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dc.creatorWhite, Kari
dc.creatorCampbell, Anthony
dc.creatorHopkins, Kristine
dc.creatorGrossman, Daniel
dc.creatorPotter, Joseph E.
dc.date.accessioned2018-04-02T17:31:34Z
dc.date.available2018-04-02T17:31:34Z
dc.date.issued2017-01-13
dc.identifierdoi:10.15781/T2QR4P73J
dc.identifier.urihttp://hdl.handle.net/2152/64144
dc.description.abstractFew publicly funded family planning clinics in the United States offer vasectomy, but little is known about the reasons this method is not more widely available at these sources of care. Between February 2012 and February 2015, three waves of in-depth interviews were conducted with program administrators at 54 family planning organizations in Texas. Participants described their organization’s vasectomy service model and factors that influenced how frequently vasectomy was provided. Interview transcripts were coded and analyzed using a theme-based approach. Service models and barriers to providing vasectomy were compared by organization type (e.g., women’s health center, public health clinic) and receipt of Title X funding. Two thirds of organizations did not offer vasectomy on-site or pay for referrals with family planning funding; nine organizations frequently provided vasectomy. Organizations did not widely offer vasectomy because they could not find providers that would accept the low reimbursement for the procedure or because they lacked funding for men’s reproductive health care. Respondents often did not perceive men’s reproductive health care as a service priority and commented that men, especially Latinos, had limited interest in vasectomy. Although organizations of all types reported barriers, women’s health centers and Title X-funded organizations more frequently offered vasectomy by conducting tailored outreach to men and vasectomy providers. A combination of factors operating at the health systems and provider level influence the availability of vasectomy at publicly funded family planning organizations in Texas. Multilevel approaches that address key barriers to vasectomy provision would help organizations offer comprehensive contraceptive services.en_US
dc.language.isoengen_US
dc.relation.ispartofTexas Evaluation Projecten_US
dc.subjectAmerican Journal of Men's healthen_US
dc.subjectservice modelsen_US
dc.subjectTitle Xen_US
dc.titleBarriers to Offering Vasectomy at Publicly Funded Family Planning Organizations in Texasen_US
dc.typeArticleen_US
dc.description.departmentPopulation Research Centeren_US
dc.rights.restrictionOpenen_US


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