THE RIGHT TIME: Results of the SMART Pilot Program A BC Womens - - PowerPoint PPT Presentation

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Dec 23, 2022 360 likes •498 views

SAFE METHODS AT THE RIGHT TIME: Results of the SMART Pilot Program A BC Womens Hospital + Health Centre partnership with BC health authorities and abortion providers Presented by Dr. Sheila With and Suzie Maginley ACKNOWLEDGMENTS Thank you

SLIDE 1

SAFE METHODS AT THE RIGHT TIME:

Results of the SMART Pilot Program

A BC Women’s Hospital + Health Centre partnership with BC health authorities and abortion providers Presented by Dr. Sheila With and Suzie Maginley

SLIDE 2

ACKNOWLEDGMENTS

Thank you to:

Dr. Wendy Norman and her team
Caitlin Johnston and Ronnalea Hammon
BC Women’s Hospital + Health Centre
BC Ministry of Health
All participating physicians and sites

SLIDE 3

DISCLOSURES

We have no personal disclosures or conflicts of interest.

SLIDE 4

ABOUT THE PROGRAM

Approximately half of all women who have an abortion in BC will have a pregnancy within 2 years if they are unable to initiate contraception at time of abortion. Safe Methods at the Right Time (“SMART”) is intended to reduce future unintended pregnancies by providing free and effective contraception at time of abortion.

SLIDE 5

PROGRAM ELIGIBILITY CRITERIA

Facilities must be accredited by Accreditation Canada,

CPSBC or NAF

Participants must reside in BC, have provincial health

insurance coverage and present for an abortion at a participating facility

Non-elective abortions (such as miscarriages or removal
f retained products) are ineligible

SLIDE 6

AVAILABLE CONTRACEPTIVE OPTIONS

1. Hormone-releasing intrauterine contraceptive 2. Copper intrauterine device (non-hormonal) 3. One package of combined oral contraceptive pills 4. One injection of depot medroxyprogesterone acetate

SLIDE 7

PROGRAM REQUIREMENTS

Time-limited funding must support efficient purchasing

f contraceptives (the program’s largest expense)

Clear eligibility criteria to avoid duplication of other government–funded contraception coverage Standardized training at facilities to uphold contract commitments and promote reliable data collection

SLIDE 8

INTERIM EVALUATION RESULTS

This January, we conducted an interim evaluation of all program-eligible women from Jan 2017 to Sep 2019. In total, 22,876 women were eligible for the Program during this period and were included in our analyses.

SLIDE 9

SMART PROGRAM REACH 2017:

Reached an estimated

ne-third of women

having an abortion in BC

2019:

Reached an estimated two-thirds of women having an abortion in BC

SLIDE 10

CONTRACEPTIVE UPTAKE: LARC VS. SARC

14.0% 58.4% 44.0% 26.3% Baseline Program LAR LARC an and SAR ARC up uptake LARC SARC

SLIDE 11

CONTRACEPTIVE UPTAKE: BY PROCEDURE

63.4% 45.5% 58.8% 24.1% 31.6% 26.0% 12.6% 22.9% 15.2% Surgical abortion Medical abortion Total Contraceptive up uptake, by pr procedure type LARC SARC Tier 3 Method

SLIDE 12

REDUCTION OF SUBSEQUENT PREGNANCIES

8,250 5,202 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 Baseline With Program

Number of subsequent pregnancies

36.9% reduction

SLIDE 13

OUTCOMES AND OPPORTUNITIES

Increase access to contraception—particularly highly

effective, long-term methods—for women experiencing unintended pregnancy

Demonstrate positive population health and health

system impacts in BC

Potential to influence policy advancement relating to