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Sexual and Reproductive Health Matters
July 2022

The Impact of Policy Changes from the Perspective of Providers of Family Planning Care in the US: Results from a Qualitative Study

Alicia VandeVusse,Guttmacher Institute
Jennifer Mueller,Guttmacher Institute
Marielle Kirstein,Guttmacher Institute
Philicia Castillo,Guttmacher Institute
Megan L. Kavanaugh,Guttmacher Institute
The time is now. Will you stand up for reproductive health and rights?
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First published online: July 6, 2022 DOI: https://doi.org/https://doi.org/10.1080/26410397.2022.2089322

In recent years, there have been several state and federal policies that have disrupted access to publicly supported family planning care in the United States, including the 2019 rule that altered the federal Title X family planning program. In late 2020, we conducted in-depth interviews with health care providers from 55 facilities providing family planning care in Arizona, Iowa, and Wisconsin with the aim of learning how sites were affected by policy changes. We identified perceived effects on clinic finances, patient confidentiality, contraceptive counselling and service provision, and options counselling resulting from state and federal policy changes. Some clinics lost funding and had to pass some of the cost of services on to patients, raising new confidentiality concerns and creating new burdens on staff to carry out financial counselling with patients. Other sites had to grapple with restrictions on the pregnancy options counselling that they could provide, concentrate counselling on fertility awareness-based methods, and increase efforts to include parents/guardians in the care of adolescent patients. State and federal policies impact how publicly supported family planning care is provided, and compromise efforts to provide patient-centred care.

Full article available at Sexual and Reproductive Health Matters
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Topic

United States

  • Contraception: Publicly Funded Family Planning

Geography

  • Northern America: United States

Tags

birth control, domestic gag rule, Medicaid, Planned Parenthood, public health, Title X

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