Champions of contraceptive care: Lessons learned from a statewide contraceptive access program

Area of Science:

• Public Health
• Implementation Science
• Reproductive Health

Background:

• The Partners in Contraceptive Choice and Knowledge (PICCK) program aimed to enhance contraceptive access and quality in Massachusetts hospitals.
• A champion model was utilized, engaging committed individuals within each hospital to customize and implement the PICCK initiative.

Purpose of the Study:

• To identify the facilitators and barriers encountered during the uptake of the customized PICCK initiative.
• To explore the effectiveness of the champion model in implementing public health programs.

Main Methods:

• Conducted 17 semi-structured interviews with 26 champions across 13 hospitals.
• Utilized the Consolidated Framework on Implementation Research (CFIR) for interview guidance.
• Employed inductive and deductive thematic analysis on professionally transcribed interviews.

Main Results:

• Facilitators and barriers were identified across all five CFIR domains.
• Emergent themes included the interplay of internal/external factors, champion self-efficacy, program-hospital alignment, and varying willingness to change.

Conclusions:

• The PICCK program successfully used evidence-based strategies and a champion model to improve contraceptive care.
• The champion approach effectively integrated external resources with institutional capacity.
• Lessons learned offer valuable insights for future statewide initiatives aimed at expanding contraceptive access.