Access to Emergency Contraception through the Family PACT

Access to Emergency Contraception through the Family PACT Program Allison Ong, BS; Astred Castro, BS; Carina Franco, BS; Savanna Nickols, BS; Kathy Le; Sanghavi Srinivasan; Eleanor Bimla Schwarz, MD, MS University of California, Davis School of Medicine, Sacramento, CA 95817, Center for Healthcare Policy and Research, University of California, Davis, Sacramento, CA 95817 FIGURE 1 – Availability of Emergency Contraception by Urban-Rural Classification INTRODUCTION • Family Planning Access to Care and Treatment (FPACT) provides family planning services to uninsured Californians living at or below 200% of the Federal Poverty Level. • Rural communities have higher rates of unintended pregnancies and may face barriers to acquiring emergency contraception (EC). RESULTS • Many California family planning clinics still do not offer clear guidance on how to obtain EC by phone. • Ella is offered less often than Plan B and the copper IUD. • No significant differences in access noted for rural vs urban clinics. 100% 90% 86% 83% 80% 70% 61% Percentage Offering OBJECTIVE 69% 60% 54% 46% 50% 40% [VALUE] 46% 34% 30% 26% LIMITATIONS 29% 25% 20% • Limited sample of rural clinics affects power. • Front desk staff may be misinformed or undertrained about clinical services offered. 10% • To assess rural/urban differences in access to emergency contraception (Plan B, Ella, copper IUD) at Family PACT clinics across California. METHODS • Cross-sectional telephone survey of a 20% random sample, stratified by county of FPACT clinics (n=331) • Classified counties using the 2013 Urban-Rural Classification Scheme (National Center for Health Statistics). • 46/331 clinics excluded due to: • Clinic was closed • Staff unaware of FPACT on 2 occasions 0% Plan B Large Central Metro Counties Pop: >1, 000 + central city (i. e. Sacramento, L. A. ) N = 109 Medium/Small Metro Counties Pop: 50, 000 to 250, 000 (i. e. Fresno, San Joaquin) N = 61 50% Noncore/Rural Counties Pop: 50, 000 to 250, 000 (i. e. Fresno, San Joaquin) N = 28 70% 79% n = 28 86% n = 17 n=6 n=7 8% 4% 3% 6% 12% 4% 85% 100% n = 11 DISCUSSION • Efforts are needed to increase staff awareness of best practices in provision of emergency contraception at Family PACT clinics: • Prompt access to Ella Rx • Same-day IUD placement ACKNOWLEDGEMENTS FIGURE 3 – Acquiring the Copper IUD n = 50 www. Poster. Presentations. com Large Fringe Metro Counties Pop: >1, 000 no central city (i. e. Placer, Yolo) N = 24 Copper IUD FIGURE 2 – Acquiring Ella 84% RESEARCH POSTER PRESENTATION DESIGN © 2012 Ella 94% n = 33 n = 17 • UC Davis Medical Student Research Fellowship • Family PACT Research Team at UC Davis: Isabella Trezza, Rozanne de Jesus, Elena Willow • National Center for Advancing Translational Sciences (NCATS), National Institutes of Health (NIH), through grant #UL 1 TR 001860