In an effort reduce maternal and infant mortality and health disparities overall, PATH4YOU (Pregnancy At a Time that's Healthy and Happy for You) will be implemented starting in Marion County, and will ultimately be a statewide comprehensive contraceptive access program that ensures that patient-centered counseling and same-day access to no (or low) cost contraception are delivered to women across the state. The goal of this project is to partner with community stakeholders to tailor and implement a patient-centered, comprehensive contraceptive access intervention, the PATH4YOU Bundle. The health center level intervention will consist of three key principles: 1. Pregnancy Intention Screening: Provide training for health care providers and assist in health center implementation of a patient-centered pregnancy intention screening strategy within clinical settings 2. Contraception and Reproductive Health Counseling: Implement the use of a pre-visit patient-centered decision-aid for all patients presenting to a health center for reproductive health care. 3. Same-Day Access to Contraception: Provide training for health care providers and logistical assistance to health centers to implement care consistent with providing patients with their chosen method of contraception the day of patient contact.
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Participant Satisfaction with Shared Decision Making
Timeframe: Within 2-4 weeks of PATH4YOU service visit
Participant Satisfaction with Same Day Contraception
Timeframe: Within 2-4 weeks of PATH4YOU service visit
Quality of family planning services
Timeframe: Within 2-4 weeks of PATH4YOU service visit
Participant reported Pregnancy Intention
Timeframe: 3 months, 6 months, and 12 months
Receipt of Pre-Visit Birth Control Decision Aid
Timeframe: Within 2-4 weeks of PATH4YOU service visit
Continuation of Contraceptive Method
Timeframe: 3 months, 6 months, and 12 months
Unintended pregnancy rate
Timeframe: 3 months, 6 months, and 12 months