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Delaware CAN (Contraceptive Access Now)

PROJECT ORIGIN

DE CAN is a “public/private” partnership….aimed at reducing unintended pregnancy by increasing access to the full range of birth control methods including the most effective (i.e. IUDs and implants) to all women of reproductive age.”  According to data in 2011, 57% of pregnancies in Delaware were unintended. Researchers have found that births resulting from unintended pregnancies are linked to a range of negative health outcomes for women and children. Increasing the use of effective methods of contraception among sexually active women, especially long acting reversible contraception (LARC) methods such as the IUD and implant, can help reduce unintended pregnancy and improve maternal and child health outcomes. For more information, visit: https://www.upstream.org/campaigns/delaware-can/

PROJECT OBJECTIVES & GOALS

Launched in 2014, the comprehensive, statewide plan is increasing access for all women in Delaware to the full range of contraceptive methods, including the most effective IUDs and implants. Upstream provides the training, technical assistance, and quality improvement to all publicly-funded health centers and the largest private providers in the state.

The goal is to improve public health by creating an environment where the women of Delaware are empowered to become pregnant only if and when they want to.

PROJECT STRATEGIES & OUTCOMES

In a report released by Child Trends using available contraceptive data from 2014 to 2017, LARC use increased from 13.7 to 31.5 percent among Delaware Title X family planning clients ages 20 to 39.

This observed movement from moderately effective methods to highly effective LARCs, paired with a small decrease in no method use, was linked to a substantial simulated decrease of 24.2 percent in the unintended pregnancy rate among this population from 2014 to 2017.

The complete report, including methodology and limitations, was commissioned by Upstream and can be found at Child Trends.

PROJECT NEXT STEPS

As Delaware moves to sustaining the DE CAN initiative, the Delaware Division of Public Health will ensure that a system is in place for uninsured and underinsured women working with publicly funded family planning providers across the state.