{"id":"https://openalex.org/W2943920128","doi":null,"title":"Expanding Effective Contraceptive Options: Lessons Learned from the Introduction of the Levonorgestrel Intrauterine System (LNG-IUS) in Zambia and Madagascar","display_name":"Expanding Effective Contraceptive Options: Lessons Learned from the Introduction of the Levonorgestrel Intrauterine System (LNG-IUS) in Zambia and Madagascar","publication_year":2019,"publication_date":"2019-01-01","ids":{"openalex":"https://openalex.org/W2943920128","mag":"2943920128"},"language":"en","primary_location":{"id":"mag:2943920128","doi":null,"is_oa":false,"landing_page_url":"https://marketbookshelf.com/publications/expanding-effective-contraceptive-options-lessons-learned-from-the-introduction-of-the-levonorgestrel-intrauterine-system-lng-ius-in-zambia-and-madagascar/","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027361055","display_name":"Kendal Danna","orcid":"https://orcid.org/0000-0003-2681-9834","observed_orcids":["https://orcid.org/0000-0003-2681-9834"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kendal Danna","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-2681-9834","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087937670","display_name":"Harris Danielle","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Harris Danielle","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025015512","display_name":"Ashley Jackson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jackson Ashley","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5026831683","display_name":"Mann Chastain","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mann Chastain","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.2271,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.56255419,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13942","display_name":"International Human Rights and Reproductive Law","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13242","display_name":"Male Reproductive Health Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/levonorgestrel-releasing-intrauterine-system","display_name":"levonorgestrel-releasing intrauterine system","score":0.9739999771118164},{"id":"https://openalex.org/keywords/unmet-need-for-contraception","display_name":"unmet need for contraception","score":0.8330000042915344},{"id":"https://openalex.org/keywords/family-planning","display_name":"family planning","score":0.6340000033378601},{"id":"https://openalex.org/keywords/contraceptive-side-effects","display_name":"contraceptive side effects","score":0.6420000195503235},{"id":"https://openalex.org/keywords/menstrual-bleeding-reduction","display_name":"menstrual bleeding reduction","score":0.7480000257492065},{"id":"https://openalex.org/keywords/access-to-contraception","display_name":"contraceptive access","score":0.3720000088214874},{"id":"https://openalex.org/keywords/regulatory-approval","display_name":"regulatory approval","score":0.4339999854564667},{"id":"https://openalex.org/keywords/social-marketing","display_name":"social marketing","score":0.6269999742507935},{"id":"https://openalex.org/keywords/zambia","display_name":"Zambia","score":0.35499998927116394},{"id":"https://openalex.org/keywords/madagascar","display_name":"Madagascar","score":1.0},{"id":"https://openalex.org/keywords/women-s-health","display_name":"women's health","score":0.3659999966621399},{"id":"https://openalex.org/keywords/family-planning-services","display_name":"family planning services","score":0.32600000500679016}],"concepts":[{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.7036385536193848},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6391329169273376},{"id":"https://openalex.org/C2780186607","wikidata":"https://www.wikidata.org/wiki/Q416950","display_name":"Levonorgestrel","level":5,"score":0.5412700772285461},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5030373930931091},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.49154576659202576},{"id":"https://openalex.org/C2779379456","wikidata":"https://www.wikidata.org/wiki/Q14076","display_name":"Condom","level":4,"score":0.4461371898651123},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.42790114879608154},{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.42468342185020447},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.41575130820274353},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3681270480155945},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.34694117307662964},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.32135891914367676},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.30894431471824646},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.12471458315849304},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.09658518433570862},{"id":"https://openalex.org/C2776983459","wikidata":"https://www.wikidata.org/wiki/Q41083","display_name":"Syphilis","level":3,"score":0.0},{"id":"https://openalex.org/C2986817661","wikidata":"https://www.wikidata.org/wiki/Q185698","display_name":"Research methodology","level":3,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:2943920128","doi":null,"is_oa":false,"landing_page_url":"https://marketbookshelf.com/publications/expanding-effective-contraceptive-options-lessons-learned-from-the-introduction-of-the-levonorgestrel-intrauterine-system-lng-ius-in-zambia-and-madagascar/","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9476000070571899}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3096178860","https://openalex.org/W2919291003","https://openalex.org/W2776104135","https://openalex.org/W6939155941","https://openalex.org/W2906785188","https://openalex.org/W2097716519","https://openalex.org/W2042454892","https://openalex.org/W2215996045","https://openalex.org/W4298387014","https://openalex.org/W2057749648"],"abstract_inverted_index":{"UNMET":[0],"NEED":[1],"FOR":[2],"CONTRACEPTION":[3],"214":[5],"million":[6],"women":[7,181],"in":[8,73,138,198,267,403,409],"developing":[9],"countries":[10,199],"do":[11],"not":[12,19],"wish":[13],"to":[14,66,93,144,180,234,238,244,273,340,382],"become":[15],"pregnant":[16],"yet":[17],"are":[18,64,407],"using":[20],"a":[21,43,67,81,109,164,168],"modern":[22,35],"method":[23],"of":[24,34,70,76,84,90,120,153,191,204,259,264],"family":[25],"planning":[26],"(FP).":[27],"Top":[29],"method-related":[30,149],"reasons":[31,150],"for":[32,45,59,151,207,227,355,396],"non-use":[33,152],"contraceptives":[36],"include":[37],"contraceptive":[38,62,85,122,165,193,368],"side":[39,169],"effects,":[40],"infrequent":[41],"sex,":[42],"need":[44,206],"discreet":[46],"methods":[47,49,157,176],"and":[48,78,87,128,177,215,269,293,296,301,304,310,317,328,336,366,384],"compatible":[50],"with":[51,112,167,372],"breastfeeding.":[52],"Studies":[53],"suggest":[54],"that":[55,116,172,200],"the":[56,74,88,118,125,133,139,159,196,218,239,253,260,265,287,290,325,353,376,389,393],"critical":[57],"factors":[58],"meeting":[60],"women\u2019s":[61,134],"needs":[63],"access":[65,237],"broad":[68],"choice":[69],"methods,":[71,131],"improvement":[72],"quality":[75,311],"information":[77],"services":[79],"available,":[80],"consistent":[82],"supply":[83,377],"products,":[86,194],"reduction":[89],"social":[91,326],"barriers":[92],"use.":[94],"EXPANDING":[96],"EFFECTIVE":[97],"CONTRACEPTIVE":[98],"OPTIONS":[99],"(EECO)":[100,107],"Expanding":[103],"Effective":[104],"Contraceptive":[105],"Options":[106],"is":[108,142,158],"USAID":[110],"project":[111],"funding":[113],"from":[114,174,271,379],"2013-2022":[115],"supports":[117],"introduction":[119,229,243,400],"new":[121,192,365],"options,":[123],"like":[124,132,195],"SILCS":[126],"diaphragm,":[127],"dual":[129],"protection":[130],"condom.":[135],"Each":[136],"product":[137,228,299,337,380,399],"EECO":[140,187,221,277,342,359,363,398],"portfolio":[141],"designed":[143],"address":[145],"one":[146],"or":[147,241],"more":[148],"contraception.":[154],"Among":[155],"these":[156],"Levonorgestrel":[160],"Intrauterine":[161],"System":[162],"(LNG-IUS),":[163],"option":[166],"effect":[170],"profile":[171],"differs":[173],"other":[175],"may":[178],"appeal":[179],"seeking":[182],"reduced":[183],"menstrual":[184],"bleeding.":[185],"conducts":[188],"pilot":[189,262],"introductions":[190,263],"LNG-IUS,":[197],"have":[201,223],"high":[202],"levels":[203],"unmet":[205],"contraception":[208],"such":[209],"as":[210,386,388],"Madagascar,":[211],"Malawi,":[212],"Niger,":[213],"Nigeria,":[214],"Zambia.":[216],"By":[217],"project\u2019s":[219,261],"end,":[220],"will":[222],"produced":[224],"step-by-step":[225],"roadmaps":[226],"which":[230,406],"can":[231],"be":[232],"used":[233],"scale":[235],"up":[236],"products":[240,369],"expand":[242],"additional":[245],"countries.":[246],"This":[248],"program":[249],"brief":[250],"focuses":[251],"on":[252],"lessons":[254],"learned":[255],"through":[256,333,348],"each":[257],"stage":[258],"LNG-IUS":[266,280],"Zambia":[268],"Madagascar":[270],"2016":[272],"2018.":[274],"THE":[276],"TEAM":[278],"SUPPORTING":[279],"INTRODUCTIONS":[281],"WCG":[283,307],"Cares":[284],"(WCG)":[285],"leads":[286,308],"team,":[288],"bridging":[289],"private":[291],"sector":[292],"non-profit":[294],"worlds,":[295],"linking":[297],"upstream":[298],"developers/suppliers":[300],"downstream":[302],"marketing":[303,327],"distribution":[305,338],"partners.":[306],"regulatory":[309],"assurance":[312],"efforts,":[313],"intensive":[314],"medical":[315],"detailing":[316],"data":[318],"collection.":[319],"Population":[321],"Services":[322],"International":[323],"(PSI),":[324],"service":[329],"delivery":[330],"partner,":[331],"works":[332,347],"existing":[334],"healthcare":[335],"networks":[339],"market":[341,373],"products.":[343],"In":[344],"Zambia,":[345],"PSI":[346],"its":[349],"local":[350],"network":[351],"member,":[352],"Society":[354],"Family":[356],"Health.":[357],"PROCESS":[360],"introduces":[364],"innovative":[367],"by":[370],"collaborating":[371],"players":[374],"along":[375],"chain":[378],"manufacturers":[381],"providers":[383],"clients,":[385],"well":[387],"stakeholders":[390],"who":[391],"influence":[392],"policy":[394],"environment":[395],"FP.":[397],"takes":[401],"place":[402],"five":[404],"stages,":[405],"outlined":[408],"Figure":[410],"1.":[411]},"counts_by_year":[{"year":2022,"cited_by_count":1}],"updated_date":"2025-11-06T04:12:42.849631","created_date":"2019-05-16T00:00:00"}
