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Assessing Need and Resources for Providing On-Site Access to Long Acting Reversible Contraceptives in University Student Health Setting
Howe, Madeline
Howe, Madeline
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Abstract
Purpose. Over 50% of all pregnancies in the state of Vermont are unintended, despite the availability of effective contraceptive methods. Long-acting reversible contraceptives (LARCs), including intrauterine contraceptive devices and implantable contraceptive devices, are the most effective form of reversible contraception. However, they make up a minority of contraceptive use. Studies have established that women overwhelmingly choose LARCs when educated about their efficacy, cost, and convenience. Methods. A needs assessment was conducted using data query of electronic health records and informal interviews with Student Health Services (SHS) providers and administrators at a northern New England university. Suppliers and insurers were contacted and costs calculated. Documents and a presentation with data, analysis, and initial steps to of implementation process were prepared. Results. There is a perceived need for SHS to offer onsite LARC placement. SHS can feasibly and affordably offer this by sourcing devices from specialty pharmacies and having two scheduled placement days per week. Conclusions. SHS is scheduled to begin offering LARC placement by the end of the 2018-2019 academic year. The impact of this project on LARC placement and unintended pregnancy cannot be determined at this time.
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Date
2019-01-01