Responsive design, local realities: A process evaluation of Family Planning Elevated

Area of Science:

• Public Health
• Health Services Research
• Implementation Science

Background:

• Contraceptive initiatives aim to improve access, but implementation processes in healthcare settings require further study.
• Understanding implementation is key to optimizing the effectiveness of public health programs.

Purpose of the Study:

• To conduct a process evaluation of the Family Planning Elevated (FPE) initiative in Utah.
• To document FPE implementation, contextual influences, and impact mechanisms.

Main Methods:

• Mixed-methods process evaluation of FPE involving 28 clinics across Utah.
• Qualitative longitudinal analysis of staff focus groups using the Consolidated Framework for Implementation Research.

Main Results:

• External factors like Utah's reproductive health landscape and the COVID-19 pandemic significantly impacted implementation.
• Program adaptability, clinic structural characteristics, and partner motivation were key factors.
• Provider perspectives and organizational culture shifted towards a more person-centered approach.

Conclusions:

• Successful implementation requires programs adaptable to diverse local, state, and national contexts.
• Tailoring interventions to unique clinic and community needs, alongside partner commitment, drives success in expanding contraceptive access.
• Initiatives can foster a more person-centered approach within healthcare settings.