Reproductive health services: A missed opportunity in VA primary care?

Contraception. 2023 Apr:120:109957. doi: 10.1016/j.contraception.2023.109957. Epub 2023 Jan 14.

Abstract

Objective: Integration of reproductive health services into comprehensive primary care is increasingly viewed as a strategy to address service gaps and improve patient-centered care. We assess receipt of contraceptive and prepregnancy health counseling among pregnancy-capable Veterans within Veterans Affairs (VA) primary care.

Study design: Data are from 1076 participants in a nationally representative, cross-sectional survey of women Veterans ages 18 to 45 with an overall survey response rate of 28%. Descriptive analyses and chi square tests of association were performed.

Results: Only 44% of pregnancy-capable Veterans reported receiving any contraceptive and/or prepregnancy care from a VA primary care provider in the past year.

Conclusions: Although VA guidelines include reproductive services as a core component of primary care, additional efforts may be needed to promote routine provision of this care in practice.

Keywords: Contraceptive services; Prepregnancy counseling; Primary care; Veterans.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Contraceptive Agents
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Patient-Centered Care
  • Pregnancy
  • Reproductive Health Services*
  • United States
  • United States Department of Veterans Affairs
  • Veterans*
  • Young Adult

Substances

  • Contraceptive Agents