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Integration of family planning services into a sexually transmitted disease (STD) clinic setting
(Archived Project)
Investigator (PI): Shlay, Judith
Performing Organization (PO): (Current): Denver Health / (303) 602-3700
Supporting Agency (SA): United States Department of Health and Human Services (DHHS), Office of Population Affairs (OPA)
Initial Year: 2008
Final Year: 2011
Record Source/Award ID: Grants.gov/R01PG000854
Award Type: Grant
Abstract: Strategies are needed which address the integration of pregnancy and sexually transmitted disease (STD) prevention activities in order to improve clinical efficiency, reduce redundancy in services and avoid missed opportunities. Currently, over 50% of pregnancies are unintended, with rates higher in certain high-risk populations (e.g., adolescents, never-married women, low-income women, those not using contraception, women attending STD clinics). Additionally, a high number of people are infected with or affected by the consequences of STD. While family planning clinics provide both STD and family planning services, most of these clients are low-risk women, with few men ever seeking services in these clinics. Thus, different types of clinical venues are needed to reach clients who are at high-risk for STDs and unintended pregnancy. STD clinics offer an ideal opportunity to provide both of these services since many of the clients being seen do not use contraception or condoms and thus are at risk for STDs and unintended pregnancy. Currently, most STD clinics do not provide family planning services due to categorical funding restricting the types of services provided and because providers have not been trained to provide family planning. Since 2001, with funding through the Title X family planning program, Denver Public Health's STD clinic has operated an integrated program providing both STD care and initial family planning services for men and women with subsequent referral of clients to primary care for ongoing services. For teens and high-risk women, ongoing continuity services are provided. In the current proposal, a study team with extensive research experience in STD and family planning service delivery will investigate how providing integrated family planning with STD clinical services in an STD clinic affects quality of care, cost of services, staff duties, clinic flow, clients' family planning needs, satisfaction with services, and incidence rates of STDs and pregnancies. The findings will address the feasibility of replicating such integration approaches more broadly in STD clinics.
MeSH Terms:
  • Adolescent
  • Ambulatory Care Facilities /*organization & administration
  • Colorado
  • Contraception /*methods
  • Family Planning Services /*organization & administration
  • Female
  • Health Services Accessibility
  • Humans
  • Poverty
  • Pregnancy
  • Primary Health Care /organization & administration
  • Quality of Health Care
  • Risk
  • Sexually Transmitted Diseases /*prevention & control
  • /therapy
Country: United States
State: Colorado
Zip Code: 80204
UI: 20102030
Project Status: Archived