"Birth Control can Easily Take a Back Seat": Challenges Providing IUDs in Community Health Care Settings.
J Health Care Poor Underserved
; 29(1): 228-244, 2018.
Article
em En
| MEDLINE
| ID: mdl-29503297
ABSTRACT
OBJECTIVE:
To assess community health centers' (CHCs) capacity to offer streamlined intrauterine devices (IUDs) services.METHODS:
Prior to implementing a contraceptive training project, we surveyed health care staff (N=97) from 11 CHC sites that offer IUDs onsite. Twenty interviews with clinicians explored more deeply their challenges offering IUDs in the CHC setting.RESULTS:
Most practices required multiple visits for IUD placement, most (66%) clinician survey respondents had placed an IUD and 19% had placed an IUD as emergency contraception. Need for screening tests, scheduling challenges, pressures to meet patient quotas, and lack of priority given to women's health hindered streamlined IUD provision.CONCLUSIONS:
Although access to IUDs has increased, significant barriers to provision in CHC settings persist. Clinic policies may need to address a variety of system and provider-level barriers to meet the needs of patients.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Atitude do Pessoal de Saúde
/
Serviços de Saúde Comunitária
/
Anticoncepção
/
Dispositivos Intrauterinos
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article