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A statewide initiative in Indiana improved contraceptive access using a person-centered framework. High-quality care was reported, but outcomes varied by geography, ethnicity, and care type, highlighting the need for tailored strategies.

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Area of Science:

  • Public Health
  • Reproductive Health
  • Healthcare Access

Background:

  • Statewide initiatives are crucial for expanding access to reproductive healthcare services.
  • A person-centered contraceptive care framework prioritizes individual needs and preferences.
  • Evaluating care quality through validated measures like PCCC and CollaboRATE is essential.

Purpose of the Study:

  • To implement and evaluate a statewide contraceptive access initiative in Indiana.
  • To assess contraceptive method utilization and care quality using person-centered measures.
  • To identify disparities in access and quality based on demographics and care modality.

Main Methods:

  • Cross-sectional analysis of program utilization data (2021-2024).
  • Examination of contraceptive method and appointment type by age and geography (RUCA codes).
  • Analysis of care quality surveys (PCCC, CollaboRATE) by program characteristics and demographics.

Main Results:

  • 2820 participants, mean age 27.1; 77% in-person care, 87% of counties reached.
  • Similar selection of short-acting (45%) and long-acting (46%) methods; rural areas less likely to choose long-acting methods.
  • High reported quality of care (80% PCCC, 75% CollaboRATE), with variations by ethnicity, sexual attraction, and care modality.

Conclusions:

  • The PATH4YOU program successfully expanded contraceptive access statewide with high reported quality of care.
  • Significant differences in outcomes were observed based on geography, ethnicity, sexual attraction, and care modality.
  • Tailored strategies are necessary to ensure equitable contraceptive care for all individuals.