Long acting reversible contraception (LARC) training in general practice
ESC Congress Library. Akintomide H. May 4, 2016; 126956; A-130
Dr. Hannat Akintomide
Dr. Hannat Akintomide
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Majority of women in the UK visit their general practice for contraception. A pilot training scheme was set up to increase long acting reversible contraception (LARC) provision in this setting. This scheme trained general practitioners and practice nurses in the provision of subdermal implants (SDIs) and intrauterine contraception in their own general practices. The success and impact of the scheme - Improving Choices in Contraception through Training (ICCtT) - which ran from May 2009 to March 2012 was evaluated.


Questionnaires were developed and administered to participants in the training scheme one year after completion of their training.


A total of 256 practitioners registered for training in the provision of SDIs and/or intrauterine contraception, of which 165 completed training. One hundred and four practitioners were trained in SDI insertion, 91 in SDI removal and 37 in intrauterine contraception techniques. Sixty-five practitioners (39%) returned the post-training questionnaire, most of whom had no problems providing SDIs (90%) and intrauterine contraception (82%) in their first year following training. Of those practitioners that had experienced problems, lack of confidence was the most common reason for SDIs whereas for intrauterine contraception it was failed insertions.


There was high interest in as well as uptake and completion of LARC training during the ICCtT pilot scheme. High satisfaction with the training programme was related to the training having been made available at practitioners' usual place of work. These findings show that training practitioners in LARC provision within their general practices is feasible.

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