Back to Search
Start Over
Physician and clinic staff attitudes and practices during implementation of the Zika Contraception Access Network
- Source :
- Contraception. 102:34-38
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Objective The Zika Contraception Access Network (Z-CAN) provided women in Puerto Rico access to contraceptive counseling and the full range of reversible contraceptive methods, on the same day and at no cost, during the Zika virus outbreak. Because trained physicians and clinic staff were crucial to the program, we aimed to assess the implementation of and satisfaction with Z-CAN from their perspectives. Study design Physicians and clinic staff in the Z-CAN program participated in an online survey on program implementation (e.g., on-site and same-day contraceptive provision), program satisfaction, and knowledge consistent with program training (e.g., contraceptive initiation and safety, client-centered contraceptive counseling, intrauterine device [IUD] and implant insertion and removal). Results Survey respondents included 63 physicians and 53 clinic staff members. A high proportion of physicians (>93%) reported providing IUDs, implants, pills, rings, condoms, and injections and most were very often or always able to provide same-day access to most methods. Over 90% of physicians were satisfied with the Z-CAN program, training, and ongoing support. Staff satisfaction with these program elements was similar but slightly lower. Knowledge about exams and tests needed for initiation and safety of methods varied but was generally consistent with guidelines on which physicians received training. Most physicians (>90%) reported confidence in skills on which they received training as part of the program. Conclusions From the perspectives of participating physicians and clinic staff, the program was generally implemented as intended and providers were largely satisfied with program strategies including training and on-going support. Implications Certain key components of the Z-CAN program, such as training, proctoring, and involvement of clinic staff were likely critical to Z-CAN’s implementation and provider satisfaction. Results from this provider survey can inform implementation of similar efforts to increase access to contraception in both emergency and non-emergency settings.
- Subjects :
- medicine.medical_specialty
Attitude of Health Personnel
Intrauterine device
Contraceptive counseling
Health Services Accessibility
Zika virus
03 medical and health sciences
0302 clinical medicine
Physicians
medicine
Humans
030212 general & internal medicine
Staff Attitudes
030219 obstetrics & reproductive medicine
Access network
biology
Zika Virus Infection
business.industry
Obstetrics and Gynecology
Zika Virus
biology.organism_classification
Staff satisfaction
Contraception
Reproductive Medicine
Family planning
Family medicine
Pill
Female
business
Subjects
Details
- ISSN :
- 00107824
- Volume :
- 102
- Database :
- OpenAIRE
- Journal :
- Contraception
- Accession number :
- edsair.doi.dedup.....30dbe246d048147828225fce3dbb4aea