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Improving birth control service utilization by offering services prerelease vs postincarceration.

Jennifer G Clarke1, Cynthia Rosengard, Jennifer S Rose

  • 1Division of General Internal Medicine, Rhode Island Hospital, MPB-1, 593 Eddy Street, Providence, RI 02903, USA. jclarke@lifespan.org

American Journal of Public Health
|March 31, 2006
PubMed
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Providing birth control services in prison significantly increases initiation rates compared to community-based referrals post-release. This study highlights the effectiveness of in-custody contraceptive care for incarcerated women.

Area of Science:

  • Public Health
  • Reproductive Health
  • Criminology

Background:

  • Incarcerated women have a high desire for contraception.
  • Access to reproductive health services is often limited for this population.

Purpose of the Study:

  • To compare birth control initiation rates between incarcerated women offered services in prison versus post-release referrals.
  • To assess the feasibility of providing contraceptive services within correctional facilities.

Main Methods:

  • Phase 1: Referrals for community-based contraceptive services post-release.
  • Phase 2: Contraceptive services offered during incarceration.

Main Results:

  • 77.5% of participants desired to initiate birth control.

Related Experiment Videos

  • 39.1% of women initiated contraception during incarceration (Phase 2) versus 4.4% post-release (Phase 1).
  • Odds ratio for initiation was 14.6 (95% CI=5.5, 38.8) for in-custody services.

    • Conclusions:

    • Contraceptive services are feasible within correctional facilities.
    • In-custody provision of contraception dramatically increases initiation rates among incarcerated women.