2. What Is the Take Control Initiative? The Take Control Initiative (TCI) empowers women with the choice of when to bear children through the through education, outreach, and free clinical services for long acting reversible contraception (LARC)

3. Why Do Tulsans Need TCI?

4. Oklahoma ranks 6 th in the nation for highest rate of teenage pregnancies About 50% of all pregnancies are unplanned About 50% of unplanned pregnancies occur while using a form birth control Why Do Tulsans Need TCI?

5. Women who plan their pregnancies are more likely to finish school, begin careers, be financially stable, and lead healthier lives. Babies born to women who plan their pregnancies generally have better health outcomes. Access to effective contraception reduces the number of abortions and improves the lives of women. Why Do Tulsans Need TCI?

6. How to Prevent Unplanned Pregnancies? Use birth control consistently and correctly Understand that unprotected sex or inconsistent use of birth control can lead to unintended pregnancy

7. Birth Control Choices

12. Long Acting Reversible Contraception (LARC) LARC is defined as birth control methods that require less than monthly administration LARC options through the Take Control Initiative include an arm implant and two IUDs that are effective between 3 – 10 years LARC is birth control that you do not have to think about regularly

13. LARC Benefits LARC is the most effective form of reversible birth control. LARC devices are all over 99% effective at preventing pregnancies. Easy to use. Once the LARC device is placed it is effective for between 3 – 10 years with nothing to do before sexual intercourse. Safe

14. LARC Benefits Discreet birth control option Allows women to postpone having children until they are ready Great for healthy birth spacing Enables women who are finished bearing children to have an effective yet reversible birth control option in case they change their minds

15. LARC Benefits: Birth Spacing Waiting 18 to 23 months after the birth of your last child before becoming pregnant again increases the likelihood of healthy outcomes for both the mother and the infant.

16. LARC Benefits: Birth Spacing LARC is a great way to influence birth spacing for healthier birth outcomes. LARC device can be placed after you baby is born, and removed when you are ready to have another baby Once the LARC device is in place you do not need to do anything else for birth control. Women typically regain fertility quickly after LARC device is removed.

17. LARC Devices Mirena ParaGard Implanon

18. Mirena An intrauterine device (IUD) that contains levenorgestrel (no estrogen) and lasts for up to 5 years Additional Benefits: Used to treat anemia, polycystic ovarian syndrome, and other health related conditions

19. Mirena: How It Works

20. ParaGard An IUD that contains no hormones and lasts for up to 10 years Great option for women who either cannot or do not want to use hormone based birth control Regain fertility almost immediately upon its removal

21. Implanon A small plastic single-rod implant placed in the inner side of the upper arm under the skin. It contains etonogestrel (no estrogen) and lasts for up to 3 years Great option for women who have not yet had children Great option for women with multiple sexual partners

22. Who Qualifies for Clinical Services? Females of reproductive age who: Live in Tulsa County At-risk for pregnancy At or below 185% FPL

23. What Free Services Are Provided? Choice of Mirena, ParaGard, or Implanon device Device insertion fee Device removal fee Pregnancy test (when necessary) Necessary STD testing

24. What Clinics Are Participating? Tulsa Health Department (5 locations) Morton Comprehensive Health Services OSU Physicians – OB/GYN Planned Parenthood of Arkansas and Eastern Oklahoma (3 locations) Community Health Connections OU Tulsa – Women’s Health Care Specialists

25. For More Information For more information visit: www.takecontrolinitiative.org www.takecontrolinitiative.org

26. To Schedule an Appointment Call Planline: 838-0697

27. You Should Know… Mirena, ParaGard, and Implanon do not protect against STDs and HIV/AIDS Cramping can occur during and after Mirena & ParaGard insertions. Regular dosing of over-the-counter pain medicines like Ibuprofen can be used to help manage this temporary pain

28. Benefits of Family Planning & LARC Have children on your time when you are ready and prepared Women who plan their pregnancies are more likely to finish school and begin careers or marry and enjoy healthier lives.

29. Thank You For Listening!

30. Questions