Changes in contraceptive counseling in Latina women before, during, and after the 2015 Zika outbreak: Aa mixed methods study
Contraception
Awarded 2018
Complex Family Planning Fellowship Research
Jennifer Kaiser, MD
University of Utah
$73,537

The purpose of this mixed methods study is to explore changes in prevalence of contraceptive counseling before, during, and after the Zika outbreak and to examine provider knowledge, comfort level, and self-efficacy in contraceptive counseling in relation to Zika among non-US born Latina women from Zika outbreak areas (Mexico, South and Central America, and the Caribbean). To address these aims, we plan to perform a retrospective chart review in Utah clinics with a large population of non-US born Latina women to evaluate prevalence of contraceptive counseling before and after the Zika outbreak in May, 2015 and to conduct qualitative provider interviews examining knowledge of and adherence to CDC Zika counseling recommendations with particular emphasis on inclusion and content of contraceptive counseling in providers caring for non-US born Latina women. Areas to be explored include contraceptive knowledge, counseling comfort level, and self-efficacy of comprehensive contraceptive counseling. By exploring these aspects of Zika care, we hope to propose possible improvements in provider contraceptive counseling in an effort to both decrease unintended pregnancies, Zika transmission, and unmet contraceptive needs in this vulnerable population.

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