Three-Year Contraceptive Failure Rates During the HER Salt Lake Contraceptive Initiative - Report - MDSpire

Three-Year Contraceptive Failure Rates During the HER Salt Lake Contraceptive Initiative

  • By

  • Jessica N. Sanders

  • Gentry Carter

  • Brooke W. Bullington

  • Alexandra Gero

  • Rebecca Simmons

  • Lori M. Gawron

  • Jennifer E. Kaiser

  • David K. Turok

  • June 16, 2026

  • 0 min

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Clinical Report: Contraceptive Failure Rates Over Three Years in the HER Salt Lake Initiative

Overview

The HER Salt Lake Contraceptive Initiative assessed contraceptive method uptake and pregnancy risk over three years among participants receiving patient-centered counseling and no-cost access to various contraceptive methods. The study found significant differences in contraceptive failure rates between long-acting reversible contraception (LARC) and user-dependent methods.

Background

Contraceptive effectiveness is crucial for reproductive health, influencing decisions on method selection and use. Understanding typical use effectiveness, which accounts for real-world barriers and user experiences, is essential for improving contraceptive counseling and access. The HER Salt Lake Initiative builds on previous research to evaluate the impact of patient-centered care on contraceptive outcomes over an extended period.

Data Highlights

{'LARC': 'Insert specific failure rate percentage.', 'User-dependent methods': 'Specify a range or average failure rate.'}

Key Findings

{'add': 'Impact of patient-centered counseling on continuation rates.'}

Clinical Implications

{'add': 'Recommendation for ongoing training for providers.'}

Conclusion

{'add': 'Specific strategies for sustaining access.'}

Related Resources & Content

  1. Sanders et al., JAMA Network Open, 2023 -- Optimizing Contraceptive Effectiveness—Lessons From HER Salt Lake on Prioritizing Patient-Centered Care
  2. Frontiers in Reproductive Health, 2026 -- On-site IUD implementation in a student-run free clinic
  3. American Journal of Epidemiology, 2023 -- Examining the Mediating Role of Unfair Gender Norms on Intimate Partner Violence and Contraceptive Practices in a Cluster Randomized Controlled Trial in Niger
  4. U.S. Medical Eligibility Criteria for Contraceptive Use, 2024 | MMWR
  5. REAL-WORLD CONTRACEPTIVE FAILURE RATES OF MULTIPLE METHODS OVER THREE YEARS: FINDINGS FROM THE HER SALT LAKE CONTRACEPTIVE INITIATIVE - ScienceDirect
  6. Open Forum Infectious Diseases — Effectiveness, Adherence, and Discontinuation of Oral Pre-exposure Prophylaxis for HIV in an Italian Multicenter Program: Findings from the ItaPrEP Study
  7. Long-Acting Reversible Contraception Implants and Intrauterine Devices | ACOG
  8. U.S. Medical Eligibility Criteria for Contraceptive Use, 2024 | MMWR
  9. REAL-WORLD CONTRACEPTIVE FAILURE RATES OF MULTIPLE METHODS OVER THREE YEARS: FINDINGS FROM THE HER SALT LAKE CONTRACEPTIVE INITIATIVE — A PROSPECTIVE COHORT STUDY - ScienceDirect

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