Provider attitudes toward dispensing emergency contraception in Michigan's Title X programs.
Fam Plann Perspect
; 31(1): 39-43, 1999.
Article
em En
| MEDLINE
| ID: mdl-10029932
ABSTRACT
PIP In 1997, the US Department of Health and Human Services instructed all Title X delegate agencies to provide emergency contraceptive pills as part of their standard family planning services. The results of a survey conducted in the state of Michigan in October 1996, prior to this policy development, elucidate potential obstacles to implementation of this directive. Questionnaires were completed by the family planning coordinator of all 53 Michigan health departments and Planned Parenthood affiliates that receive Title X funding. At the time of the survey, only 32 programs were providing emergency contraception and 27 of these agencies were offering the method to no more than one woman per month. 75% of providers agreed that poor or underprivileged women would benefit from more widespread access to emergency contraception through Title X programs. Barriers to translating this commitment into practice included inadequate staffing, the logistics of scheduling emergency appointments, lack of federal service guidelines, few client requests, and reservations about the impact on sexual risk-taking and contraceptive practice. In several cases, the decision not to dispense emergency contraception was made by a medical doctor or health officer who viewed the method's medicolegal status as unclear or considered the associated political risk too great. The subsequent marketing of a product specifically designated for emergency contraception should alleviate provider concerns about the method's status. The logistic concerns suggest a need to consider provision of emergency pills to clients in advance of actual need.^ieng
Palavras-chave
Empirical Approach; Genetics and Reproduction; Americas; Attitude; Behavior; Contraception; Contraceptive Agents; Contraceptive Agents, Female; Contraceptive Agents, Postcoital; Contraceptive Availability; Developed Countries; Economic Factors; Family Planning; Family Planning Programs; Fertility Control, Postcoital; Low Income Population--women; Michigan; North America; Northern America; Organization And Administration; Program Activities; Programs; Psychological Factors; Research Methodology; Research Report; Sampling Studies; Social Class; Socioeconomic Factors; Socioeconomic Status; Studies; Surveys; United States; Women
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atitude do Pessoal de Saúde
/
Guias de Prática Clínica como Assunto
/
Anticoncepção
/
Anticoncepcionais Femininos
/
Serviços de Planejamento Familiar
/
Organização do Financiamento
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Equity_inequality
Limite:
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Fam Plann Perspect
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Estados Unidos