Scope of family planning services available in Federally Qualified Health Centers

Wood, Susan F.; Beeson, Tishra; Bruen, Brian; Goldberg, Debora Goetz; Mead, Holly; Shin, Peter; Rosenbaum, Sara

doi:10.1016/j.contraception.2013.09.015

Cited by 62 publications

(46 citation statements)

References 10 publications

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“…The latter finding is consistent with previous reports that found enhanced service delivery was associated with Title X funding. 6,7 …”

Section: Discussionmentioning

confidence: 99%

“…9–13 As the data used in this analysis represent a cross section of randomly selected publicly funded clinics that offer family planning, this report adds to the small literature that is based on providers’ report of reproductive services, 6,7 and provides a unique snapshot of the extent to which administrators in the U.S. report delivering PCC to women and men seeking family planning services.…”

Section: Discussionmentioning

confidence: 99%

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Preconception Care in Publicly Funded U.S. Clinics That Provide Family Planning Services

Robbins

Gavin²,

Zapata

et al. 2016

American Journal of Preventive Medicine

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Introduction Federal recommendations for providing quality family planning services were published in 2014 and included preconception care (PCC). This paper aims to describe the prevalence of PCC delivery among publicly funded clinics, prior to the recommendations. Methods Prevalence of providing occasional or frequent PCC in the last 3 months and having written protocols for recommended PCC screenings were estimated in 2015 using survey data collected from a nationally representative sample of publicly funded clinic administrators (2013–2014, N=1,615). Analyses included examination of differential distributions of outcomes by clinic characteristics (p<0.05) and multivariable regression. Results Prevalence of occasional or frequent PCC delivery was 81% for women and 38% for men. The percentage of clinics with written protocols for specific PCC screenings ranged from 74% to 88% (women) and 66% to 83% (men). Prevalence of having written protocols for all PCC screenings was 29% for women and 22% for men. Characteristics negatively associated with having written protocols for all PCC screenings for women and men (respectively) were as follows: not receiving Title X funding (adjusted prevalence ratio [APR]=0.6, 95% CI=0.50, 0.76; APR=0.6, 95% CI=0.47, 0.77) and being a community health center (APR=0.5, 95% CI=0.37, 0.72; APR=0.5, 95% CI=0.30, 0.67); health department (APR=0.7, 95% CI=0.61, 0.87; APR=0.6, 95% CI=0.49, 0.76); or hospital/other (APR=0.6, 95% CI=0.50, 0.79; APR=0.6, 95% CI=0.43, 0.75) (versus Planned Parenthood). Conclusions Provision of PCC appears to differ by clinic characteristics and by interpretation of the phrase “preconception care,” suggesting opportunities for education and improvement.

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“…The latter finding is consistent with previous reports that found enhanced service delivery was associated with Title X funding. 6,7 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Preconception Care in Publicly Funded U.S. Clinics That Provide Family Planning Services

Robbins

Gavin²,

Zapata

et al. 2016

American Journal of Preventive Medicine

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“…We used this categorization because we hypothesized that organizations’ initial capacities to expand and integrate services would be different (Wood et al. ; White et al. ).…”

Section: Methodsmentioning

confidence: 99%

Providing Family Planning Services at Primary Care Organizations after the Exclusion of Planned Parenthood from Publicly Funded Programs in Texas: Early Qualitative Evidence

White

Hopkins

Grossman³

et al. 2017

Health Services Research

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“…Despite the federal government’s recognition of Planned Parenthood as a qualified provider, the trend in Texas clearly has been to prioritize primary care providers. Our previous research, 8 as well as work by others, 21–23 has indicated that highly effective methods, such as the IUD and implant, are not as widely available at federally qualified health centers and other primary care providers as they are at specialized family planning clinics. The Texas legislature could reconcile the competing goals of expanding women’s access to primary care and providing access to specialized family planning providers by making providers’ receipt of state funding conditional on the on-site provision of a range of reversible contraceptive methods, including long-acting ones.…”

Section: Discussionmentioning

confidence: 99%

Women's Experiences Seeking Publicly Funded Family Planning Services in Texas

Hopkins

White

Linkin³

et al. 2015

Perspect Sexual Reproductive

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CONTEXT Little is known about low-income women’s and teenagers’ experiences accessing publicly funded family planning services, particularly after policy changes are made that affect the cost of and access to such services. METHODS Eleven focus groups were conducted with 92 adult women and 15 teenagers in nine Texas metropolitan areas in July–October 2012, a year after legislation that reduced access to subsidized family planning was enacted. Participants were recruited through organizations that serve low-income populations. At least two researchers independently coded the transcripts of the discussions and identified main themes. RESULTS Although most women were not aware of the legislative changes, they reported that in the past year, they had had to pay more for previously free or low-cost services, use less effective contraceptive methods or forgo care. They also indicated that accessing affordable family planning services had long been difficult, that applying and qualifying for programs was a challenge and that obtaining family planning care was harder than obtaining pregnancy-related care. As a result of an inadequate reproductive health safety net, women experienced unplanned pregnancies and were unable to access screening services and follow-up care. Teenagers experienced an additional barrier, the need to obtain parental consent. Some women preferred to receive family planning services from specialized providers, while others preferred more comprehensive care. CONCLUSION Women in Texas have long faced challenges in obtaining subsidized family planning services. Legislation that reduced access to family planning services for low-income women and teenagers appears to have added to those challenges.

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Scope of family planning services available in Federally Qualified Health Centers

Cited by 62 publications

References 10 publications

Preconception Care in Publicly Funded U.S. Clinics That Provide Family Planning Services

Preconception Care in Publicly Funded U.S. Clinics That Provide Family Planning Services

Providing Family Planning Services at Primary Care Organizations after the Exclusion of Planned Parenthood from Publicly Funded Programs in Texas: Early Qualitative Evidence

Women's Experiences Seeking Publicly Funded Family Planning Services in Texas

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