title: The implementation of interconception care in two community health settings: lessons learned.
abstract: OBJECTIVE
  This study reports on an evaluation of the implementation of a pilot interconceptional care program (ICCP) in Chicago and the experiences of the participants in their first postpartum year.
  
  
  METHODS
  A longitudinal, multi-method approach was used to gather data to measure success in achieving project benchmarks and to gain insights into women's experiences after an adverse pregnancy outcome.
  
  
  METHODS
  The ICCP interventions were provided in two different health care settings.
  
  
  METHODS
  Low-income African-American women with a prior adverse pregnancy outcome were recruited to participate. Data on services delivered are available for 220 women; linked interview data are also available for 99 of these women.
  
  
  METHODS
  The ICCP focused on the integration of social services, family planning, and medical care provided through a team approach.
  
  
  METHODS
  An interview questionnaire asked detailed information about interconceptional health status, attitudes, and behaviors. A services database documented all services delivered to each participant. Key informant interviews were conducted with the ICCP project staff.
  
  
  METHODS
  Simple frequencies were generated. Chi-square and t-tests were used to compare participants and benchmarks at the two different sites.
  
  
  RESULTS
  The planned delivery of interventions based on women's unique interconceptional health needs was often replaced by efforts to address women's socioeconomic needs. Although medical care remained important, participants viewed themselves as healthy and did not view medical care as a priority. Women's perceptions of contraceptive effectiveness were not always in sync with clinical knowledge.
  
  
  CONCLUSIONS
  Interconceptional care is a complex process of matching interventions and services to meet women's unique needs, including their socioeconomic needs.
authors.affiliation: Community Health Sciences, University of Illinois School of Public Health, 1603 W. Taylor, Chicago, IL 60612, USA. handler@uic.edu
authors.forename: Arden
authors.initials: A
authors.lastname: Handler
authors.forename: Kristin M
authors.initials: KM
authors.lastname: Rankin
authors.forename: Nadine
authors.initials: N
authors.lastname: Peacock
authors.forename: Stephanie
authors.initials: S
authors.lastname: Townsell
authors.forename: Andrea
authors.initials: A
authors.lastname: McGlynn
authors.forename: L Michele
authors.initials: LM
authors.lastname: Issel
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D019985:Benchmarking; D002641:Chicago; D003153:Community Health Services; D019033:Delivery of Health Care, Integrated; D005193:Family Planning Services; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008137:Longitudinal Studies; D010865:Pilot Projects; D011203:Poverty; D011247:Pregnancy; D011295:Prenatal Care; D016730:Program Development; D036301:Qualitative Research; D012947:Social Work; D011795:Surveys and Questionnaires; D055815:Young Adult