LEAP: Hormonal IUD Market Research Quantitative Findings in Kenya and Nigeria

This presentation from November 2019 outlines findings from quantitative market research in Kenya and Nigeria. This quantitative analysis, authored by Routes2Results and PSI, followed qualitative market research on views of the hormonal IUD.

Market Assessment, User Perspectives

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