School-Based Health Centers and LARCs

LARCs ImageSchool-based health centers (SBHCs) are considered one of the most effective strategies for delivering preventive care, including reproductive health services, to adolescents—a population long considered difficult to reach. The School-Based Health Alliance supports adolescents’ access to confidential sexual and reproductive health services. This includes long-acting reversible contraception (LARCs) methods that have proven to be overwhelmingly effective in efforts against teenage pregnancy.

The state of Colorado recently released data that touts a 42 percent drop in teenage abortions from 2009-2013, after offering free, long-acting birth control to teenage participants in a public, six-year study. As quoted in the New York Times, “The state health department estimated that every dollar spent on the long-acting birth control initiative saved $5.85 for the state’s Medicaid program, which covers more than three-quarters of teenage pregnancies and births.” (Colorado’s Effort Against Teenage Pregnancies Is a Startling Success, July 5, 2015)

The New York Times quotes Greta Klingler, Family Planning Supervisor for the Colorado Department of Public Health, who presented on the topic of financial models for family planning services at the School Based Health Alliance’s 2015 National Convention. Click here to download her presentation.

The American Academy of Pediatrics, in its 2014 position statement on adolescents and contraception, concludes that “given the efficacy, safety, and ease of use, LARC methods should be considered first-line contraceptive choices for adolescents.”


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