The Zika Contraception Access Network: a feasibility program to increase access to contraception in Puerto Rico
Upstream’s intervention in Puerto Rico during the Zika crisis is the subject of an article at The Lancet Public Health Journal. In early 2016 during the Zika virus outbreak, Puerto Rico had the highest number of Zika virus infections in the United States, a high rate of unintended pregnancy and limited access to contraception, including long-acting reversible contraception (LARCs). Contraception access in Puerto Rico was limited by many factors, such as reduced availability of the full range of reversible methods and high out-of- pocket costs. Over a period of 5 months, the Z-CAN intervention provided same-day access to all methods of contraception to over 21, 000 women.