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Pathfinder International works with communities at the grassroots level to expand access and knowledge, stimulate acceptance, and create awareness and ownership of RH/FP services. Pathfinder has been implementing community-based programs since 1979, when it began the first community-based distribution of family planning information and commodities in Bangladesh and Kenya. In the 1980s and ’90s, Pathfinder initiated the first community-based services in Azerbaijan, Côte d’Ivoire, Jordan, Kazakhstan, Senegal, Tanzania, and Uganda. We were among the first to implement wide-scale community-based services in Ethiopia and Nigeria. And in the 1980’s Pathfinder supported wide-reaching programs in Brazil, Mexico and elsewhere in Latin America. Using a variety of approaches, including door-to-door. | -------FACULTY-------- -----OF SEXUAL------ REPRODUCTIVE HEALTHCARE Faculty of Sexual Reproductive Healthcare Clinical Guidance Intrauterine Contraception Clinical Effectiveness Unit November 2007 ISSN 1755-103X Published by the Faculty of Sexual and Reproductive Healthcare Registered in England No. 2804213 and Registered Charity No. 1019969 First published in 2007 Copyright Faculty of Sexual and Reproductive Healthcare 2007 Permission granted to reproduce for personal and educational use only. Commercial copying hiring and lending are prohibited. --------FACULTY-------- ------OF SEXUAL------ REPRODUCTIVE ----HEALTHCARE---- Faculty of Sexual and Reproductive Healthcare Clinical Effectiveness Unit A unit funded by the FSRH and supported by the University of Aberdeen to provide guidance on evidence-based practice FSRH Guidance November 2007 Intrauterine Contraception Date of planned revision 2013 Purpose and scope This Guidance provides evidence-based recommendations and good practice points for clinicians on the use of intrauterine methods of contraception as a long-term option. Intrauterine methods include the copper-bearing intrauterine device Cu-IUD framed and unframed devices and the levonorgestrel-releasing intrauterine system LNG-IUS . Recommendations on the use of a Cu-IUD as emergency contraception are covered in separate Faculty of Family Planning and Reproductive Health Care FfPrHC now Faculty of Sexual and Reproductive Healthcare FSRH Guidance.1 This document will focus primarily on the use of intrauterine methods as contraceptives but will briefly cover other uses. This Guidance updates and combines the two previous FFPRHC Guidance documents on intrauterine methods.2 3 Recommendations from the National Institute for Health and Clinical Excellence NICE clinical guideline on long-acting reversible contraception LARC are included.4 This document is not intended to serve alone as a standard of medical care as this should be determined individually based on .