The Organization and Delivery of Family Planning Services in Community Health Centers

Variation in Pregnancy Options Counseling and Referrals, And Reported Proximity to Abortion Services, Among Publicly Funded Family Planning Facilities

“…Health departments were also more likely to report long distances to nearest abortion services and to report not knowing the distance. These findings are similar to those from a national study in which community health centers reported a limited ability to connect patients to abortion services in the community . Results from a literature review examining the quality of family planning services in the United States from 1985 to 2005 similarly showed that service quality varied greatly across facilities and providers, and called for efforts to understand the reasons .…”

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

“…; Goldberg et al. ). Two study authors conducted successive rounds of coding in which they independently coded each transcript and met to review consistency in applying codes and resolve differences.…”

Barriers and Pathways to Providing Long‐Acting Reversible Contraceptives in Massachusetts Community Health Centers: A Qualitative Exploration

“…We conducted focus group discussions with health care workers at three Massachusetts CHCs between April 2014 and January 2015. We purposively sampled facilities that differed on characteristics that have been hypothesized to affect contraceptive services: geographic region; urbanicity of catchment area; the racial and ethnic composition, linguistic diversity, nativity and age mix of the patient population; and whether the facility was a federally qualified health center (FQHC) or a “look‐alike” clinic, which does not receive certain federal grants but otherwise operates similarly …”

“…Providing a LARC method during the clinical visit at which it is requested constitutes the gold standard of care among reproductive health experts, as such provision maximizes patient satisfaction and minimizes system inefficiencies and patient loss to follow‐up . However, persistent logistical barriers, such as inadequate training for clinicians and frontline staff and difficulty stocking devices onsite, can make same‐day insertion challenging for providers, who are able to offer other methods with greater ease …”

“…20 However, persistent logistical barriers, such as inadequate training for clinicians and frontline staff and difficulty stocking devices onsite, can make same-day insertion challenging for providers, who are able to offer other methods with greater ease. 21,22 Community health centers (CHCs) can play a critical role in eliminating barriers and ensuring women equal access to LARC and other methods. This nationwide network of safety net clinics provides low-and no-cost services to medically underserved communities through Medicaid reimbursements, federal grants and private donations.…”