Game change in Colorado: widespread use of long-acting reversible contraceptives and rapid decline in births among young, low-income women.

Context: Long-acting reversible contraceptive (LARC) methods are recommended for young women, but access is limited by cost and lack of knowledge among providers and consumers. The Colorado Family Planning Initiative (CFPI) sought to address these barriers by training providers, financing LARC method provision at Title X-funded clinics and increasing patient caseload.

Methods: Beginning in 2009, 28 Title X-funded agencies in Colorado received private funding to support CFPI.