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

Filetype[PDF-357.59 KB]


  • English
    • Details Supporting Files You May Also Like

    Details:

    • Alternative Title:
      Womens Health Issues
    • Personal Author:
    • 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:
    • 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
    • Collection(s):
    • Main Document Checksum:
    • Download URL:
    • File Type:

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