MSI LAPM experience

Heidi QuinnRegional Technical Advisor

RGN,RM, MPH

• Strategic Focus• Eliminating unplanned

pregnancy & unsafe abortion.

• Reducing barriers to services and supplies.

• Innovative service delivery.

• Strengthening health systems.

MSI around the world

MSI in Africa

MSI in Asia

Service model

LAPM in MSI partners• Tubal Ligation• IUD• Vasectomy• Implants• SINO/Zarin• Jadelle• Implanon• LNG IUS (Mirena)

Trends & Growth

Clinics Outreach Other* TotalTubal Ligations 64,067 395,228 15,381 474,676 Vasectomies 22,856 71,068 467 94,391 IUDs 71,759 293,264 98,456 463,479 Implants 26,639 60,828 2,049 89,516 Total LTPMs 185,321 820,388 116,353 1,122,062

% by delivery channel 17% 73% 10%

MSI Long Term and Permanent Methods January - December 2008

Service Delivery Channels - Global Summary

Innovations in LAPM

Challenges for implants• Availability/registered• Quality• Price• Demand/supply• Skills/Training• Data collection• Research • Bias for implants!

Thank you

Trends by method

0

100,000

200,000

300,000

400,000

500,000

600,000

2005 2006 2007 2008

TLIUDImplant