• Sara F E Bell, Caroline Harvey, Fiona Mack, Stephen Lambert, Mattea Lazarou, Kay Strom, and Judith A Dean.
• Faculty of Medicine, School of Public Health, The University of Queensland, Herston, Queensland, Australia.
• Fam Pract. 2022 Nov 22; 39 (6): 110911151109-1115.

BackgroundLong-acting reversible contraceptives are recommended first-line contraception; however, intrauterine device (IUD) uptake remains low in Australia.ObjectivesTo describe the outcomes of an independent evaluation of the General Practitioner IUD Insertion Network (GPIIN), a project designed to address access barriers through formalized referral pathways between general practitioners (GPs) inserting IUDs and noninserters.MethodsAn independent qualitative pragmatic inductive evaluation, involving 14 in-depth interviews with GPIIN members, was conducted 18 months post-GPIIN implementation in 2 Australian jurisdictions to identify and explore critical success factors and limitations of the model.ResultsLocal GP-to-GP IUD referral networks were considered a useful model to assist affordable and timely IUD access, improve noninserters' IUD knowledge and inserters' reflection on best practice. However, pathway simplification is needed to determine optimal integration of the concept into pragmatic GP-to-GP referral arrangements.ConclusionsGPIIN provides an opportunity to improve IUD access in Primary Health Care. Further consideration of organizations best positioned and resourced to facilitate sustainable delivery and coordination is necessary.© The Author(s) 2022. Published by Oxford University Press.

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