Vasectomy Services in Title X Family Planning Clinics: Understanding Barriers and Facilitators to Improve Access

Vasectomy is a highly effective outpatient procedure for permanent contraception that is allowable as a contraceptive method with Title X funds. However, there is limited published knowledge on vasectomies in publicly funded agencies. We sought to understand and document vasectomy services in Title X-funded health centers, including barriers and facilitators to providing those services.

The study team held qualitative interviews with 22 organizations who received Title X funding. Through an iterative thematic analysis, our team coded the data to produce findings illustrating the landscape of vasectomy service provision in Title X family planning health centers.

Our analysis revealed barriers and facilitators to providing vasectomy services in Title X settings centered on 5 areas: provision of care, finance, supplies, training, and marketing.

These findings highlight some common barriers experienced by clinics and organizations funded by Title X, as well as the facilitators and ways in which barriers are mitigated. By adopting successful strategies to facilitate vasectomy services and mitigate barriers, Title X-funded clinics can meet potential increases in demand for vasectomy services and ensure equitable access to uninsured and underinsured individuals.