Initiative Description: Program that provides long-acting reversible contraception (LARC) services within school-based health centers (SBHCs). Goal was to identify barriers and facilitators to implementation as reported by SBHC clinicians and administrators, public health officials, and community partners.

Study Results: The most cited barriers across key informant groups were as follows: perceived lack of provider procedural skills and bias and negative attitudes about LARC methods. The most common facilitators identified across groups were as follows: clear communication strategies, contraceptive counseling practice changes, provider trainings, and stakeholder engagement.

Reference: Gilmore, K., Hoopes, A.J., Cady, J., Amies Oelschlager A.M., Prager, S., Vander Stoep, A. (2015) Providing long-acting reversible contraception services in seattle school-based health centers: key themes for facilitating implementation. Journal of adolescent health. 56 (6), 658-665.

Level of Evidence: Good