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Published on: February 19, 2021
On-site IUD implementation in a student-run free clinic
Ani Oganesyan1, Joanna Lee1, Kaitlyn Sweeney1
1Chicago Medical School, Rosalind Franklin University of Medicine & Science, North Chicago, IL, United States.
Frontiers in Reproductive Health
|May 18, 2026
Summary
Independent student-run free clinics can improve access to long-acting reversible contraception (LARC) for uninsured individuals. A sustainable model using donated devices and partnerships enabled IUD services, expanding reproductive health options.
Area of Science:
- Public Health
- Reproductive Health
- Healthcare Management
Background:
- Uninsured populations experience higher rates of unplanned pregnancies due to access barriers to contraception.
- Long-acting reversible contraception (LARC), like intrauterine devices (IUDs), is highly effective but challenging to implement in independent clinics lacking funding or hospital ties.
Purpose of the Study:
- To detail a sustainable model for integrating intrauterine device (IUD) services into an independent student-run free clinic (SRFC).
- To demonstrate a replicable framework for expanding reproductive health services for uninsured patients.
Main Methods:
- Partnered with Direct Relief for donated IUD devices.
- Established a multidisciplinary workflow with standardized protocols and EHR inventory management.
- Provided interprofessional training for student teams under faculty supervision.
Main Results:
- Successfully implemented a LARC program within an independent SRFC.
- The program is operational with a waitlist, indicating demand and capacity for 1-2 insertions per session.
- Demonstrated a sustainable approach to offering advanced contraceptive services.
Conclusions:
- Independent SRFCs can overcome resource limitations to offer essential reproductive health services.
- Community partnerships and structured volunteer oversight are key to expanding contraceptive access for vulnerable populations.
- This model provides a replicable framework for other clinics serving the uninsured.
Keywords:
community clinichealth equityintrauterine devicelong-acting reversible contraceptionreproductive justicestudent-run free clinicuninsuredMore Related Videos
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