Preventing Unintended Secondary Pregnancies in Women Receiving Women, Infants and Children (WIC) Services
Summary
The Barron County Department of Health and Human Services Public Health Program was awarded a 2012 Strengthening the Community of Practice for Public Health Improvement (COPPHI) Quality Improvement (QI) Award Program Grant through the Robert Wood Johnson Foundation. Through this project, Barron County Public Health (BCPH) sought to increase access to family planning supplies and information for pregnant and postpartum women receiving Women, Infants and Children (WIC) services in an effort to decrease the percentage of women becoming pregnant less than 16 months from their last pregnancy. Data were collected from local medical providers and women receiving WIC services. Data confirmed inconsistencies in the provision of family planning information and services during the third trimester and postpartum period. An educational webinar, hosted by BCPH's medical advisor, was created. The webinar shared the emerging practice of interconception care in reducing unintended secondary pregnancies. Dual protection kits, which contained emergency contraception (EC) in advance of need, condoms, and educational materials were created. Posters were placed in WIC service areas that state "ask me how to get a dual protection kit today" and showed pictures of the components of the dual protection kits. All pregnant and postpartum women receiving WIC services are offered a dual protection kit and a visit with reproductive health staff. It will take time to evaluate the effectiveness of these interventions on reducing the percentage of women becoming pregnant less than 16 months postpartum. The physicians who watched the educational webinar responded positively on the post-webinar survey, and all have stated that they already do the practices listed or responded they are "much more likely" to implement the practice after watching the webinar. In the first month, 12 dual protection kits were distributed to clients.
Engen, K. Public Health Quality Improvement Exchange. Preventing Unintended Secondary Pregnancies in Women Receiving Women, Infants and Children (WIC) Services. Thu, 04/16/2015 - 12:50. Available at http://phqix.org/content/preventing-unintended-secondary-pregnancies-women-receiving-women-infants-and-children-wic. Accessed August 24, 2024.
Comments
This is a really interesting
This is a really interesting project. I love the idea. I'm wondering how you got Health and Human Service Committe/County Board approval to provide the emergency contraception. Did you experience and road blocks with that?
We manage our family planning
We manage our family planning program based on guidelines provided by the Wisconsin Family Planning and Reporductive Health Program, with approval of our Voluntary Medical Advisor, with support of the program by our board. This dispensing practice falls within those guidelines and clients who receive these services are enrolled as family planning clients.
The webinar we used to
The webinar we used to educate local providers can be viewed on You Tube at: http://youtu.be/mOYTWK6ClLw
This abstract and report have
This abstract and report have been very helpful as the City of Milwaukee Health Department plans to integrate dual protection interventions into their WIC this fall. Thank you Barron County & Nancy Drake for the expert advice and information.
This is a very interesting
This is a very interesting initiative! Have you had an opportunity to collect any data yet on your future measures?
Pregnant women enrolled in
Pregnant women enrolled in our WIC program who had risk factor 332, "Concep 16 mo pp" was at 22.8% for the period of 10/1/12 to 9/30/13, this is down from the 1/1/12 to 12/31/12 time period which showed 30.85% of pregnant women with this risk factor. We started the dual protection kits/birth spacing messaging in November of 2012. We continue to monitor the data. Thanks for your interest!
Any updates on your data?
Any updates on your data?
Laurie Call
Director, Center for Community Capacity Development
Illinois Public Health Institute
Laurie.Call@iphionline.org
Update on our project: Data
Update on our project: Data showed our WIC secondary pregnancy rate, (WIC risk factor 332, pregnancy spacing <16 months) decreased to 22.3% in 2013. This was down from 31% in 2012.
However, 2014 data show our WIC secondary pregnancy rate increased to 25.5% and our dual protection kit distribution fell by 12%.
Lesson's learned: We waited a full year to re-evaluate project outcomes and share this data with staff. We need to re-evaluate and provide feedback to staff more frequently in order to keep this initiative at the forefront of our interventions. We are looking at adding this as a performance measure to ensure quarterly attention.
Thanks for sharing your
Thanks for sharing your experience! Our WIC is also concerned about birth spacing. That's great that you have reproductive health staff and resources. I am going to pass this along to our WIC directors to see if we can think of some possible solutions that could work with the resources we have (such as reaching out to local physicians, etc.)!Also, it
Also, it's tough to keep one initiative at the forefront of your minds and efforts with everything else going on, especially after completing the "project." Keep up the good work! :)