Preventing unintended pregnancy is a primary strategy to reduce adverse outcomes in pregnancy and birth related to Zika virus infection. A new report details the installation of a network of healthcare providers offering client-centered contraceptive counseling and the full range of reversible contraception at no cost to women in Puerto Rico during the 2016-2017 Zika virus outbreak.

The Zika Contraception Access Network provided services to 21,124 women, with almost all women (95%) receiving same-day provision of a reversible contraceptive method. More than half (68%) chose and received a long-acting reversible contraceptive method at their initial visit. Of the women who chose such a method, more than three-quarters had used no protection, condoms, or withdrawal before their visit.

The majority (93%) of women who participated in a follow-up survey said they were very satisfied with the services received, and 93% said they received the method that they were most interested in after receiving counseling.1 


  1. Lathrop E, Romero L, Hurst S, et al. The Zika Contraception Access Network: A feasibility programme to increase access to contraception in Puerto Rico during the 2016-17 Zika virus outbreak. Lancet Public Health 2018;3:e91-e99.