The link between reproductive life plan assessment and provision of preconception care at publicly funded health centers
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The link between reproductive life plan assessment and provision of preconception care at publicly funded health centers

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  • Alternative Title:
    Perspect Sex Reprod Health
  • Description:
    CONTEXT Federal and clinical guidelines recommend that reproductive life plan assessments be integrated into routine family planning encounters to increase the provision of preconception care. The associations between clinical protocols and reported reproductive life plan assessment, and between reproductive life plan assessment and preconception care delivery, are unknown. METHODS Two, nationally-representative surveys of administrators and medical providers at publicly-funded health centers (2013–2014), were linked to explore associations between reproductive life plan protocols, reproductive life plan assessment (very often/often versus not often/never), and preconception care delivery (frequently versus never/rarely/occasionally) (n=1,039). Bivariate and adjusted prevalence ratios (aPR) with 95% confidence intervals (CI) were used to examine associations. RESULTS Of respondents, 58% reported having reproductive life plan assessment protocol, 87% reported that they frequently assessed reproductive life plans, and 55% reported that they frequently provided preconception care. Lower percentages of reproductive life plan assessment protocols were observed among: community health centers (32%) versus other health center types; health centers focused on primary care (33%) versus reproductive health or other care focus; and health centers without Title X-funding (36%) versus Title X-funded. Administrators reporting frequent reproductive life plan assessments were more likely than those reporting infrequent reproductive life plan assessment to report frequent provision of preconception care (aPR 1.4, 95% CI 1.09–1.75). CONCLUSIONS Further research is needed to confirm the associations between report of having written protocols and reported clinical practice and to elucidate the specific preconception care services that may be associated with reproductive life plan assessment.
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