Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Chamblee, Georgia, USA.
Division of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.
J Womens Health (Larchmt). 2021 Sep;30(9):1217-1224. doi: 10.1089/jwh.2021.0414.
During October 2016 through May 2018, a learning community was convened to focus on policies and programs to increase access to the full range of contraceptive options for women of reproductive age. The Increasing Access to Contraception (IAC) Learning Community included 27 jurisdictions, with teams from each jurisdiction consisting of state health department leaders, program staff, and provider champions. At the kick-off meeting, teams from each jurisdiction created action plans that outlined their goals. We contacted jurisdictions during May-June 2019, 1 year after the learning community ended, and invited them to complete a post-assessment of goal achievement and sustainment through semi-structured interviews over the telephone or email. Follow-up information was collected from 26 jurisdictions (96%) that participated in the learning community. The teams from these jurisdictions had created 79 total goals. At the time of the learning community closing meeting in May 2018, 35 goals (44%) had been achieved. Three jurisdictions achieved all their goals by the close of the learning community. At the time of the post-assessment 1 year later, jurisdictions were sustaining efforts for 69 (87%) of the total goals. In every jurisdiction, work on at least one goal that originated in the learning community was sustained. The jurisdictions that participated in the IAC Learning Community continued the work of their action plan goals 1 year after the formal closure of the learning community, indicating sustainability of the learning community activities, beyond what jurisdictions accomplished during formal participation.
在 2016 年 10 月至 2018 年 5 月期间，成立了一个学习社区，专注于制定政策和方案，以增加育龄妇女获得各种避孕选择的机会。增加避孕途径（IAC）学习社区包括 27 个司法管辖区，每个司法管辖区的团队都由州卫生部门的领导、项目工作人员和提供者组成。在启动会议上，每个司法管辖区的团队都制定了行动计划，概述了他们的目标。我们在 2019 年 5 月至 6 月期间联系了各司法管辖区，即学习社区结束一年后，邀请他们通过电话或电子邮件进行半结构化访谈，对目标实现和维持情况进行后期评估。我们从参与学习社区的 26 个司法管辖区（96%）收集了后续信息。这些司法管辖区的团队共制定了 79 项总目标。在 2018 年 5 月学习社区结束会议上，已经实现了 35 个目标（44%）。有三个司法管辖区在学习社区结束时实现了所有目标。在一年后的后期评估时，69 项（87%）总目标仍在持续努力中。在每个司法管辖区，至少有一个源自学习社区的目标的工作仍在继续。参与 IAC 学习社区的司法管辖区在学习社区正式结束一年后继续实施其行动计划目标的工作，这表明学习社区活动的可持续性超出了司法管辖区在正式参与期间所取得的成果。
