Objectives: to enumerate facilitators of and barriers to the provision of long-acting reversible contraception (LARC) in community health centers (CHCs), in order to identify potential points of intervention to better support provision of these methods. Methods: Focus groups discussions (with clinicians and staff who have direct patient contact) and key informant interviews (with administrators) at ...Read more >

Objectives: The objectives of this study were to develop a deeper understanding of the reasons for and experiences with early discontinuation of the contraceptive implant in an adolescent population, and to identify areas of need for improvement in counseling for implant placement and removal. Methods: This is a qualitative study, consisting of semi-structured interviews of ...Read more >

In 2011, the 82nd Texas Legislature enacted four key pieces of legislation restricting access to family planning: the state budget for contraceptive and reproductive health screening provision was cut by two-thirds; a tiered funding system directing funds away from the clinics providing the majority of services was set up; the Women’s Health Program Medicaid waiver ...Read more >

Objectives: Understanding how women are influenced by interpersonal communication about contraception can inform interventions that improve contraceptive use. The aim of our research was to develop the methods and tools needed to conduct a longitudinal cohort study of social networks’ influence on contraceptive use. Methods: We developed survey instruments for the longitudinal cohort study in ...Read more >

Background: Concerns have been raised about the consequences of enthusiastic promotion of long-acting reversible contraceptives (LARCs) for women’s reproductive autonomy, particularly among underserved or vulnerable groups including postpartum women. We developed the Birth Control After Pregnancy decision aid as a strategy for upholding patient-centered decision-making about postpartum contraception and, in particular, supporting access to postpartum ...Read more >

Transgender and gender expansive (TGE) individuals face multiple barriers to accessing health care, including higher rates of discrimination in health care settings, denials of care, limited provider knowledge, and lower rates of insurance coverage than the general US population. Further, transgender individuals report high rates of delaying care due to discrimination or lack of financial ...Read more >

Reproductive coercion and partner violence are associated with unwanted pregnancy and abortion globally. In Bangladesh, women reporting partner violence are more likely to access abortion outside the health system and less likely to access post-abortion contraception, especially if accompanied to the clinic by their partner, which suggests additional intervention is needed to support clients’ reproductive ...Read more >

Background: Significant enthusiasm about immediate postpartum placement of long-acting reversible contraceptive (LARC) methods has prompted concerns about the line between active promotion of LARC methods and coercion, particularly when caring for vulnerable or minority groups. A patient decision aid (DA) on postpartum contraception that women use during pregnancy may be an effective strategy for improving ...Read more >

We propose a partnership between the University of Chicago and the ACLU of Illinois to convene an interdisciplinary team on religious health systems in the Chicago metropolitan area. We will conduct background research and develop a subsequent project aimed at investigating the impact of religiously-affiliated hospital system policies on the provision of sexual and reproductive ...Read more >

Objectives: This project explored the reproductive health of Rohingya women and girls in Kuala Lumpur, Malaysia and documented their experiences accessing sexual and reproductive health services in Malaysia. Areas of interest included contraception, abortion, sexual and gender-based violence, and adolescent reproductive health. We also interviewed key informants about Rohingya women’s experiences in Malaysia and mapped ...Read more >