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Am J Mens Health. 2017 May;11(3):757-766. doi: 10.1177/1557988317694296. Epub 2017 Feb 1.

Barriers to Offering Vasectomy at Publicly Funded Family Planning Organizations in Texas.

Author information

1
1 University of Alabama at Birmingham, Birmingham, AL, USA.
2
2 University of Texas at Austin, Austin, TX, USA.
3
3 University of California, San Francisco, CA, USA.

Abstract

Few publicly funded family planning clinics in the United States offer vasectomy, but little is known about the reasons this method is not more widely available at these sources of care. Between February 2012 and February 2015, three waves of in-depth interviews were conducted with program administrators at 54 family planning organizations in Texas. Participants described their organization's vasectomy service model and factors that influenced how frequently vasectomy was provided. Interview transcripts were coded and analyzed using a theme-based approach. Service models and barriers to providing vasectomy were compared by organization type (e.g., women's health center, public health clinic) and receipt of Title X funding. Two thirds of organizations did not offer vasectomy on-site or pay for referrals with family planning funding; nine organizations frequently provided vasectomy. Organizations did not widely offer vasectomy because they could not find providers that would accept the low reimbursement for the procedure or because they lacked funding for men's reproductive health care. Respondents often did not perceive men's reproductive health care as a service priority and commented that men, especially Latinos, had limited interest in vasectomy. Although organizations of all types reported barriers, women's health centers and Title X-funded organizations more frequently offered vasectomy by conducting tailored outreach to men and vasectomy providers. A combination of factors operating at the health systems and provider level influence the availability of vasectomy at publicly funded family planning organizations in Texas. Multilevel approaches that address key barriers to vasectomy provision would help organizations offer comprehensive contraceptive services.

KEYWORDS:

access to care; male family planning; qualitative research; vasectomy

PMID:
28413942
PMCID:
PMC5657540
DOI:
10.1177/1557988317694296
[Indexed for MEDLINE]
Free PMC Article

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