Testing a Service-Delivery Model for Offering Long-Acting Reversible Contraceptive Methods to Youth in Ethiopia

To help address the unmet demand for contraception among Ethiopian youth, E2A, in collaboration with the Integrated Family Health Program Plus (IFHP+), tested a model that strengthened family planning service delivery at youth-friendly service sites by readying the sites to provide adolescents and youth full contraceptive choice including long-acting reversible contraceptives (LARCs). The study was implemented at 10 intervention and 10 non-equivalent comparison study sites in Amhara and Tigray regions. The model tested was:

  • Competency-based skills training on LARCs insertion, removal and infection control, including dispelling myths and misconceptions on safety and effectiveness of LARCs for youth.
  • Refresher training for peer educators to counsel (dispel myths and misconceptions) clients on safety and effectiveness of LARCs and refer them for services.
  • Data quality supervision and mentoring on data collection by IFHP+  staff.

This study report concludes that the combined effect of the tested service delivery model successfully achieved the program’s primary objective: increasing LARCs uptake among female adolescents and youth.


  • Authors: Gwendolyn Morgan, Murtala Mai, Yewondwossen Bitew, Maernet Mezgebe, Abdulmumin Saad, Worknesh Kereta, Kellali Tsegay, Almaz Bekele, Kidest Lulu, Mengistu Asnake
  • Publication date: October 2017