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Assessing South Carolina Medicaid recipients' experiences with the promotion of immediate post-partum insertion of long-acting reversible contraceptives

Emily Mann, University of South Carolina

Project abstract

Long-acting reversible contraceptives (LARC) are increasingly being promoted among populations with an elevated risk for unintended pregnancy, including low-income women and young women. One dimension of LARC promotion efforts involves new state-level Medicaid policies that promote the immediate postpartum insertion of long-acting reversible contraceptives (LARC) among Medicaid recipients. South Carolina was the first state to enact such a Medicaid policy in 2012. Little is known, however, about the implementation of the policy. This study seeks to assess the policy from the perspectives of those who are its focus — young women whose births are covered by Medicaid — using individual, in-depth interviews to explore their perceptions and experiences with contraceptive counseling in the context of prenatal visits, acceptability of LARC methods, decisions to elect to use or refuse a LARC, and, if applicable, experience of LARC use, as well as other relevant themes. The findings from this study will be used as pilot data to inform a larger, national-level, multi-site study of LARC promotion efforts.

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