Contraceptive security-when people have regular, reliable, and equitable access to a choice of contraceptive methods to meet their reproductive health needs-is of vital importance to family planning programs, and thus contraceptive security has properly been getting increased attention in international family planning circles. Yet few contraceptive security activities clearly articulate the requirements for meeting the needs of the four long-acting and permanent methods of family planning (LAPMs)-hormonal implants, IUDs, female sterilization, and vasectomy. LAPMs are not only highly effective-the most effective of all modern methods-they are also widely adopted when they are made available and affordable as options to clients. Indeed, not only is the principle of providing a broad choice of methods in family planning programs universally accepted (United Nations, 1995), but LAPMs will be used on a large scale when providers have the equipment, supplies, and contraceptive products available within a supportive program environment.