Increasing Long-Acting Reversible Contraceptive Method Use Among Alaska Native Women

Long-acting reversible contraceptive (LARC) methods are underutilized despite having the highest efficacy rates. This quality improvement project examined an intervention to increase use of structured contraceptive counseling by health care providers and LARC choice among Alaska Native women. Documentation of contraceptive counseling increased from 50% to 96.6% (P = .002), and women were almost 2 times more likely to choose LARC. Results suggest that a short educational intervention had a positive impact on health care provider behavior and LARC uptake.