Objectives. To measure changes in the contraceptive methods used by Title X clients after implementation of Delaware Contraceptive Access Now, a public–private initiative that aims to increase access to contraceptives, particularly long-acting reversible contraceptives (LARCs).

Methods. Using administrative data from the 2008–2017 Family Planning Annual Reports and a difference-in-differences design, we compared changes in contraceptive method use among adult female Title X family planning clients in Delaware with changes in a set of comparison states. We considered permanent methods, LARCs, moderately effective methods, less effective methods, and no method use.

Results. Results suggest a 3.2-percentage-point increase in LARC use relative to changes in other states (a 40% increase from baseline). We were unable to make definitive conclusions about other contraceptive method types.

Conclusions. Delaware Contraceptive Access Now increased LARC use among Title X clients. Our results have implications for states considering comprehensive family planning initiatives.


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Michel Boudreaux, PhD, Liyang Xie, MS, Yoon Sun Choi, MPH, Dylan Habeeb Roby, PhD, and Michael S. Rendall, PhDMichel Boudreaux, Liyang Xie, Yoon Sun Choi, and Dylan Habeeb Roby are with the Department of Health Policy and Management, University of Maryland, College Park. Michael S. Rendall is with the Department of Sociology and is the director of the Maryland Population Research Center, University of Maryland, College Park. “Changes to Contraceptive Method Use at Title X Clinics Following Delaware Contraceptive Access Now, 2008–2017”, American Journal of Public Health 110, no. 8 (August 1, 2020): pp. 1214-1220.


PMID: 32552027