Ibsa Mussa, On Makhubela-Nkondo, Melat B Maruta, Adera Debella
Missed Opportunity of Antenatal Care Services Utilization and Associated Factors among Reproductive Age Women in Eastern Hararghe Zone, Eastern Ethiopia: Mixed Methods Study
Journal of pregnancy
due high rates unintended pregnancies delaware state launched public health initiative 2014 increase access contraceptive services study designed assess practicelevel barriers facilitators providing contraceptive care particularly longacting reversible contraceptives larcs adolescents primary care settings qualitative study part larger process evaluation delaware contraceptive access delcan initiative indepth semistructured qualitative interviews conducted 16 practice administrators 13 adolescentserving primary care sites across state delaware process open axial selective coding used analyze data despite interest larc among adolescent patients administrators described numerous barriers providing larc adolescents including confidentiality patient visits billing preceptorship provider discomfort assumptions need contraception among adolescent patients findings study reveal substantial barriers providing contraception adolescents even primary care practices committed comprehensive contraceptive access adolescent patients study supports need contraceptive care integrated training pediatricians every stage education training must go beyond education contraceptive options clinical skills necessary larc insertion removal include counseling skills based reproductive justice framework additional changes policies practices adolescent patients would increase access contraceptive care