Document Type

Service Learning/Capstone Experience

Graduation Date

12-2017

Degree Name

Master of Public Health

Department

Health Services Research & Administration

First Committee Member

Fernando Wilson

Second Committee Member

Chelsea Souder

Third Committee Member

Lea Pounds

Abstract

Abstract

Goal

To collect preliminary data that will be used by Bellevue Health Clinic leadership to make decisions about expanding upon reproductive health services, and creating a sliding fee scale for services provided.

Objectives

To describe aspects of the scope of reproductive health care services provided by Title X-funded clinics in Lincoln, Omaha, Fremont, Grand Island, Tecumseh, Hastings, Gering, Norfolk and North Platte (14 total). The project will also compare and contrast existing sliding scale fees provided at these sites and provide subjective answers from key informants of how Title X funding and a sliding fee scale impact the population.

Methods

This was a non-experimental descriptive study. Between August and October 2017, we surveyed a statewide representative sample of 14 clinics providing publicly funded reproductive health services in Nebraska. The survey was created to collect quantitative data and subjective responses from key informants. The key informants were selected from the 14 eligible publicly funded family planning clinics included on the Nebraska Department of Health and Human Services website, under the tab of ‘Nebraska Reproductive Health’. Surveys were sent via email to informants and probed for the scope of family planning services, and sliding scale fees offered at these sites. Key measures include clinic characteristics, service focus, funding status, contraceptive method availability, services offered, and variation in services of contraceptive methods.

Comparisons between clinics according to their key clinic characteristics, service focus, funding status, contraceptive method availability, and services offered were cross-tabulated, creating contingency tables. Using the Fisher’s Exact test, we tested for significance in relationships for the services provided (primary care focus vs. reproductive care focus, Bellevue Health Clinic vs. other clinics), and the payment for services offered (primary care focus vs. reproductive care focus, Bellevue Health Clinic vs. other clinics). We tested at alpha levels of 0.05 and 0.1, but were unable to find any significance.

Impact

This study is a novel study because it is the first to compare the contraceptive methods and reproductive health services offered at Title X-funded primary care and reproductive care clinics in Nebraska. It is also the first to collect primary data on contraceptive methods and reproductive services offered at these Title X-funded sites. These findings have expanded on our current knowledge of available contraceptive methods and reproductive health services at Title X-funded primary care and reproductive health clinics in Nebraska.

Included in

Public Health Commons

Share

COinS