DC F a mily Pla nning Pro je c t I mpro ving Pe rina ta l He a - - PowerPoint PPT Presentation
DC F a mily Pla nning Pro je c t I mpro ving Pe rina ta l He a lth in the Distric t Me e ting Oc to b e r 23, 2018 We mo b ilize o ur c o mmunity to e nsure tha t e c o no mic a lly vulne ra b le wo me n a nd g irls ha ve the re
DCFPP is working to help address the first prong of DC Health’s strategy to improve perinatal health outcomes in DC: “Every teenage girl and woman in DC is in control of her reproductive health.
implement a community engagement plan
evaluation to measure program
technical assistance for providers, clinic staff, and clinic administrators
institutional barriers related to availability and reimbursement of all birth control methods
Access Quality Community Engagement Evaluation
Uninte nde d Pr e gnanc y
In DC in 2010:
Outc ome s of uninte nde d pre gnanc ie s c an inc lude :
a dve rse he a lth
a nd c hild
e duc a tio na l a nd e c o no mic c o nse q ue nc e s
Hig h- qua lity fa mily pla nning se rvic e s:
fa milie s ha ve the a b ility to pla n if a nd whe n to ha ve a c hild
pe rina ta l o utc o me s
e duc a tio n, wo rkfo rc e pa rtic ipa tio n, e c o no mic se c urity, fa mily we ll-b e ing , me nta l he a lth a nd ha ppine ss.
se rvic e s
imite d a va ila b ility o f a d o le sc e nt-frie nd ly se rvic e s
a c k o f kno wle d g e a b o ut L ARC me tho d s
b irth c o ntro l me tho d s
c a re
a mily pla nning -spe c ific visits hig hly c o rre la te d with use
ARC o r o the r ho rmo na l me tho d s
“T e e ns sa id —a nd this re a lly stuc k with me —whe n yo u’ re d o ing so me thing ne w yo u ne e d to ha ve a ll o f yo ur c o ura g e b e c a use yo u d o n’ t kno w wha t’ s g o ing to ha ppe n. And so me time s yo u ha ve yo ur c o ura g e a nd the n a sma ll thing ha ppe ns a nd ruins it—[fo r e xa mple ] a t the c he c k-in d e sk the y a sk to c o nfirm pa re nt’ s a d d re ss a nd pho ne numb e r a nd the n the te e n thinks ‘ o h no , my pa re nts a re g o ing to find o ut’ .”
e e n partic ipant
“I he a rd tha t yo u sho uldn’ t sta rt to o yo ung b e c a use yo u do n’ t wa nt to b e o n b irth c o ntro l fo r to o lo ng .”
e e n partic ipant
“I he a rd tha t e ve n with the sho t, yo u ha ve to b e a c e rta in a g e … it c a n d o so me thing to yo ur a b ility to ha ve kid s.”
e e n partic ipant
“I wo uld sa y mo re g e ne ra lly… b ut just in g e ne ra l the b ig g e st b a rrie r to e ffe c tive fa mily pla nning in the b ro a d e r c o nte xt o f he a lth c a re is tha t we d o n’ t ha ve e no ug h time to c o unse l pa tie nts. Pro vid e rs a re
g e t the m o ut, g e t the m in, g e t the m o ut, e spe c ia lly a s re imb urse me nts ha ve fa lle n. So we d o n’ t ha ve 20 minute s to re a lly ta lk a b o ut b e ne fits a nd risks a nd re a lly und e rsta nd wha t the ir re pro d uc tive prio ritie s a re , a nd wha t kind o f a d ve rse e ffe c ts pro file is g o ing to b e so me thing tha t the y c a n live with, a nd g o thro ug h the e ntire c o nse nt fo rm a nd ma ke sure the y g e t e ve ry pie c e o f it.”
c o unse ling stra te g ie s
a d o le sc e nt-spe c ific pro g ra ms
re pro d uc tive he a lth b e st pra c tic e s
xpa nd a c c e ss/ utiliza tio n o f sc ho o l- b a se d he a lth c e nte rs
xpa nd c o mpre he nsive se xua l he a lth e duc a tio n in sc ho o ls
xpa nd Me dic a id re imb urse me nt le ve ls
n-de pth re pro duc tive he a lth tra ining fo r me dic a l pro fe ssio na ls in re side nc y pro g ra ms
Rac ial E quity/ Re pr
F r ame wor k
wa nts o f o ur c o mmunity
inte rve ntio ns “Re pro d uc tive Justic e is the huma n rig ht to ma inta in pe rso na l b o d ily a uto no my, ha ve c hild re n, no t ha ve c hild re n, a nd pa re nt the c hildre n we ha ve in sa fe a nd susta ina b le c o mmunitie s.”
pe e r c o unse lo rs
q uity T ra ining a nd T e c hnic a l Assista nc e Pro g ra m (inc luding Re spe c tful Ca re T
Goa l 1: T
improve the qua lity of DC re side nts’ se xua l he a lth c a re e xpe rie nc e a nd
a va ila b le in c linic a l a nd no n-c linic a l se tting s (e .g . ha ir a nd na il sa lo ns)
Goa l 2: T
a wa re ne ss, knowle dg e a nd unde rsta nding of birth c ontrol me thods a nd whe re / how to a c c e ss the m.
a c kno wle dg e a nd a ddre ss the ro le o f ra c ism, re pro duc tive rig hts a b use s, implic it b ia s, myths, mispe rc e ptio ns, a nd mistrust o f the me dic a l c o mmunity o n re pro duc tive he a lth de c isio n ma king
xpa nd upo n c urre nt re se a rc h (thro ug h fo c us g ro ups, da ta wa lks, pa tie nt surve ys, e tc .) to b e tte r unde rsta nd DC a do le sc e nts’ / yo ung wo me n’ s a ttitude s, c o nc e rns, pe rc e ptio ns, wa nts a nd ne e ds re g a rding se xua l a nd re pro duc tive he a lth a nd c o ntra c e ptio n Goa l 3: T
me dic a l syste m by e nsuring tha t DCF PP inte rve ntions a re g uide d a nd informe d by the insig ht a nd input of those who e xpe rie nc e re produc tive he a lth ine quitie s.
xpa nde d a c c e ss to a nd utiliza tio n o f SBHCs
ull imple me nta tio n o f DC Se xua l He a lth Sta nda rds
he a lth se rvic e s Goa l 4: T
e duc a tion, c ompre he nsive c ontra c e ptive c ounse ling , a nd de sire d F DA- a pprove d birth c ontrol me thods for a ll DC re side nts.
Ple a se c o nta c t: Na nc y Sc ho e nfe ld nsc ho e nfe ld@ wa wf.o rg