Application of Implementation Science Methodology to Immediate Postpartum Long-Acting Reversible Contraception Policy Roll-Out Across States.
Purpose Providing long-acting reversible contraception (LARC) in the immediate postpartum period is an evidence-based strategy for expanding women's access to highly effective contraception and for reducing unintended and rapid repeat pregnancy. The purpose of this article is to demonstrate the appl...
| Publicado en: | Maternal & Child Health Journal Vol. 20; pp. 173 - 180 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial tables/charts Journal Article |
| Publicado: |
Springer Nature
Nov2016 Supplement
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119596898&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 119596898 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Nov2016 Supplement vid: 20 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 119596898 119596898 119596898 10.1007/s10995-016-2002-4 119596898 ppf: 173 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Application of Implementation Science Methodology to Immediate Postpartum Long-Acting Reversible Contraception Policy Roll-Out Across States. aug: au: Rankin, Kristin Kroelinger, Charlan DeSisto, Carla Pliska, Ellen Akbarali, Sanaa Mackie, Christine Goodman, David affil: Division of Epidemiology and Biostatistics , University of Illinois at Chicago School of Public Health , 1603 Taylor St (m/c 923) Chicago 60612 USA sug: subj: Contraceptive Agents Administration and Dosage Delayed-Action Preparations Postnatal Period Public Policy Health Services Accessibility Program Implementation United States Pregnancy, Unwanted Pregnancy Female Medicaid Intrauterine Devices Drug Implants Insurance, Health, Reimbursement Female ab: Purpose Providing long-acting reversible contraception (LARC) in the immediate postpartum period is an evidence-based strategy for expanding women's access to highly effective contraception and for reducing unintended and rapid repeat pregnancy. The purpose of this article is to demonstrate the application of implementation science methodology to study the complexities of rolling-out policies that promote immediate postpartum LARC use across states. Description The Immediate Postpartum LARC Learning Community, sponsored by the Association of State and Territorial Health Officials (ASTHO), is made up of multi-disciplinary, multi-agency teams from 13 early-adopting states with Medicaid reimbursement policies promoting immediate postpartum LARC. Partners include federal agencies and maternal and child health organizations. The Learning Community discussed barriers, opportunities, strategies, and promising practices at an in-person meeting. Implementation science theory and methods, including the Consolidated Framework for Implementation Research (CFIR), and a recent compilation of implementation strategies, provide useful tools for studying the complexities of implementing immediate postpartum LARC policies in birthing facilities across early adopting states. Assessment To demonstrate the utility of this framework for guiding the expansion of immediate postpartum LARC policies, illustrative examples of barriers and strategies discussed during the in-person ASTHO Learning Community meeting are organized by the five CFIR domains-intervention characteristics, outer setting, inner setting, characteristics of the individuals involved, and process. Conclusion States considering adopting policies can learn from ASTHO's Immediate Postpartum LARC Learning Community. Applying implementation science principles may lead to more effective statewide scale-up of immediate postpartum LARC and other evidence-based strategies to improve women and children's health. pubtype: Academic Journal doctype: pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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