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A pilot program of contraceptive continuation in six school-based clinics
N Bearss1, J S Santelli, P Papa
1Sussex Technical High School Wellness Center, Georgetown, Delaware 19947, USA.
Summary
School-based health centers can improve contraceptive use with monthly follow-up. However, contraceptive continuation remains a challenge, with high dropout rates and pregnancy among students.
Area of Science:
- Public Health
- Adolescent Health
- Reproductive Health
Background:
- School-based health centers (SBHCs) are crucial for adolescent healthcare.
- Contraceptive provision in SBHCs is limited, with little data on continuation rates.
Purpose of the Study:
- To evaluate contraceptive continuation in a pilot program at Baltimore SBHCs.
- To assess the impact of monthly reproductive health assessment and counseling on contraceptive use.
Main Methods:
- An 11-month pilot project involving 143 female students in Baltimore SBHCs.
- Monthly data collection on contraceptive use, sexual behavior, and support systems.
- Physical assessments for STDs and pregnancy as needed.
Main Results:
- Increased use of oral contraceptives (OCPs) and abstinence observed.
- Condom use remained stable; combined OCP and condom use was frequent.
- High program dropout rates, with 13 pregnancies and 35% STD diagnoses.
Conclusions:
- Monthly SBHC follow-up can enhance contraceptive adherence.
- Significant challenges remain, including high dropout rates and contraceptive failure.
Keywords:
AmericasBehaviorContraceptionContraception ContinuationContraceptive DistributionContraceptive UsageDeveloped CountriesDistributional ActivitiesFamily PlanningFamily Planning ProgramsMarylandNorth AmericaNorthern AmericaOrganization And AdministrationPilot ProjectsProgram ActivitiesProgram EffectivenessProgram EvaluationProgramsResearch MethodologyRisk BehaviorSchool-based ServicesStudiesUnited States
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