From training to implementation: Improving contraceptive practices in South Carolina

Area of Science:

• Reproductive Health
• Medical Education
• Healthcare Policy

Background:

• Contraceptive care training is vital for enhancing patient-centered reproductive autonomy.
• Capacity building initiatives aim to translate learned knowledge and skills into improved clinical practice.

Purpose of the Study:

• To assess the feasibility of implementing changes learned in contraception trainings into clinical practice.
• To identify barriers encountered by healthcare providers in applying new contraceptive care knowledge.

Main Methods:

• A mixed-methods approach was used, analyzing survey data from family planning providers and staff.
• Surveys assessed post-training intent to change practice and anticipated implementation barriers.
• Descriptive and thematic content analysis of quantitative and qualitative data.

Main Results:

• Over 80% of participants intended to change their practice after training.
• Organizational factors like time constraints and policies were the most common barriers.
• Structural issues, including patient costs for IUDs and implants, also presented challenges.

Conclusions:

• Contraception trainings effectively influenced provider intent to improve contraceptive practices.
• Organizational and structural policy improvements are crucial for translating training into enhanced contraceptive care.
• System-level changes addressing resources and policies are essential for sustainable, patient-centered care.