Evaluation of the challenges faced in increasing contraceptive access within a community college population

Abstract

BackgroundResearch demonstrates removing barriers to access, decreasing costs and offering same-day placement of long-acting reversible contraception (LARC) increases contraceptive uptake in young women. For those in community college (CC), LARC utilization might reduce the risk of dropout and improve degree completion. We identified a local school who had documented an unmet need for on-campus services through a recent student assessment. We then established an on-campus, same day contraceptive clinic at the CC as part of a clinical trial. We found that students did not use the service even after multiple attempts to increase awareness and we ended the study. Here, we report lessons learned from attempting research in this environment in addition to results from a follow-up survey to determine why students did not access the clinical resource. Students reported that they already had good access to contraception and preferred to get their healthcare off-campus. This study demonstrates the complexities of studying highly focused interventions to influence access to care in the current health care environment with ever changing regulations.Trial registration NCT02735551 . Registered April 6, 2016.

Discussing the Silence and Denial around Population Growth and Its Environmental Impact. How Do We Find Ways Forward?

“…Stopping child bride marriage Twenty-one per cent of young women globally are married before their 18th birthday [140]. Child bride marriages occur at the remarkable level of 33,000 a day [141] and likely result in millions of unwanted pregnancies [15,112,142]. Child bride marriage is common in developing nations such as Cambodia and Tanzania, arguably because of the economic importance of the bride price to the bride's family [94].…”