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- Title
Resilience Amid Chaos: Abortion Provision Across the United States During COVID-19.
- Authors
Huslage, Melody; Jones, Aubrey; Wallis, Dorothy; Scoresby, Kristel
- Abstract
Background: Pregnant people face many challenges to obtaining abortion services, including cost, stigma, administrative requirements, and legislative barriers. In 2020, the COVID-19 pandemic added additional barriers for clients and abortion service providers to overcome. Methods: The current study uses the Family Planning Visits During COVID-19 longitudinal dataset to explore abortion service provision from April 2020 through November 2020 from a sample of clinics (N = 63) providing abortion services across the United States. Results: Clinics in the sample were 49.2% academic/hospital-based, based in urban counties (96.8%), with a majority (82.5%) utilizing in-house providers for abortion care. Results show that the majority of clinics (59%) experienced staffing changes in response to COVID-19, including staff and clinicians who took extended leave, quit, were furloughed, or hired. Although the volume of overall abortion service provision decreased March through July 2020, the volume returned to pre-COVID numbers by August and surpassed pre-COVID volume in September and October 2020. Conclusion: Findings from this study demonstrate the adaptability and resilience shown by providers to ensure the continued availability of abortion services. Strategies adopted during COVID-19, such as telehealth and mail-delivery of abortion medication, may prove useful in a post-Roe legislative landscape.
- Subjects
UNITED States; ABORTION laws; ABORTION in the United States; HEALTH services accessibility; PSYCHOLOGICAL resilience; FAMILY planning; OCCUPATIONAL adaptation; ACADEMIC medical centers; HEALTH facility administration; MEDICAL care; DESCRIPTIVE statistics; WORKING hours; MEDICAL appointments; URBAN hospitals; COVID-19 pandemic; MEDICAL care costs; SOCIAL stigma
- Publication
Journal of Women's Health (15409996), 2024, Vol 33, Issue 3, p294
- ISSN
1540-9996
- Publication type
Article
- DOI
10.1089/jwh.2023.0149