State-Identified Implementation Strategies to Increase Uptake of Immediate Postpartum Long-Acting Reversible Contraception Policies

• DOI: 10.1089/jwh.2018.7083
• Publication Date: 2018-11-02T20:36:47Z
• Authors: Charlan D. Kroeli...; Isabel A. Morgan; Carla L. DeSisto; Cameron Estrich; Lisa F. Waddell; Christine Mackie; Ellen Pliska; David A. Goodman; Shanna Cox; Alisa Velonis; Kristin M. Rankin
• Keywords: Outreach; Reimbursement; Stakeholder Engagement

Background: In 2014, the Association of State and Territorial Health Officials (ASTHO) convened a multistate Immediate Postpartum Long-Acting Reversible Contraception (LARC) Learning Community to facilitate cross-state collaboration in implementation policies. The model was based on systems change, through peer-to-peer learning strategy-sharing activities. This study uses interview data from 13 participating state teams identify state-implemented strategies within defined domains that support policy implementation. Materials Methods: Semistructured interviews were conducted by ASTHO team with members Community. Interviews transcribed coded. Using qualitative analysis, state-reported most identified. Results: five leading included following: stakeholder partnerships; provider training; outreach; payment streams/reimbursement; data, monitoring evaluation. Stakeholder partnership identified as cross-cutting domain. Every used for partnerships training, 12 reported planning or engaging outreach efforts, 11 addressed facility reimbursement, 10 implemented evaluation strategies. All states leveraged information sharing, champions, pilot immediate postpartum LARC programs select delivery facilities. Conclusions: Implementing policies involves leveraging develop implement Identifying piloting programs, collecting facility-level are scalable activities may strengthen efforts improve access LARC, public health service preventing short interbirth intervals unintended pregnancy among women.