PURPOSE:
The project organizes voluntary outreach campaigns to provide copper IUD insertions for women on the public health system (SUS) waiting list in Ubatuba, utilizing crowdfunding. The initiative examines the limitations of this model as a strategy to improve access to reproductive health, highlighting the importance of integration with Primary Health Care to ensure continuous follow-up. "This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001"

DISCUSSION:
The project represents a response to the growing barriers women face in accessing contraceptive methods, particularly in the post-pandemic context. The COVID-19 pandemic deepened inequalities in access to sexual and reproductive health, increasing wait times for LARCs and exposing structural weaknesses in public health systems. In this context, this model—collectively funded—emerges as an emergency strategy capable of mitigating these gaps by providing immediate access to contraceptive methods. However, while the initiative expands service provision, it also exposes inherent limitations stemming from the lack of effective integration with Primary Health Care (PHC), compromising the follow-up and continuous support necessary for the successful use of the method and women’s safety. The absence of institutional coordination risks turning punctual interventions into fragmented actions that fail to ensure continuity of care.

EVIDENCE WHERE RELEVANT:
Reports from WHO (2021) and UNFPA (2021) indicate that the COVID-19 pandemic disrupted access to contraceptive services worldwide, especially for vulnerable populations, highlighting the need for alternative care models.

KEY MESSAGE:
The experience highlights the urgency of discussing alternative care models in the face of imposed barriers to accessing sexual and reproductive rights (SRR), as well as the need for public policies that recognize and value the role of midwives on the front lines of sexual and reproductive health—professionals who continue their work even in contexts of neglect and systemic under-resourcing. Poster session 1 (Group A)