✅Challenges in Sustainability: After transitioning out of direct support, facilities were significantly less likely to sustain increases in LARC service volume—particularly for IUDs—highlighting the need for stronger logistics and systems support to maintain gains.
✅Challenges in Sustainability: After transitioning out of direct support, facilities were significantly less likely to sustain increases in LARC service volume—particularly for IUDs—highlighting the need for stronger logistics and systems support to maintain gains.
✅Improved Service Availability: Availability of IUD services rose notably in recently supported facilities (from 13% to 50% in community-level facilities; 23% to 53% in health centers/hospitals, p < 0.001), signaling immediate improvements in access.
✅Improved Service Availability: Availability of IUD services rose notably in recently supported facilities (from 13% to 50% in community-level facilities; 23% to 53% in health centers/hospitals, p < 0.001), signaling immediate improvements in access.
✅Increased Provider Capacity: The proportion of providers trained to insert LARCs—especially IUDs—significantly increased, leading to more facilities offering a full range of LARC options during the intervention.
✅Increased Provider Capacity: The proportion of providers trained to insert LARCs—especially IUDs—significantly increased, leading to more facilities offering a full range of LARC options during the intervention.