Post on 17-Aug-2015
Planned Parenthood:Service Accessibility, Strategies, & Stigma
Heather Brown, Tenaya Drapkin, & Rory O’Brien23 April 2015
Introduction to Planned Parenthood
• Project: Investigate why there are so many “no show” patients in the St Louis area PP health centers.
• Background of Planned Parenthood:
National non-profit organization
In St. Louis since the 1940s
• Mission: Ensure access to reproductive health services
• Services they provide
Target Population and Catchment Area
My focus:
Six St. Louis Metro health centers
CWE
South Grand
St. Peters
Florissant
Manchester
Fairview Heights
Central West End & South Grand Health Centers
• Two offices of particular interest:– Central West End and South Grand health
centers
• Zip codes included 63106, 63107, 63120
(Old North St. Louis, Hyde Park, Walnut Park)
• Social determinants of health
So many “no show” clients
● Number of no show patients between January and February of 2015 = 2006 patients
○ Central West End: 560○ South Grand: 476
• Fiscal Year 2013-2014 – Central West End center had booking rate of
90%, show rate of 60%
• Results: – Holes in scheduling– Turning away same day appointments.
Project & Solutions
● Created a survey
● 215 calls made
● Results: 12% response rate, 25 people responded
● Solutions:○ Online scheduling system ○ Combine biomedical interventions with
underlying factors
• Fundamental Cause Theory
• Intersectionality
Planned Parenthood Advocates:The Public Policy Department
Tenaya Drapkin & Rory O’Brien
Planned Parenthood Advocates
• Organizes grassroots efforts to:
–Protect reproductive rights in Missouri
–Dismantle barriers to provision of services
–Expand access to health services
–Create social change
–Mobilize and empower individuals to become advocates for their own health and rights
The Larger Environment: How do history and politics mold our work?
•The Federal Context
–Legislative, Judicial, and Executive Branches
•The Missouri Context
–State’s Rights & Permissions–A Conservative Approach
History with the Courts & Legislation
1973: Roe v. Wade
1992: Planned Parenthood v Casey
1976: Planned Parenthood of Central Missouri
v. Danforth
1983: Planned Parenthood of Kansas City, Missouri
v. Ashcroft2007: Gonzales v.
Planned Parenthood
1976: Hyde Amendment
MISSOURI LEGISLATURE
2012
17 Laws Proposed, 1 Passed7 Laws Proposed, 0 Passed
2013
12 Laws Proposed, 1 Passed4 Laws Proposed, 0 Passed
2014
32 Laws Proposed, 1 Passed6 Laws Proposed, 0 Passed
2015
24 Laws Proposed, 0 Passed9 Laws Proposed, 0 Passed
Current Strategies
Reactive Strategies• Rapid Response Team• Phone Banking• Lobby Days & Protests
Proactive Strategies• Youth Empowerment through T.A.S.H.• Lobby Days & Protests
Power Through Community & Coalition
• Medicaid Expansion Coalition
• One Springfield Campaign
• Community Events (such as Health Fairs)
Strategic Targeting for de jure and de facto change:Given circumstance, what fights can we win?
Power Through Stories
•Real experience, rather than rhetoric, must be at the root of discussions
•Teen Advocates for Sexual Health (T.A.S.H.)
Power Through Stories
•Sharing stories = Showing power
•Stigma → Silence –Silence → Lawmakers restrict access to reproductive rights
•Sharing stories → Social change
Moving Forward:
•Facilitate additional avenues for students to share stories
–e.g. Mock hearing
•Encourage students and supporters to share their experiences from the Capitol
Thank you, Class,
& Thank you, Planned Parenthood