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Uptake of long-acting, reversible contraception in three remote Aboriginal communities: a population-based study

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The known  The availability of effective and acceptable contraception is critical to the realisation of sexual health, with an increasing shift toward promoting long-acting reversible contraception (LARC) methods at an international level.

The new  LARC methods were used more frequently by contraception users in three Western Desert communities in Western Australia than at the national level. Continuation rates for etonogestrel implants compared well with those reported for other populations in Australia and internationally.

The implications  Service delivery models incorporating community engagement and health promotion can be used to achieve high uptake and acceptability of LARC methods.

The right to decide the number and timing of pregnancies is recognised as critical to the realisation of sexual health.1 This is optimally achieved by making acceptable and effective contraception available, reducing the rates of unintended pregnancy. Long-acting reversible contraceptives (LARCs) are recommended as the first line approach because of their superior effectiveness, the limited contraindications, high user satisfaction, and suitability across the reproductive life cycle.2

In Australia, as in other developed countries,…