Reducing Unintended Pregnancies: Pilot Project

Pregnancies resulting in births from women 24 and under are more likely to be unintended than not in Washington state (78% unintended for under 20, ~70% unintended for 20-24).

Many primary care providers do not routinely discuss pregnancy intentions or offer follow up services; many also lack the training to provide the full range of contraceptives including the most effective long acting methods (LARC) considered “top tier” by the CDC and WHO. Only a quarter (26%) of pediatricians and internal medicine physicians offer LARC insertion.

This early win will focus on:

1) Provider training on:

  • how to incorporate reproductive life planning into routine health screening
  • clarify pregnancy intentions,
  • utilize client centered contraceptive counseling best practices and inserting/implanting LARC when patients choose.

2) Education and outreach to Medicaid women to increase accurate reproductive health knowledge including risk/benefit information regarding LARCs and decrease misperceptions of LARC.

Long term outcome: Decrease unintended pregnancy rates

In September 2016, thirty-four (34) providers serving four counties attended the North Sound ACH’s first day-long training in Skagit which offered counseling and IUD insertion training. A FDA-required implant training was available immediately following.

The North Sound ACH has partnered with UCSF to make protocols for IUD insertion and implants available to clinicians.

If you are interested in a future training or protocols, please email Nicole Willis with your contact information. You will be notified when future trainings are scheduled

This project is made possible by the generosity of a Community Benefit grant from Group Health Cooperative and individual private donations.