HER Salt Lake Papers
Contraceptive Method Use During the Community-Wide HER Salt Lake Contraceptive Initiative. Jessica N. Sanders, Kyl Myers, Lori Gawron, Rebecca G. Simmons, David K. Turok. American Journal of Public Health
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Objectives. To describe a community-wide contraception initiative and assess changes in methoduse when cost and access barriers are removed in an environment with client-centered counseling.
Methods. HER Salt Lake is a prospective cohort study occurring during three 6-month periods (September 2015 through March 2017) and nested in a quasiexperimental observational study. The sample was women aged 16 to 45 years receiving new contraceptive services at health centers in Salt Lake County, Utah. Following the control period, intervention 1 removed cost and ensured staffing and pharmacy stocking; intervention 2 introduced targeted electronic outreach. We used logistic regression and interrupted time series regression analyses to assess impact.
Results. New contraceptive services were provided to 4107 clients in the control period, 3995 in intervention 1, and 3407 in intervention 2. The odds of getting an intrauterine device or implant increased 1.6 times (95% confidence interval [CI] = 1.5, 1.6) during intervention 1 and 2.5 times (95% CI = 2.2, 2.8) during intervention 2, relative to the control period. Time series analysis demonstrated that participating health centers placed an additional 59 intrauterine devices and implants on average per month (95% CI = 13, 105) after intervention 1.
Conclusions. Removing client cost and increasing clinic capacity was associated with shifts in contraceptive method mix in an environment with client-centered counseling; targeted electronic outreach further augmented these results. (Am J Public Health. Published online ahead of print February 22, 2018: e1–e7. doi:10.2105/AJPH.2017.304299)
HER Salt Lake Posters
Support from the Society of Family Planning Research Fund, the William and Flora Hewlett Foundation, and an anonymous foundation. Contraceptive support from: Bayer Women’s Healthcare, Merck & Co. Inc., and Teva Pharmaceuticals. Use of REDCap provided by Eunice Kennedy Shriver National Institute of Child Health and Development grant (8UL1TR000105 (formerly UL1RR025764) NCATS/NIH). The Eunice Kennedy Shriver National Institute of Child Health & Human Development supports JNS via Award Number K12HD085852 and DKT via K24HD087436. We also want to thank the HER Salt Lake research team and all the participants.
Beyond Intentions: The Relationship Between Feelings about Pregnancy and Contraceptive Choices. Claudia Geist, Jessica N. Sanders, Bethany Everett, Kyl Myers, Abigail Aiken, Patty Cason, & David K. Turok. The North American Forum on Family Planning. Atlanta, Georgia | October 2017.
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Comparing Reduced-Cost Versus No-Cost Contraception on Postabortal Contraceptive Method Mix: A Prospective Cohort Study. Ashley E. Benson, Holly Bullock, Jessica N. Sanders, & David K. Turok. The North American Forum on Family Planning. Atlanta, Georgia | October 2017.
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