Expanding Effective Contraceptive Options (EECO) is a USAID-funded project that supports the introduction of new contraceptive options. Each product in the EECO portfolio is designed to address one or more method-related reasons for non-use of contraception. Among these methods is the Levonorgestrel Intrauterine System (LNG-IUS), a contraceptive option with a side effect profile that differs from other methods and may appeal to women seeking reduced menstrual bleeding.
EECO conducts pilot introductions of new contraceptive products, like the LNG-IUS, in countries that have high levels of unmet need for contraception such as Madagascar, Malawi, Niger, Nigeria, and Zambia. By the project’s end, EECO will have produced step-by-step roadmaps for product introduction which can be used to scale up access to the products or expand introduction to additional countries.
This program brief focuses on the lessons learned through each stage of the project’s pilot introductions of the LNG-IUS in Zambia and Madagascar from 2016 to 2018.