Expanding postabortion care (PAC) coverage to 64 public facilities over 30 months in Dar es Salaam, Tanzania, contributed to >6,000 women voluntarily adopting a contraceptive method, for an overall acceptance rate of about 81% and 78% adopting a long-acting method. Key interventions included clinical training and follow-up mentorship; PAC service reorganization, equipment provision, and an expanded method mix offering; standardized PAC documentation tools; and community linkages and referrals.

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Vasectomy use has markedly declined globally, to only 39% of what it was in 2001, even as overall contraceptive use has risen in most countries. Almost all low-and middle-income countries (LMICs) report negligible to zero vasectomy prevalence. In 56 LMICs, no more than 1 in 1,000 women relies on vasectomy. Multiple demand-side and supply-side challenges hinder vasectomy's becoming an available program method. n Only 7 countries, including 3 LMICs, registered increases in vasectomy prevalence between recent surveys. Seven LMICs-Bhutan,

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