Expanding Contraceptive Choice

Everyone should be able to make voluntary and informed decisions about contraception, while accessing high-quality counseling and services.

Ensuring easy access to a wide range of contraceptive options is at the heart of E2A’s work to strengthen family planning around the globe. To reduce unmet need for contraception, we work across a constellation of service-delivery outlets—communities, universities, and health facilities—where skilled providers and counselors are ready to offer a range of methods.

Strengthening Services in Facilities

E2A advances the fundamental work of strengthening public health systems—enabling countries to improve the quality and accessibility of family planning services. This includes efforts to:

  • Enhance providers’ technical and interpersonal skills.
  • Ensure a full spectrum of methods are readily available—with complete and accurate information.
  • Introduce and scale-up youth-friendly contraceptive services.
  • Advance client-centered care that enables individuals to freely choose a contraceptive method that best meets their reproductive desires and lifestyles, free of coercion, stigma, and discrimination.

Advancing Community-Based Family Planning

Community-based distribution is an important and tested strategy for improving access to and continuity of contraceptive services, especially for people living in rural areas where facility-based services are out of reach. E2A’s work in this area focuses on improving access to injectable contraceptives and long-acting reversible contraception at the community level through community health workers and other cadres; as well as enhancing community health worker performance, with a special focus on the use of data for strengthening service delivery.

Creating Models for Effective Integration

To reach more people with the holistic information and services they need, we focus on integrating family planning and reproductive health services with the following interventions: nutrition, postabortion care; population, health, and environment; prevention of mother-to-child transmission of HIV services; and other maternal, newborn, and child health interventions. When done right, integration can lead to greater efficiency and effectiveness, ensuring clients get the most out of every visit.


Featured Publications

Explore key publications to get important takeaways from E2A’s work expanding contraceptive method choice.


CONSENSUS STATEMENT: Expanding Contraceptive Choice for Adolescents and Youth to Include Long-Acting Reversible Contraception



ASSESSMENT OF SCALE-UP: Expanding Voluntary Contraceptive Methods to include LARCs in Youth-Friendly Service Units


Expanding Contraceptive Choice for Adolescents and Youth to Include Long-Acting Reversible Contraceptives


Facilitators and Barriers to Systematically Scaling-up Family Planning Task-Shifting and Task-Sharing of Contraceptive Implants in Cross River State, Nigeria

Thinking Outside the Separate Space tool coverGLOBAL

Thinking Outside the Separate Space: A Decision-Making Tool for Designing Youth-Friendly Services


Expansion of Community-Based Family Planning in the Democratic Republic of the Congo: Using a Systematic Approach to Scale-Up




 Join the Community of Practice

What does it take to operationalize an environment where all individuals can freely choose a contraceptive method that best meets their reproductive desires and lifestyles? Join the Method Choice Community of Practice, led by E2A, to explore new contraceptive data, trends, and country experiences.