Clinician Perceptions of Providing Natural Family Planning Methods in Title X Funded Clinics
Article first published online: 17 JAN 2012
© 2011 by the American College of Nurse-Midwives
Journal of Midwifery & Womens Health
Volume 57, Issue 1, pages 35–42, January/February 2012
How to Cite
Kelly, P. J., Witt, J., McEvers, K., Enriquez, M., Abshier, P., Vasquez, M. and McGee, E. (2012), Clinician Perceptions of Providing Natural Family Planning Methods in Title X Funded Clinics. Journal of Midwifery & Womens Health, 57: 35–42. doi: 10.1111/j.1542-2011.2011.00107.x
- Issue published online: 17 JAN 2012
- Article first published online: 17 JAN 2012
- attitude of health personnel;
- focus groups;
- natural family planning methods;
- periodic abstinence;
- Title X clinics
Introduction: Natural family planning (NFP) methods are effective for contraception with proper and consistent use. However, only 1% of patients at federally funded Title X family planning clinics select NFP as a contraceptive method. The goal of this study was to understand from clinicians’ perspectives the barriers and facilitators to providing NFP methods.
Methods: Six telephone focus groups were conducted with 29 clinicians from Title X clinics across the United States and Puerto Rico. A hermeneutic method was used to analyze data for related themes.
Results: The overarching theme from the study was that participants had a strong desire to teach their patients how their bodies work and to empower them to learn to control fertility. Four subthemes emerged: patient misinformation and misunderstanding about fertility; provider ideas about ideal types of candidates for NFP; inconsistent patient teaching strategies; and lack of time to teach NFP methods.
Discussion: There is a need for increased NFP training for providers and efficient NFP patient teaching strategies to meet the needs of patients with limited knowledge about fertility.