Program Fidelity and Patient Satisfaction amongWomen Served by the Zika Contraception Access Network Program in Puerto Rico

Details

• Alternative Title:
  Womens Health Issues
• Personal Author:
  Zapata, Lauren B. ; Romero, Lisa ; Rivera, Maria I. ; Rivera-Soto, Stephanie K. ; Hurst, Stacey ; Mendoza, Zipatly V. ; Clayton, Heather B. ; Bracero, Nabal ; Whiteman, Maura K. ; Lathrop, Eva
• Description:
  Background:
  
  The Zika Contraception Access Network (Z-CAN) was designed to provide women in Puerto Rico who chose to delay or avoid pregnancy during the 2016–2017 Zika virus outbreak access to high-quality client-centered contraceptive counseling and the full range of reversible contractive methods on the same day and at no cost through a network of trained providers. We evaluated the implementation of Z-CAN from the patient perspective.
  
  Methods:
  
  An online survey, administered to a subset of women served by the Z-CAN program approximately 2 weeks after their initial Z-CAN visit, assessed patient satisfaction and receipt of services consistent with select program strategies: receipt of high-quality client-centered contraceptive counseling, same-day access to the contraceptive method they were most interested in after counseling, and no-cost contraception.
  
  Results:
  
  Of 3,503 respondents, 85.2% reported receiving high-quality client-centered contraceptive counseling. Among women interested in a contraceptive method after counseling (n = 3,470), most reported same-day access to that method (86.8%) and most reported receiving some method of contraception at no cost (87.4%). Women who reported receiving services according to Z-CAN program strategies were more likely than those who did not to be very satisfied with services. Women who received high-quality client-centered contraceptive counseling and same-day access to the method they were most interested in after counseling were also more likely to be very satisfied with the contraceptive method received.
  
  Conclusions:
  
  A contraception access program can be rapidly implemented with high fidelity to program strategies in a fast-moving and complex public health emergency setting.
  
  
• Subjects:
  Article
• Source:
  Womens Health Issues. 30(4):268-276
• Pubmed ID:
  32376188
• Pubmed Central ID:
  PMC7370655
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Place as Subject:
  Puerto Rico
• Volume:
  30
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:55ae2dea22bc3a9d9d6db6ca31416092176133bada9b5820be448aabfe4ed1b7
• Download URL:
  https://stacks.cdc.gov/view/cdc/90855/cdc_90855_DS1.pdf
• File Type:
  [PDF - 357.59 KB ]