California Family Planning Health Care Providers' Challenges to Same-Day Long-Acting Reversible Contraception Provision

Biggs, M. Antonia; Harper, Cynthia C.; Brindis, Claire D.

doi:10.1097/aog.0000000000000969

Cited by 33 publications

(10 citation statements)

References 24 publications

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“…Even once providers were trained to place IUDs and implants, we found that not all of them felt comfortable offering these methods. As in other studies,[262728] respondents at some of these organizations described protocols for providing these methods that were not evidence-based and instead restricted provision to adult women with children and required them to make multiple visits for medically unnecessary services. These practices are burdensome and may prevent women from obtaining timely access to the highly effective methods they would like to use to prevent pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and practice of family planning services among healthcare workers in Kashmir – A cross-sectional study

Wani

Rashid

Nabi

et al. 2019

J Family Med Prim Care

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Background: Researches have shown highest awareness but low utilization of contraceptives making the situation a serious challenge. Most of women in reproductive age group know little or have incorrect information about family planning methods. Even when they know the name of some of the contraceptives, they do not know where to get them or how to use it. These women have negative attitude about family planning, whereas some have heard false and misleading information, the current study aimed in assessing the knowledge, attitude, and practice of family planning among female healthcare workers in Kashmir valley. Method: A self-administered questionnaire was served to the female multipurpose health workers of District Anantnag and Baramulla at a training conducted in Department of Community Medicine, Government Medical College, Srinagar, Kashmir. Result: All the participants had heard about family planning methods. The major sources of information were trainers (78.8%). About 90.4% of the study participants gave correct response regarding the types of family planning. About 80.1% of the respondents had a favorable attitude toward family planning. Around three-fourths of the study participants practiced one or other method of family planning. Conclusion: Our study lead to the conclusion that the level of knowledge and attitude toward family planning was relatively low and FP utilization was quite low among the healthcare workers. In order to imbibe positive attitude among general public, the health workers need to be trained so as to inculcate the positive attitude in them leading to increased awareness among general public with regard to family planning.

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Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and practice of family planning services among healthcare workers in Kashmir – A cross-sectional study

Wani

Rashid

Nabi

et al. 2019

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…39 States that have expanded Medicaid can also support clinicians in delivering high-quality family planning care by eliminating multivisit protocols, encouraging contraception access across health care settings, and disseminating the evidence-based guidelines from the Centers for Disease Control and Prevention regarding contraceptive use in women with chronic medical conditions. 40 , 41 , 42 , 43 , 44 , 45 , 46 …”

Section: Discussionmentioning

confidence: 99%

Association of Access to Family Planning Services With Medicaid Expansion Among Female Enrollees in Michigan

et al. 2018

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Key Points Question Did Medicaid expansion in Michigan improve access to birth control and family planning services? Findings In this survey study of 1166 female Medicaid expansion enrollees of reproductive age in Michigan (sample weighted to 113 565 women), 35.5% reported increased access to birth control and family planning services. Those most likely to report increased access were women aged 19 to 24 (39.8%) and 25 to 34 (41.4%) years, women without health insurance coverage in the year preceding Medicaid expansion enrollment (42.6%), and women with a recent visit to a primary care clinician (36.8%). Meaning Results suggest that Medicaid expansion is associated with improved access to family planning services, which may enable low-income women to maintain optimal reproductive health.

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“…LARC remains unavailable on-site at many outpatient clinics, 2728 because of insufficient numbers of providers trained, 29, 30 and administrative and financial barriers for facilities. LARC clinical protocols (for example, those requiring multiple visits for counseling and placement 31 ) may pose additional barriers to patient access. Successful projects such as the CHOICE project in St. Louis, 26 an intervention to promote LARC use at Kaiser Permanente in California, 32 and a Colorado state-wide initiative to promote LARC use among low-income teens, 12 incorporated provider training, improved patient counseling, and (in Colorado’s case) reductions in the up-front cost of devices to clinics, in addition to reduced patient cost-sharing.…”

Section: Discussionmentioning

confidence: 99%

Early Impact of the Affordable Care Act on Uptake of Long-acting Reversible Contraceptive Methods

2016

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Background The Affordable Care Act (ACA) required most private insurance plans to cover contraceptive services without patient cost-sharing as of January 2013 for most plans. Whether the ACA’s mandate has impacted long-acting reversible contraceptives (LARC) use is unknown. Objective The aim of this article is to assess trends in LARC cost-sharing and uptake before and one year after implementation of the ACA’s contraceptive mandate. Design Retrospective cohort study using Truven Health MarketScan claims data from January 2010–December 2013. Subjects Women aged 18–45 with continuous insurance coverage with claims for oral contraceptive pills, patches, rings, injections, or LARC during 2010–2013 (N=3,794,793). Measures Descriptive statistics were used to assess trends in LARC cost-sharing and uptake from 2010 through 2013. Interrupted time series models were used to assess the association of time, ACA, and time following the ACA on LARC cost-sharing and initiation rates, adjusting for patient and plan characteristics. Results The proportion of claims with $0 cost-sharing for IUDs and implants, respectively, rose from 36.6% and 9.3% in 2010, to 87.6% and 80.5% in 2013. The ACA was associated with a significant increase in these proportions and in their rate of increase (level and slope change both P<.001). LARC uptake increased over time with no significant change in level of LARC use post-ACA implementation in January 2013 (P=0.44) and a slightly slower rate of growth post-ACA than previously (beta coefficient for trend: −0.004, p<0.001). Conclusions The ACA has significantly decreased LARC cost-sharing, but during its first year had not yet increased LARC initiation rates.

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California Family Planning Health Care Providers' Challenges to Same-Day Long-Acting Reversible Contraception Provision

Abstract: III.

Cited by 33 publications

References 24 publications

Knowledge, attitude, and practice of family planning services among healthcare workers in Kashmir – A cross-sectional study

Knowledge, attitude, and practice of family planning services among healthcare workers in Kashmir – A cross-sectional study

Association of Access to Family Planning Services With Medicaid Expansion Among Female Enrollees in Michigan

Early Impact of the Affordable Care Act on Uptake of Long-acting Reversible Contraceptive Methods

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