The Study's Findings...Selected Highlights

• Cultural bias exists in access and quality of care; most felt it was related to economics and marital status

• Native American services have the highest client dissatisfaction

• Minority women do not place family planning as a high priority

• Traditional Native Americans do not talk of sexuality or reproductive health care even among family members

• Hispanic women are active contraceptors even if they have to hide it from their partners

• African-American women have access to care but feel stigmatization by the providers for accessing care

• Word of mouth, particularly from peers and mothers, is the most common mechanism for transmitting
health information

• Services are available, but not always accessible in rural areas

• The biggest barrier is limited day time access to public family planning services

• Health care access points are often multi-county

• Indian Health Service and Tribal Services are accessible for Native Americans with tribal cards; but Native American heritage not supported with tribal membership has no access to tribal services…and limited access to Indian Health Services

• Hispanic women have access, but fear utilization of services might create immigration issues

• 42 exit interviews were conducted with women who had received family planning services

• 81% got the method they wanted

• 92.6% received instructions on how to use

• 70.7% received information on side effects

• 53% received any written materials from their visit

• 80% received return information for future visits

• 95-97% of clients felt the clinic, the nurse, and the doctor responded to questions and were respectful

• Interpersonal relationships are a key element in improving existing services; training needs to be done with all providers of family planning services

• Availability is not be confused with accessibility; services need to be offered in non-traditional hours

• Satisfaction of the client is not a high priority when addressing provision of care

• Social marketing focusing on women’s sexuality and empowerment should precede marketing regarding responsible family planning

• Women state satisfaction with care but document long wait times, long travel times, lack of health information provided at visits, and lack of follow-up for continued care

• Studies should be conducted to learn more about minority women and family planning issues including perceptions about, access to, and availability of services

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Download these materials:

 The Report  - Racial and Ethnic Minority Women in Eastern Oklahoma, Assessment of Reproductive Indicators (pdf)

Guide to the Appendices

Appendix A - Data

Data Tables (Excel)

Babyline Clients by Race & Hispanic Origin (MS Word)
Free Pregnancy Testing Report (MS Word)

Appendix B - Focus Group Forms and Materials: (MS Word)

In English...

Focus Group Flyer
Focus Group Participant Demographic Form
Informed Consent for Focus Group Participation
Consent Agreement Teen Focus Group
Parent Assent for Teen Participation
Questions for Native American Focus Group
Supplemental Question, Prompted Probes
Receipt for the WalMart Card

In Spanish...

Projecto de Salud
Ayudanos A Ayudarte
Permiso Para la Participacion en un Sondeo de Necesidades
Preguntas Para los Hombres

Appendix C - Client Exit Interview Survey (MS Word)

Appendix D - Clinic Survey (MS Word)

Appendix E - Maps and Graphs (PPt)

Appendix F - Glossary (MS Word)

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For more information, please email Jan Figart at the Community Service Council of Greater Tulsa