Featured Organization: The CHOICE Project

The CHOICE Project, a project of the Washington University School of Medicine in St. Louis, was created as a research study to determine the effects of removing financial barriers to contraception and promoting the most effective methods of birth control to reduce unintended pregnancy for women living in the St. Louis area.

Close to 10,000 women participated in the project between 2007 and 2011. CHOICE determined that LARCs were the preferred method of choice when all barriers to cost, education, and access were removed; when study participants were counseled about and could receive any birth control method of their choice, 75% of them chose a LARC method. Additionally, the study found that women using LARC methods had the highest continuation and satisfaction at 12 and 24 months.  CHOICE has published several papers on their findings, and continues to collaborate with organizations nationwide to provide trainings and technical assistance. 


  • LARC First is a website maintained by CHOICE that contains all of the materials created and used by the Contraceptive CHOICE Project. All materials can be adapted to fit the needs of individual sites.  
  • Publications on a variety of topics concerning LARCs and IUDs, including the study findings. 
  • CHOICE YouTube Channel contains a series of videos produced by CHOICE, including an animated video showing what could happen if the CHOICE model was adopted nationally, a counseling video that can be used in waiting rooms, and a first-hand account of the impact of CHOICE on participants’ lives.   


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