Exploring the feasibility of mobile sexual and reproductive health care for adolescents in Chicago public schools

Abstract

Objectives: This study assessed the feasibility and acceptability of integrating sexual and reproductive health (SRH) care into a mobile health unit (MHU) that provides primary care services to Chicago public high school students. Methods: To determine the need, we surveyed adolescents visiting the MHU about their perspectives on obtaining SRH care in that setting. We also conducted key informant interviews with MHU staff to assess their attitudes about providing this care. Lastly, we performed an iterative implementation, including a “plan, do, study, act” methodology, for introducing emergency contraception (EC), the pill and depot-medroxyprogesterone (DMPA). Method uptake and patient satisfaction were measured. Results: The adolescent needs assessment (n=103) revealed interest in learning about sexual health (66%) and obtaining birth control (84%) on the MHU. Three MHU provider interviews revealed endorsement of incorporating mobile SRH care into their current practice. Over a 4-month implementation period, MHU providers supplied seven packs and nine prescriptions of EC, eight packs and 10 prescriptions of the pill and five shots and five prescriptions of DMPA. Satisfaction surveys (n=126) showed that a majority of adolescent MHU users found the unit to be a safe (93%) and private (88%) place to obtain SRH care, and 92% reported they would recommend it to friends for this care. Eighty-three percent reported that the MHU made it easier to obtain birth control. MHU providers welcomed the incorporation of mobile SRH care into their current practice, finding it feasible and acceptable. Conclusions: Mobile SRH care is well-received among adolescents and health care providers, and it can be incorporated into an existing MHU.