ArticleContraception and reproductive medicine2025
Barriers and facilitators to contraception provision among rural healthcare providers.
Article in Contraception and reproductive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Who Provides? Clinician and Trainee Perspectives on Reproductive Healthcare Access in Vermont.Health services research · 2026Article
- Optimizing inpatient access to oral contraceptives: A quality improvement approach in behavioral health.Exploratory research in clinical and social pharmacy · 2026Article
- Implementing postpartum family planning services in rural Rwanda: A mixed-methods study.PloS one · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundAccess to a full range of contraceptive options ensures that individuals can make autonomous decisions about their health and wellbeing. Contraceptive continuity requires that individuals have access in their local communities to a variety of methods, which may change throughout their reproductive lives. Individuals living in rural areas face healthcare access barriers which require special considerations to ensure continuous and effective utilization of contraception to support family planning decision-making. One particular type of family planning service-contraception provided to the postpartum individual-presents challenges related to reimbursement, provider training, and timing of placement, which can be complicated further for individuals who must travel for care.
objectiveThis study sought to assess family planning provider perspectives in rural communities, including their knowledge, attitudes, and practices related to general contraception provision, provision of contraception in the specialized circumstance of the postpartum period, and provider assessment of barriers to care to identify strategies to improve access to contraception across the reproductive life cycle.
methodsWe conducted a mixed methods study with an electronic survey of 90 reproductive healthcare providers, and semi-structured follow-up interviews of 9 providers. All providers are currently licensed and provide patient care in Montana. The survey instrument was designed with feedback from physicians and nurses and included questions on contraceptive practices, knowledge, and barriers to providing contraceptive care. Quantitative survey results were analyzed using descriptive statistics and bivariate tests of significance. Qualitative interviews were coded using a combined inductive and deductive approach.
resultsMontana providers consistently reported cost and insurance-related procedural barriers. Additional important themes emerged from qualitative interviews regarding barriers to contraceptive access, including experiences with provider-, institutional-, and practice-level barriers, and provider philosophy and approach to contraceptive care.
conclusionsThis study identifies knowledge gaps, institutional and procedural barriers and facilitators, and provider approaches to contraceptive care in Montana. Findings suggest that the need to increase provider awareness of Montana Medicaid coverage of immediate postpartum contraception. Results should inform future interventions to increase access to hospital-based contraceptive care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.