Everyone Loves Birth Control

Transcription

1 Everyone Loves Birth Control Katy Suellentrop Vice President, Programs Bri

2 POWER TO DECIDE: WHO WE ARE We believe that all young people should have the opportunity to pursue the future they want, realize their full possibility, and follow their intentions. These beliefs guide our work to ensure that all young people have the power to decide if, when, and under what circumstances to get pregnant. We provide Objective, evidence-based information about sexual health and contraceptive options. Work to guarantee equitable access to and information about the full range of contraceptive methods. We are a national, non-partisan organization that is committed to common ground, common sense solutions and catalyzing innovation in the public and private sectors. POWER TO DECIDE OUR CHALLENGE How do we build a system of support for all young people no matter who they are or where they live that gives them the power to align their intentions with intentional behavior? Information Access Opportunity

3 POWER TO DECIDE: OUR NORTH STARS Making it the norm among young people to act consistently with their decisions about if, when, and under what circumstances to get pregnant. Ensure that all young people have a supportive adult or social network with which they can discuss sex, and their future relationships. Ensuring that everybody has reliable, resonant, and accurate information about sexual health, including all contraceptive methods. Ensuring that everybody has access to the full range of contraceptive methods within 60 minutes of where they live. Making pregnancy planning standard practice in settings influential in the lives of young people. Agenda Sloth, Deer, Tiger Activity Better Birth Control Framework Contraceptive Deserts Communicating with Young People about Contraception Q&A

4 SLOTH, DEER, TIGER Go to the animal station (sloth, deer or tiger) that best resonates with you related to your communities current readiness to implement changes to increase access to birth control. Challenges Source: Guttmacher Institute, Unintended Pregnancy in the United States, 2016

5 Challenges Source: The National Campaign to Prevent Teen and Unplanned Pregnancy, Survey Says, February 2015, On a LARC.

6 Better Birth Control Framework: A Policy and systems Approach to Increase access to birth control Best Practices Health Care Delivery System Education and Communication Policy Fundamental Supports Health Equity 12

7 Examples of Best practices Health Care Delivery System: Offer same-day access, onsite, to at least one form of every FDA-approved category of contraceptive method. Policy: Insurance coverage of an extended supply (12 months) of birth control (i.e. for pills, rings, or patches) at one time, when prescribed and/or dispensed by a provider. Health Equity: Community partners include representation from communities of color, low-income communities, and sexual-minority communities. Fundamental supports Key outcomes and assessment are tracked annually and publically shared at least bi-annually. Measures include but are not limited to: Contraceptive Care Measures Rate of teen pregnancy or births Proportion of pregnancies that are unintended Repeat births Proportion of clinics offering the full range of contraceptive methods to women in need of publicly funded contraceptive services.

8 Mapping Birth Control Access ANY BIRTH CONTROL ACCESS BY COUNTY

9 ANY BIRTH CONTROL ACCESS BY COUNTY More than 5000 in need with no access. ANY BIRTH CONTROL ACCESS BY COUNTY Fewer than 1000 women served per clinic, reasonable access.

10 ANY BIRTH CONTROL ACCESS BY COUNTY Total Number of Counties in the U.S: 3,142 ANY BIRTH CONTROL ACCESS BY COUNTY Counties that lack reasonable access: 1,533

11 ACCESS TO THE FULL RANGE OF BIRTH CONTROL ACCESS TO THE FULL RANGE OF BIRTH CONTROL Total number of women in need of publicly funded contraceptive services the U.S: 20,017,990

12 ACCESS TO THE FULL RANGE OF BIRTH CONTROL Total number of women in need of publicly funded contraceptive services the U.S: 20,017,990 Women in need who lack reasonable access: 19,765,530 ACCESS TO THE FULL RANGE OF BIRTH CONTROL 1 in 50 women in need in the U.S. have the access they need.

13 ACCESS TO THE FULL RANGE OF BIRTH CONTROL Total number of counties in U.S. that lack access to a single clinic with the full range of methods: 1,679

14 How Can you use these data? 27 Improving Education and Communication about birth control

15 WHOOPS PROOF BIRTH CONTROL How to Reach Women and Increase Their Positive Regard for the Most Effective Methods of Contraception 9 KEY INSIGHTS & APPLICATIONS

16 INSIGHT #1 Most women are unaware of the wide range of birth control options out there. WHAT WE HEARD Initially it wasn t really a choice in high school, they were saying use condoms or don t have sex When that wasn t really working for me, I went to the doctor and he was like use a low dose pill. And that didn t work, so I stopped... INSIGHT #2 Effectiveness is expected. WHAT WE HEARD I kind of feel like most of the birth controls are over 90% effective. Why would a clinic offer a method if it isn t effective?

17 INSIGHT #3 Side effects can be more important to young women than effectiveness. WHAT WE HEARD When I was on birth control, I was breaking out. Having those body changes really messes with your self-esteem generally. Oh and I m doing this for sex sacrificing how I look for sex?! It may be effective, but do [other women] like it? Did they stop using it for a reason? INSIGHT #4 The concept of long-acting as a desirable attribute of IUDs and the Implant does not resonate with young women. WHAT WE HEARD If I m not in a long-term relationship, why should I have a long-acting method of birth control? I don t like this one [ad] because it calls out a 3 year plan. What if I don t have a 3 year plan? What if I don t have a tomorrow plan? What if I don t know what I m doing this weekend?!

18 INSIGHT #5 Women confuse IUDs and the Implant, but there are differences and strong personal preferences attached to each. I thought an implant was a general term for an IUD. Isn t an IUD implanted? IED WHAT WE HEARD INSIGHT #5 WHAT WE HEARD Pro-Implant I d rather put something in my arm than in my vagina... You could lose your arm and that would be fine, but if you lose your vagina

19 INSIGHT #5 WHAT WE HEARD Pro-IUD Anything that has to do with pregnancy, I want it to deal with the area that is for pregnancy. Not my arm. Deal with the vagina straight on. I watched a video on the implant and got freaked out. I have tattoos, but I wouldn t do that. INSIGHT #6 Communicating how it will feel for both women and their partners is vital. WHAT WE HEARD What the doctor tells you is clinical, but not how it feels. We both can t feel it, that s a main concern for me. I don t want him to feel it either because I know how he is. I know how a really bad cramp feels [using familiar comparisons] is going to make me feel that much more comfortable.

20 INSIGHT #7 Women want to hear from other women. WHAT WE HEARD Before I got an IUD, I was searching for women who had one. I look it up and then go to the doctor and say well, people are saying this, what is your opinion? This [ad] is almost like a review. I look for reviews for everything. INSIGHT #8 Birth control is a journey full of troubleshooting. WHAT WE HEARD I don t think women are learning about birth control. They just want to find something that works. When they do research, it s because something is not working.

21 INSIGHT #9 It s not birth control vs. pregnancy. WHAT WE HEARD I love kids so much. I always wanted kids one day, just not now. I don t want to think that I have negative feelings towards babies. 9 WAYS TO SHIFT THE CONVERSATION Offer IUDs and the Implant first informing young women of these most effective methods, without overwhelming them with the wide array of options all at once. Emphasize not only effectiveness, but more importantly, other attributes and benefits of IUDs and the Implant. Explain how IUDs and the Implant are made to work with young women s bodies by highlighting both low and no hormone IUD options, and the hormonal benefits associated with the Implant. 4 Describe IUDs and the Implant as low maintenance methods made to fit this now generation of young women vs. using the term LARCs. 5 6 Highlight the distinct attributes, placement, and benefits of IUDs and the Implant individually to guide women at pivotal points in their decision making process. Engage women in an honest conversation about how it will feel during the entire experience for both themselves and their partners. 7 Share experiences that other women have had with these methods the good and the bad using everyday language to provide them with the confidence and comfort they re seeking. 8 9 Frame the birth control conversation around what matters most to each individual woman s needs, concerns and preferences from side effects to adherence issues. Speak to women s future aspirations about having children by explaining how IUDs and the implant are safe for young women and their future fertility.

22 Practice Working in a small group, select a contraceptive method. Develop 1-2 lines of advertising copy to advertise your method. Share with the group. Ads

23 Questions? 45 Resources Whoops Proof - Contraceptive Deserts - Taking the Unintended Out of Pregnancy: Colorado s Success with Long-Acting Reversible Contraceptives - Report.pdf 46