Background/Objectives: The emergency contraceptive pill (ECP) is the most common form of emergency contraception (EC) used in the US. However, little is known about the prevalence, policies, nor practices relating to ECP education and provision. The objective of this study is to improve our understanding of these issues as they relate to access to ECPs in US family planning clinics.
Methods: In September 1999, letters were sent to 2,193 Title X family planning clinics including public health departments, Planned Parenthood affiliates, and university-based clinics. Approximately 500 private practices that offer family planning were also included. Clinics were asked to call a toll free number and complete a ten minute automated telephone survey.
Results: A total of 885 providers and administrators called. One hundred and ten records were deleted due to incomplete or duplicate information. The final data set included 775 records. Preliminary results indicate that 93% of the clinics that responded inform their clients about EC, and 82% dispense ECPs directly to eligible clients. Among clinics that provide ECPs, 31% reported that they prescribed ECPs over the phone and 33% provide ECPs in advance of need. Just under half of these clinics reported providing ECPs to more than five clients during the past month. The most frequent reason given for not providing ECPs was lack of demand (46%), followed by opposition from the medical director/health officer (29%). About 20% cited opposition from clinicians, other staff, board of directors, or elected officials. A similar proportion reported inadequate training for providing ECPs.
Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1.Articulate the prevalence and key practices relating to counseling for, and provision of emergency contraceptive pills (ECPs) in US family planning clinics. 2.Identify important factors that may facilitate or inhibit provision of ECPs in US family planning clinics. 3.Develop a plan to address staff and patient needs (e.g. information, education, counseling and training) to facilitate improved access to emergency contraception in family planning clinics
Keywords: Contraceptives, Barriers to Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.