OPA Announces New Family Planning Research Grants
The 2007 Family Planning Service Delivery Improvement (SDI) Research Grants were recently awarded to the following:
Medicaid Family Planning Waivers: Service Delivery, Use and Intended Pregnancy
Rollins School of Public Health
Atlanta, GA 30322
Kathleen Adams, Ph.D.
Project Period: 9/30/2007 - 9/29/2010
Six states will be study sites for examining the effects of changes in the organization and delivery of family planning services through Medicaid section 1115 waivers on three key outcomes—1) access to services, 2) use of contraceptive/preventive services and 3) unintended pregnancy. In each state, the aim will be to test whether the state's waiver reduced barriers and increased use of services and thereby reduced unintended pregnancy. Overall, variation in the impact of waivers across states and across different subgroups such as married women, teens and minority women, will be analyzed. Both quantitative analyses (PRAMS and BRFSS data sets available from CDC) and qualitative research (informant interviews and focus groups) will be carried out. A synthesis of states' concerns, approaches, successes/failures and client perceptions of the waivers will be generated. A key goal of the analyses is to elucidate the pathways whereby sexually active women not desiring to become pregnant are or are not served under the delivery systems each state has in place under its waiver. The six states are Arkansas, Illinois, New York, California, Washington and Wisconsin; the project will provide a case study for each of these states.
Sexual and Reproductive Health Services: Reaching Latino Men in Rural Areas
Oregon State University
Department of Public Health
Corvalis, OR 97331
S. Marie Harvey, DrPh.
Project Period: 9/30/2007 – 9/29/2010
The objective of this research project is to increase understanding of the sexual and reproductive health needs of heterosexual Latino men who live in rural areas. In this two part study, the focus is on Latino men in the new settlement areas of rural Oregon. Study 1 will consist of in-depth interviews of a convenience sample of 80 men to assess their attitudes and behavior pertaining to sexual activity and contraception, and their perceptions of their needs and of the barriers to accessing services and to determine how their attitudes and behaviors vary by age, type of sexual partner and acculturation. Study 2 will include in-depth interviews with administrators and practitioners from publicly funded family planning agencies who serve Latinos in rural areas. The specific aims of Study 2 are to a) explore experiences providing family planning and HIV/STI prevention services to Latino males; b) identify barriers and facilitators to serving male Latinos; c) explore advantages and disadvantages of integrating men into sexual and reproductive health services for family planning agencies and for male clients; d) identify preferred context for providing sexual and reproductive health services to men (e.g. couples, male only, traditional family setting or other contexts); and e) explore how agencies can build their capacity to improve sexual and reproductive health services for Latino males.
Couples-Based Family Planning Services: Is There a Need?
The Guttmacher Institute
New York, New York 10038
Rachel Jones, Ph.D.
Project Period: 9/30/2007 – 9/29/2010
The project aims to improve contraceptive use and reduce unintended pregnancy among Title X family planning clients by providing information on a new and mostly untested programmatic strategy of fostering joint decision-making around family planning through couples-oriented services. Three interrelated activities are proposed:
- Provide a national overview of the extent to which Title X female and male clients, 18-44 years of age, as well as the clients' partners, express a desire for programs oriented to couples designed to improve joint decision-making around contraceptives and method selection
- Explore the issue from the point of view of providers, to determine what strategies clinics have so far adopted in terms of couples-oriented counseling or services, as well as perceived need for and barriers to implementing such programs; and
- Disseminate findings to relevant audiences to inform public discussion about the potential for contraceptive counseling and services targeting couples in order to foster or promote joint decision-making around contraceptive use.
The sampling approach is based on 80 randomly drawn clinics from a universe of U.S. clinics. Individual clients will receive and complete surveys at the clinic site and be provided survey forms to take to partners; the sample size of clients is expected to be 2,500 women and 125 men. Clients' openness to a couples approach will be analyzed by relationship type (married, cohabiting, neither married nor co-habiting) and by racial/ethnic groupings. Staff at sampled clinics will complete a provider survey on couples-oriented services as well.
The Fort Peck Sexual Health Project: A Contextual Analysis of American Indian Men
Montana State University
Department of Health and Human Development
Bozeman, MT 59717
Elizabeth Lynne Rink, PhD
Project Period: 9/30/2007 - 09/29/2009
The study will elucidate the individual, social and environmental factors that most greatly influence American Indian men's sexual and reproductive health. Individual characteristics to be examined include: knowledge of contraceptive methods and sexually transmitted infections (STIs); perceptions of pregnancy; perceived risk of STIs, perceptions of abstinence, monogamy and contraceptive use. Social dynamics to be examined are: relationships with family; relationships with peers; culture; religion; and relationships with sexual partners. The relevant environmental factors will include: characteristics of family planning services; access to family planning services, and utilization of family planning services. The target population for this project is American Indian men ages 18-24 years living on the Fort Peck Indian Reservation in northeastern Montana. The research plan includes a Community Based Participatory Research (CBPR) approach and qualitative research methods. CBPR will entail engaging the Fort Peck Indian Reservation as full and equal partners in the research project, by establishing an 8-10 member community advisory board to provide oversight and coordination of the project. Qualitative research methods will include:
- 12-15 key informant interviews with health care professionals; and
- 112 in-depth interviews with American Indian men. Research results will be used to design effective, culturally sensitive, family planning intervention strategies for American Indian men.