In the United States (US), the legal landscape around abortion access has already created a health equity crisis that stands to worsen in the coming months. As a result of the shifting legal climate and the enforcement of Senate Bill 8 in Texas, activists in Mexico who provide abortion accompaniment have expanded their capacity to ...Read more >
Rebecca Astatke, MPH, Beth Israel Deaconess Medical Center
Native-Americans residing in Tribal lands face some of the greatest inequities in abortion access. With increased restrictions on abortions and increased funding for crisis pregnancy centers (CPCs), access to family planning care is becoming more precarious. CPCs are anti-abortion organizations aiming to prevent low-income people from accessing abortion and contraception; CPCs may delay abortion care ...Read more >
Bianca Allison, MD, MPH, University of North Carolina at Chapel Hill
Limitations on access to abortion in the United States will have specific and differential impacts on adolescents under age 18. Adolescents are more likely than adults to experience unplanned pregnancy and to have pregnancy end in abortion. A federal ruling that overturns or modifies the Roe v. Wade decision will likely result in people traveling ...Read more >
Bianca Stifani, MD, MPH, Westchester Medical Center
During the COVID-19 pandemic, the popularity of telemedicine rapidly increased, raising questions about its future potential to reshape the way people access healthcare, including reproductive healthcare. However, individuals with language barriers and limited access to technology may not be benefiting as much as others from the expansion of telemedicine. We propose a community engagement project ...Read more >
The COVID-19 pandemic created a unique opportunity to develop strategies to ensure provision of reproductive health services. Telehealth can expand access to care; however, information about the patient experience with telehealth, including mode of technology is limited. Exploring patient satisfaction with contraceptive counseling delivered via two modes of telehealth can provide data that may strengthen ...Read more >
Courtney Kerestes, MD, MSCTR, The Ohio State University
Provision of contraceptive care through telemedicine offers safety advantages during a pandemic by limiting in person contact with the healthcare system. Telemedicine also has the potential to provide a convenient, private way for patients to receive evidence based contraceptive counseling based on the principles of shared decision making. If access to the internet and proper ...Read more >
Marielle Meurice, MD, University of California San Diego
The COVID-19 pandemic rapidly increased the use of telemedicine in healthcare, including contraception care. Little is known about the implications of using a telemedicine platform for equity and person-centeredness of care. We propose a sequential mixed-method study that seeks to understand the experience of contraception counseling through telemedicine for patients who speak Spanish at Planned ...Read more >
Sara Neill, MD, MPH, Beth Israel Deaconess Medical Center
The use of telehealth has rapidly expanded during the COVID-19 pandemic; due to its expeditious implementation, systems designed for in-person care are currently being used to deliver telehealth care. In-person visits for contraception decreased during the COVID-19 pandemic. Telehealth contraceptive care offers many advantages for patients, including the ability to remain in a familiar environment, ...Read more >
DMPA is available in both subcutaneous (DMPA-SC) and intramuscular (DMPA-IM) formulations. While DMPA-SC is only FDA-approved for provider-administration, the 2021 CDC Selected Practice Recommendations advised that DMPA-SC be made available for self-administration. Multiple prior studies have compared self-administered DMPA-SC to both provider-administered DMPA-SC and DMPA-IM and found that continuation rates for self-administered DMPA-SC are higher. ...Read more >
Plan A Health is a mobile clinic providing reproductive healthcare and primary care screenings in the Mississippi Delta. With this project, we intend to assess the acceptability and feasibility of self-administered DPMA-SC as a primary form of contraception for patients in underserved rural communities. Family planning counseling on the clinic will include information on both ...Read more >
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