Efforts to Increase Implementation of Evidence-Based Clinical Practices to Improve Adolescent-Friendly Reproductive Health Services

Romero, L. M.,
Olaiya, O.,
Hallum-Montes, R.,
Varanasi, B.,
Mueller, T.,
House, L. D.,
Schlanger, K.,
Middleton, D.
Year Published: 2017
Journal Article
Journal Name: 
Journal of Adolescent Health
Volume: 60

Issue: 3
Part of journal supplement, "Implementing Community-Wide Teen Pregnancy Prevention Initiatives;" Open access article funded by the Office of Adolescent Health.

These authors examined 1) changes in implementation of evidence-based clinical practices among health center partners as part of a multicomponent, community-wide teen pregnancy prevention initiative; 2) barriers to and facilitators of implementation of the evidence-based clinical practices; and 3) technical assistance and training provided to the health center partners and key lessons learned. Across 48 health centers in the 10 communities, 52 percent reported an increase in the implementation of evidence-based clinical practices from 2012 to 2013, mostly in providing contraceptive access and offering Quick Start. Thirty-five percent reported a decrease, mostly in having hormonal contraception or intrauterine devices available at every visit, having HIV rapid testing available, or participating in the federal 340B Drug Discount Program. Among health centers reporting no change (13 percent), the majority reported that practices were already being implemented before the initiative. Modified Author Abstract.

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