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Global Preconception and Contraception Care: Using a Life-Course Approach to Improve Health Outcomes in
Megan A Cohen1, Somesh Kumar2, Mark Hathaway3
1Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon, USA; Division of Complex Family Planning, Department of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive, SE - Faculty Office Building. Atlanta, GA 30303, USA.
Abstract:
A life-course approach incorporating appropriate preconception and contraception care is key to achieving optimal maternal, neonatal, and child health outcomes. In low- and middle-income countries (LMIC), there is a large unmet need for contraception and an estimated 49% of pregnancies are unintended. In this article, we discuss preconception and contraception care in LMIC settings including key recommendations for content and service delivery. We discuss barriers and facilitators to contraceptive provision, discuss considerations for providers who may practice in LMIC settings, and highlight strategies for achieving increased contraceptive uptake including several examples of successful programs.
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