Lauren B Zapata1, Lisa Romero2, Maria I Rivera3, Stephanie K Rivera-Soto4, Stacey Hurst2, Zipatly V Mendoza5, Heather B Clayton6, Nabal Bracero7, Maura K Whiteman2, Eva Lathrop8. 1. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: lzapata@cdc.gov. 2. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia. 3. Division of Congenital and Developmental Disorders, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia. 4. Puerto Rico Obstetrics and Gynecology, San Juan, Puerto Rico; Total Solutions, Inc., Madison, Alabama. 5. National Foundation for the Centers for Disease Control and Prevention, Atlanta, Georgia. 6. Division of Adolescent and School Health, National Center for HIV/AIDs, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia. 7. Puerto Rico Obstetrics and Gynecology, San Juan, Puerto Rico. 8. Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia.
Abstract
BACKGROUND: The Zika Contraception Access Network (Z-CAN) was designed to provide women in Puerto Rico who chose to delay or avoid pregnancy during the 2016-2017 Zika virus outbreak access to high-quality client-centered contraceptive counseling and the full range of reversible contractive methods on the same day and at no cost through a network of trained providers. We evaluated the implementation of Z-CAN from the patient perspective. METHODS: An online survey, administered to a subset of women served by the Z-CAN program approximately 2 weeks after their initial Z-CAN visit, assessed patient satisfaction and receipt of services consistent with select program strategies: receipt of high-quality client-centered contraceptive counseling, same-day access to the contraceptive method they were most interested in after counseling, and no-cost contraception. RESULTS: Of 3,503 respondents, 85.2% reported receiving high-quality client-centered contraceptive counseling. Among women interested in a contraceptive method after counseling (n = 3,470), most reported same-day access to that method (86.8%) and most reported receiving some method of contraception at no cost (87.4%). Women who reported receiving services according to Z-CAN program strategies were more likely than those who did not to be very satisfied with services. Women who received high-quality client-centered contraceptive counseling and same-day access to the method they were most interested in after counseling were also more likely to be very satisfied with the contraceptive method received. CONCLUSIONS: A contraception access program can be rapidly implemented with high fidelity to program strategies in a fast-moving and complex public health emergency setting.
BACKGROUND: The Zika Contraception Access Network (Z-CAN) was designed to provide women in Puerto Rico who chose to delay or avoid pregnancy during the 2016-2017 Zika virus outbreak access to high-quality client-centered contraceptive counseling and the full range of reversible contractive methods on the same day and at no cost through a network of trained providers. We evaluated the implementation of Z-CAN from the patient perspective. METHODS: An online survey, administered to a subset of women served by the Z-CAN program approximately 2 weeks after their initial Z-CAN visit, assessed patient satisfaction and receipt of services consistent with select program strategies: receipt of high-quality client-centered contraceptive counseling, same-day access to the contraceptive method they were most interested in after counseling, and no-cost contraception. RESULTS: Of 3,503 respondents, 85.2% reported receiving high-quality client-centered contraceptive counseling. Among women interested in a contraceptive method after counseling (n = 3,470), most reported same-day access to that method (86.8%) and most reported receiving some method of contraception at no cost (87.4%). Women who reported receiving services according to Z-CAN program strategies were more likely than those who did not to be very satisfied with services. Women who received high-quality client-centered contraceptive counseling and same-day access to the method they were most interested in after counseling were also more likely to be very satisfied with the contraceptive method received. CONCLUSIONS: A contraception access program can be rapidly implemented with high fidelity to program strategies in a fast-moving and complex public health emergency setting.
Authors: Lisa Romero; Lisa M Koonin; Lauren B Zapata; Stacey Hurst; Zipatly Mendoza; Eva Lathrop Journal: Am J Public Health Date: 2018-09 Impact factor: 9.308
Authors: Euna M August; Jackie Rosenthal; Ruben Torrez; Lisa Romero; Erin N Berry-Bibee; Meghan T Frey; Ricardo Torres; Brenda Rivera-García; Margaret A Honein; Denise J Jamieson; Eva Lathrop Journal: Health Promot Pract Date: 2019-05-29
Authors: Matthew Lozier; Laura Adams; Mitchelle Flores Febo; Jomil Torres-Aponte; Melissa Bello-Pagan; Kyle R Ryff; Jorge Munoz-Jordan; Myriam Garcia; Aidsa Rivera; Jennifer S Read; Stephen H Waterman; Tyler M Sharp; Brenda Rivera-Garcia Journal: MMWR Morb Mortal Wkly Rep Date: 2016-11-11 Impact factor: 17.586
Authors: Naomi K Tepper; Howard I Goldberg; Manuel I Vargas Bernal; Brenda Rivera; Meghan T Frey; Claritsa Malave; Christina M Renquist; Nabal Jose Bracero; Kenneth L Dominguez; Ramon E Sanchez; Carrie K Shapiro-Mendoza; Blanca R Cuevas Rodriguez; Regina M Simeone; Nicki T Pesik; Wanda D Barfield; Jean Y Ko; Romeo R Galang; Janice Perez-Padilla; Kara N D Polen; Margaret A Honein; Sonja A Rasmussen; Denise J Jamieson Journal: MMWR Morb Mortal Wkly Rep Date: 2016-04-01 Impact factor: 17.586