{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:27:30Z","timestamp":1773271650013,"version":"3.50.1"},"reference-count":72,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Emergency contraception (EC) is essential for full\u2010spectrum contraceptive care, preventing unintended pregnancies and promoting reproductive autonomy. Little is known about EC provision at safety\u2010net clinics serving low\u2010income people. This study examines EC provision at health department and federally qualified health center (FQHC) clinics in two United States (US) southeastern states at multiple points in time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>We analyzed data from statewide surveys of publicly funded family planning clinics assessing the years 2016, 2019, and 2022 in Alabama and South Carolina and key informant interviews with staff at surveyed clinics to assess patterns of EC provision by clinic type over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Almost all health departments across both states provided EC on\u2010site compared to less than half of FQHCs. Advance provision of EC was less common, with health departments reporting significantly higher rates (2016\u2009=\u200915.8%; 2019\u2009=\u200928.7%; 2022\u2009=\u200915.5%) than FQHCs (2016\u2009=\u20090%; 2019\u2009=\u20092.8%; 2022\u2009=\u20094.3%) (2016, 2019\u2009=\u2009\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001; 2022\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). In 2022, 20% of health departments reported providing EC via telehealth compared to 5.1% of FQHCs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). Health department staff noted an increase in advance provision, and FQHC staff noted challenges to provision due to limitations in on\u2010site stocking. EC provision did not change significantly across years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Access to EC varies across safety\u2010net clinics in the US South and has not improved over time. Addressing barriers to EC access and providing accurate information about contraceptive methods is essential to empower informed family planning decisions. As reproductive health legislation continues to evolve, expanding access to EC remains critical for safeguarding reproductive health and autonomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70054","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T07:58:23Z","timestamp":1768377503000},"page":"30-38","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Emergency Contraception Provision at Safety\u2010Net Clinics in the Southeastern United States"],"prefix":"10.1111","volume":"58","author":[{"given":"Liwen","family":"Zeng","sequence":"first","affiliation":[{"name":"Department of Health Science College of Nursing and Health Science, Texas A&amp;M University Corpus Christi Corpus Christi Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"White\u2010Archer","sequence":"additional","affiliation":[{"name":"East Tennessee State University \u2013 Quillen College of Medicine Johnson City Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan","family":"de Jong","sequence":"additional","affiliation":[{"name":"Department of Health Services Management and Policy East Tennessee State University College of Public Health Johnson City Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Health Services Management and Policy East Tennessee State University College of Public Health Johnson City Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kris","family":"Surles","sequence":"additional","affiliation":[{"name":"Thrive Behavioral Health Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakesh","family":"Adelli","sequence":"additional","affiliation":[{"name":"Department of Health Services Management and Policy East Tennessee State University College of Public Health Johnson City Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal","family":"Khoury","sequence":"additional","affiliation":[{"name":"Department of Health Services Management and Policy East Tennessee State University College of Public Health Johnson City Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Beatty","sequence":"additional","affiliation":[{"name":"Department of Health Services Management and Policy East Tennessee State University College of Public Health Johnson City Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"\u201cEmergency Contraception \u201daccessed November 23 2025 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/emergency\u2010contraception."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1755738018767693"},{"key":"e_1_2_9_4_1","unstructured":"Office of Population Affairs \u201cTitle X Program Handbook \u201dpublished December2024 https:\/\/opa.hhs.gov\/sites\/default\/files\/2025\u201001\/Title%20X%20Program%20Handbook_Dec%202024_FINAL.pdf."},{"key":"e_1_2_9_5_1","unstructured":"CDC \u201cU.S. Selected Practice Recommendations for Contraceptive Use 2024 \u201dContraception November 19 2024 https:\/\/www.cdc.gov\/contraception\/hcp\/usspr\/index.html."},{"key":"e_1_2_9_6_1","unstructured":"Kaiser Family Foundation \u201cEmergency Contraception\u201d(2025) https:\/\/www.kff.org\/womens\u2010health\u2010policy\/emergency\u2010contraception\/."},{"key":"e_1_2_9_7_1","unstructured":"NIH National Library of Medicine \u201cEmergency Contraception \u201dMedical Encyclopedia accessed June 9 2023 https:\/\/medlineplus.gov\/ency\/article\/007014.htm."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/2785839"},{"key":"e_1_2_9_9_1","volume-title":"Plan B One\u2010Step (1.5 Mg Levonorgestrel) Information","author":"US Food and Drug Administration","year":"2022"},{"issue":"4","key":"e_1_2_9_10_1","first-page":"365","article-title":"Ulipristal (Ella) for Emergency Contraception","volume":"86","author":"Whalen K.","year":"2012","journal-title":"American Family Physician"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000056"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/EVIDoa2400209"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(10)60101\u20108"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2022141"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2022.06.008"},{"key":"e_1_2_9_16_1","unstructured":"ACOG Clinical \u201cAccess to Emergency Contraception. 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