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Partners in Contraceptive Choice and Knowledge: Design, Implementation, and Evaluation of a US Statewide
Katharine O White1,2, Lillian W Acton1, Elizabeth Janiak3,4,5
1Boston Medical Center, Boston, Massachusetts, USA.
Perspectives on Sexual and Reproductive Health
|January 23, 2026
Summary
The Partners in Contraception Choice and Knowledge (PICCK) initiative improved contraceptive care through hospital-based and statewide programs. This adaptable model can enhance other public health initiatives in clinical settings.
Area of Science:
- Public Health
- Reproductive Health
- Healthcare Quality Improvement
Background:
- The Partners in Contraception Choice and Knowledge (PICCK) initiative was established to address contraceptive access and quality.
- The program operated statewide in Massachusetts from 2018 to 2023.
Purpose of the Study:
- To describe the origin, program design, and evaluation of the PICCK initiative.
- To highlight the dual approach of hospital-based and statewide activities.
Main Methods:
- PICCK utilized a champion model to improve contraceptive care in birth hospitals and affiliated outpatient practices.
- Statewide programming included webinars, conferences, and resource development for broader engagement.
- Activities adapted to virtual formats during the COVID-19 pandemic.
Main Results:
- Hospital champions led customized programming with PICCK staff support.
- Implementation periods varied, averaging 517.5 days.
- Statewide efforts included 31 webinars, 3 virtual conferences, and 97 resources.
Conclusions:
- PICCK demonstrated an innovative dual approach to implementation.
- The program's structure is adaptable for other public health quality improvement initiatives.
- The initiative's broad reach and adaptability support its potential for wider application.
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