Future Directions in Performance Measures for Contraceptive Care: A Proposed Framework

Abstract

In the United States, almost half (45%) of the approximately 6 million pregnancies each year are unintended. These statistics indicate that many women experience barriers to achieving their desired reproductive outcomes, which has potential adverse consequences for women, children and society at large, such as higher rates of preterm birth, lower rates of breastfeeding and lower educational attainment. Contraceptive care is a highly effective clinical intervention that can substantially reduce those adverse outcomes, help individuals and couples achieve their desired number and spacing of children, and save money. However, many women at risk of unintended pregnancy do not use contraception or use it incorrectly or inconsistently, and there are documented barriers in access to and quality of contraceptive care services available

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