BEYOND BOUNDARIES: NAVIGATING CHALLENGES AND CHARTING THE FUTURE OF REPRODUCTIVE HEALTHCARE IN THE POST-ROE LANDSCAPE

Objectives

This study aims to explore the challenges of reproductive healthcare providers post Roe v Wade. We aim to amplify stakeholders’ recommendations and voice to design sustainable solutions to address challenges in reproductive care.

Methods

Semi-structured protocol and reflexive thematic analysis were used to conduct and analyze focus groups. To date, our sample included a total sample of 25 participants, who self-identified as reproductive healthcare providers across the US and either worked or currently work in a state where abortion provision is legal.

Results

Major themes showed that providers relying on internal networks and/or online professional groups for social support, since local community support was often lacking. Providers also expressed concern for personal safety in clinical setting, and some discussed their process to move to less restrictive states, where they have more peers and clinic support with lower burden of care coordination. Providers reported increased personal and staff burnout because of higher demand and burden of care coordination while maintaining the safety and continuous care for patients. Providers discussed feeling uncertainty about the future of abortion care given the changing geopolitical landscape and its implications on future training. Most providers expressed hope for future clinicians including community building using online resources/groups, commitment to the cause, and continued resistance.

Conclusions

This study has implication to improve support for our family planning communities. Potential solutions can include increasing social and practical support as well as utilizing technology and safe online spaces to facilitate coordination of care and increase resources for all stakeholders.