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Preference for Face-to-Face Contraceptive Service Delivery Post-COVID-19 Pandemic: A Cross-Sectional Study.

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A minority of women prefer in-person contraceptive services, potentially indicating high unmet needs. Maintaining diverse service delivery options is vital for equitable reproductive healthcare.

Keywords:
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Area of Science:

  • Reproductive Health
  • Public Health
  • Healthcare Access

Background:

  • The COVID-19 pandemic accelerated digital transformation in healthcare.
  • Contraceptive service delivery models have evolved, with increased reliance on digital platforms.
  • Understanding preferences for in-person versus remote services is crucial for equitable access.

Purpose of the Study:

  • To determine the prevalence of preference for solely face-to-face contraceptive services.
  • To identify social positions associated with this preference in post-pandemic England.
  • To inform equitable and person-centered reproductive healthcare strategies.

Main Methods:

  • A cross-sectional online study was conducted in England.
  • The Reproductive Health Survey for England (RHSE) recruited 28,328 participants aged 16-55.
  • Multivariable logistic regression analyzed factors associated with preference for face-to-face services.

Main Results:

  • 24.7% of participants preferred solely face-to-face contraceptive services.
  • Preference was associated with younger/older age, lower educational attainment, financial hardship, disability, and not being in a relationship.
  • Employment status showed a complex association with preference, varying by ethnicity.

Conclusions:

  • A significant minority prefer in-person contraceptive services, possibly indicating unmet needs.
  • Ensuring a choice of service delivery models is essential for equitable reproductive healthcare.
  • Digitization of healthcare must not compromise access for all individuals.