Women’s Reproductive Health Resources

CHAMPS has compiled this listing of resources to support Region VIII health centers with meeting the clinical performance measure goals established by the Health Resources and Services Administration (HRSA)/Bureau of Primary Health Care (BPHC) related to women’s reproductive health.

Please click or scroll down for the following items related to women’s reproductive health:
BPHC Clinical Performance Measures
Evidence Based Clinical Guidelines
Provider Tools
Patient Education
Other Online Resources

BPHC CLINICAL PERFORMANCE MEASURES

HRSA-funded health centers must have ongoing quality improvement programs that include clinical services and quality management.  To this end, HRSA’s primary care branch, BPHC, has established a set of performance measures, including clinical measures, which health centers must report through the Uniform Data System (UDS).  Three of the required clinical performance measures that are related to women’s reproductive health are as follows:

  • Percentage of Women 21-64 Years of Age Who Received Appropriate Cervical Cancer Screening
  • Percentage of Pregnant Women Beginning Prenatal Care in the First Trimester
  • Percentage of Births Less than 2,500 Grams to Health Center Patients

On October 23, 2012, BPHC revised two clinical measures for UDS reporting in 2013 (childhood immunization and cervical cancer screening), per Program Assistance Letter (PAL) 2013-02.  Following are the most current criteria including the revised criteria for the cervical cancer screening measure.

Cervical Cancer Screening

Measure: Female patients aged 24 to 64 years who received a Pap test every 3 years and women aged 30 to 64 years who chose a 5 year interval for Pap tests when accompanied by an HPV test.

Note:  the revised measure for 2013 allows 5 year intervals for women aged 30 to 64 years with a Pap test accompanied by an HPV test which aligns with the 2012 recommendation of the U.S. Preventive Services Task Force.

Percentage of Pregnant Women Beginning Prenatal Care in the First Trimester

Measure: Female patients who received care during the year (regardless of when they began care) who initiated prenatal care in the first trimester either at the grantee health center’s location or with another provider.

Percentage of Births Less than 2,500 Grams to Health Center Patients

Measure: Women who gave birth and were seen at the health center for prenatal care during the year whose child weighed less than 2,500 grams, regardless of who performed the delivery.

For each of the three measures, BPHC utilizes the goals set by Healthy People 2020.  Please see the following section for more information on these goals.

EVIDENCE BASED CLINICAL GUIDELINES

American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology
Screening Guidelines for the Prevention and Early Detection of Cervical Cancer
http://ajcp.ascpjournals.org/content/137/4/516.long
2012

Centers for Disease Control and Prevention (CDC)
Cervical Cancer Screening Guidelines for Average-Risk Women (summary of three guidelines)
www.cdc.gov/cancer/cervical/pdf/guidelines.pdf
2012

U.S. Preventive Services Task Force
Screening for Breast Cancer
http://screeningforbreastcancer.org/
January 2016
Screening for Cervical Cancer
www.uspreventiveservicestaskforce.org/uspstf/uspscerv.htm
March 2012
Screening for Depression in Adults including Pregnant and Postpartum Women
http://www.uspreventiveservicestaskforce.org/Announcements/News/Item/final-recommendation-statement-screening-for-depression-in-adults
January 2016

Prenatal Care in the First Trimester

American Academy of Family Physicians (AAFP)
Prenatal, including Recommendations for Preconception Counseling and Care, Evidence-Based Prenatal Care Part I and Part II
www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=25
October 2013

American Academy of Pediatric Dentistry
Guideline on Oral Health Care for the Pregnant Adolescent
www.aapd.org/media/Policies_Guidelines/G_Pregnancy.pdf
2012

American Academy of Pediatrics
Guidelines for Perinatal Care, 7th Edition
www.nfaap.org/netforum/eweb/dynamicpage.aspx?webcode=aapbks_productdetail&key=7b05081f-4759-40d9-b4d5-4be53511ba40#
2013

Institute for Clinical Systems Improvement
Routine Prenatal Care
www.guideline.gov/content.aspx?id=38256
July 2012

Low Birth Weight

National Institute for Health and Clinical Excellence (NICE)
Improving the Nutrition of Pregnant and Breastfeeding Mothers and Children in Low-Income Households
www.guideline.gov/content.aspx?id=12479&search=healthy+birth+weight
March 2008

World Health Organization (WHO), Department of Reproductive Health and Research
Integrated Management of Pregnancy and Childbirth Series
Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors
http://whqlibdoc.who.int/publications/2007/9241545879_eng.pdf
2000, Reprint 2007

PROVIDER TOOLS

Academy of Breastfeeding Medicine (ABM)
Position Statements and Clinical Protocols
http://www.bfmed.org/Resources/Protocols.aspx
Clinical practice protocols for breastfeeding and lactation management as well as human milk storage guidelines

Academy Cancer Society (ACS)
Cervical Health Awareness Month
http://www.cancer.org/cancer/news/specialcoverage/cervical-health-awareness-month
Clinical practice protocols for HPV prevention and cervical cancer screening

Agency for Healthcare Research and Quality (AHRQ)
Library of Resources for Women’s Health
www.ahrq.gov/professionals/clinicians-providers/ehclibrary/women/index.html
Research updates and educational information to enhance the understanding and response to women’s unique health needs

CDC
National Breast and Cervical Cancer Early Detection Program (NBCCEDP)
www.cdc.gov/cancer/nbccedp/
Information on the NBCCEDP program which provides access to breast and cervical cancer screening services to underserved women in all 50 states, the District of Columbia, five U.S. territories, and 11 tribes
Preconception Health and Health Care: Information for Health Professionals
www.cdc.gov/preconception/hcp/index.html
Information on evidence-based interventions that reduce the risks of adverse pregnancy outcomes
Zika Virus
http://www.cdc.gov/zika/index.html
Information on latest prevalence, geographic distribution, symptoms and treatment as well as communication tools and resources

FDA
Women’s Health Research Roadmap
http://www.fda.gov/ScienceResearch/SpecialTopics/WomensHealthResearch/ucm478266.htm?source=govdelivery&utm_medium=email&utm_source=govdelivery                                                                                       The Food and Drug Administration in conjunction with the Office of Women’s Health detail research priority areas for future investigation and quality improvement initiatives

Futures Without Violence
Intimate Partner Violence, Reproductive and Sexual Coercion
https://secure3.convio.net/fvpf/site/Ecommerce/15587835FOLDER=0&store_id=1241
Guidelines and resources for health care providers addressing intimate partner violence with special resources for adolescents and American Indian/Alaska Native populations
Health Cares about Intimate Partner Violence
http://www.healthcaresaboutipv.org/
Screening and counseling toolkit

Health Resources and Services Administration (HRSA)
Cervical Cancer Screening
www.hrsa.gov/quality/toolbox/measures/cervicalcancer/index.html
A guide for improving the HRSA cervical cancer screening measure including characteristics for success, implementation of the clinical quality measure, improvement strategies, and other supporting tools and information
Prenatal – First Trimester Care Access
www.hrsa.gov/quality/toolbox/measures/prenatalfirsttrimester/index.html
A guide for improving the HRSA prenatal measure (first trimester care access) including characteristics for success, implementation  and improvement strategies, and other supporting tools and information
Women’s Preventive Services Guidelines under the Affordable Care Act (ACA)
www.hrsa.gov/womensguidelines/
Guidelines for women’s preventive health care required under the ACA including well-woman visits, screening for gestational diabetes, HIV, HPV, sexually transmitted infections, breastfeeding and more

Healthy People 2020
Evidence-Based Resources for Cancer Screening
www.healthypeople.gov/2020/topics-objectives/topic/cancer
Resources for improving cancer screening rates including information on the use of client reminders, reducing barriers, one-on-one education, and other interventions

Mother to Baby
Pregnancy Risk Line
http://health.utah.gov/prl/
An affiliate of the Organization of Teratology Information Specialists (OTIS), the Pregnancy Risk Line provides evidence-based information to parents and health care providers about medications and other exposures during pregnancy and breastfeeding

National Maternal & Child Oral Health Resource Center
Bright Futures Toolbox: Health Professionals and Human Services Providers
http://mchoralhealth.org/toolbox/
Oral Health Pocket Guide for providers, education and training opportunities, and screening/risk assessments

The Henry J. Kaiser Family Foundation
Women and Health Care in the Early Years of the Affordable Care Act
http://kaiserfamilyfoundation.files.wordpress.com/2014/05/8590-women-and-health-care-in-the-early-years-of-the-affordable-care-act.pdf
Report with key findings from the 2013 Kaiser Women’s Health Survey including information on coverage, access, affordability, connections to providers, preventive services, and reproductive and sexual health services

U.S. Department of Health and Human Services, Office of Adolescent Health
Reproductive Health
www.hhs.gov/ash/oah/adolescent-health-topics/reproductive-health/#.Urx_JXl3vIU
National and state data on adolescent reproductive health including birth rates by age and race/ethnicity and sexual behaviors, and information on adolescent and reproductive health topics

U.S. Department of Health and Human Services, Office of Refugee Resettlement
Identifying Potential Victims of Human Trafficking
www.hhs.gov/ash/oah/adolescent-health-topics/reproductive-health/#.Urx_JXl3vIU
A resource guide for health care providers as well as assessment tools and patient resources including posters and brochures

PATIENT EDUCATION

American Congress of Obstetricians and Gynecologists (ACOG)
Patient Education FAQs
www.acog.org/Resources_And_Publications/Patient_Education_FAQs_List
Guidelines for cervical cancer screening, family planning, information for teens and other gynecologic problems
Patient Education Pamphlets – Spanish
www.acog.org/Resources_And_Publications/Patient_Education_Pamphlets_Spanish_List
Pamphlets for female patients sorted by category and topic in Spanish
Patient Page for Women’s Health Care
www.acog.org/Patients
Fact sheets and FAQs on contraception, pregnancy, labor, delivery, postpartum care, and other women’s health issues

Bright Futures at Georgetown University
Family Materials
www.brightfutures.org/familymaterials.html
Materials for download including What to Expect and When to Seek Help developmental tool, anticipatory guidance cards, tip sheets, and other handouts in English and Spanish

CDC
Alcohol Use in Pregnancy
www.cdc.gov/ncbddd/fasd/alcohol-use.html
Questions and answers for patients about alcohol use in pregnancy and fetal alcohol spectrum disorders
Women’s Reproductive Health
www.cdc.gov/reproductivehealth/WomensRH/index.htm
Resources on women’s reproductive health including A-Z health topics, gynecologic cancers, immunization schedule, preconception care, healthy living, and more

CHAMPS
Patient Education Handouts
www.CHAMPSonline.org/ToolsProducts/ClinicalResources/PatientEdTools/PatientEdHandouts.html
Customizable handouts for download on Pap tests, child safety, vaginal discharge, and other health topics

Mayo Foundation for Medical Education and Research
Pregnancy Nutrition: Healthy-Eating Basics
www.mayoclinic.com/health/pregnancy-nutrition/PR00108
Information on what foods pregnant women should eat and how much

Mother to Baby
Pregnancy Risk Line
http://health.utah.gov/prl/
An affiliate of the Organization of Teratology Information Specialists (OTIS), the Pregnancy Risk Line provides evidence-based information to parents and health care providers about medications and other exposures during pregnancy and breastfeeding

National Maternal and Child Oral Health Resources Center
Tips for Good Oral Health during Pregnancy
www.mchoralhealth.org/PDFs/OralHealthPregnancyHandout.pdf
Fact sheet including information about getting oral health care, eating healthy, and practicing good oral hygiene while pregnant

National Women’s Health Network
Cervical Cancer Prevention and Screening Fact Sheet
https://nwhn.org/cervical-cancer-prevention-and-screening/
Includes information on the role of HPV in causing cancer, other risk factors, screening and early detection, what to do after an abnormal Pap test, and other resources

OTHER ONLINE RESOURCES

CDC
Advancing Women’s Health and Safety
www.cdc.gov/women

CHAMPS
Region VIII Women’s Health Data Summary
www.champsonline.org/ToolsProducts/PublicationsMedia/Publications.html#data

HRSA
Women’s Health
www.hrsa.gov/womenshealth

Maternal and Child Health Bureau (MCHB)
Women’s Health USA 2012
www.mchb.hrsa.gov/whusa12/index.html

National Association of Community Health Centers (NACHC)
Sexual Health and Health Centers
http://nachc.org/clinical-matters/clinical-quality/sexual-health/

National Cervical Cancer Coalition
Cervical Cancer Awareness and Prevention
http://www.nccc-online.org/

Oregon Foundation for Reproductive Health
One Key Question Initiative
http://www.onekeyquestion.org/