2008 — This easy-to-use tool assists health workers of all levels in the implementation of four evidence-based strategies recommended by the World Health Organization to increase uptake and continuation of combined oral contraceptives (COCs). These strategies include:
- Quick Start (women take their first pill under observation during a clinic visit, regardless of where they are in their menstrual cycle)
- Advance provision of COCs
- Providing multiple packs of COCs
- Managing missed pills
Implementing these evidence-based strategies can improve the quality of care and reduce medical barriers for those seeking oral contraception. On many occasions, menstruation requirements or a client’s inability to visit health centers for refills restrict or deny access to COCs for eligible women who desire this method. In addition, complicated instructions on when to initiate use of hormonal contraceptives and how to manage missed pills can create unnecessary obstacles to contraceptive uptake and continuance. Using this COC strategy guide can minimize these barriers. The guide is available in English. It was also adapted for use in Nigeria.