Increasing Access to Reproductive Healthcare & Services


Intervention by:


Project Aim

This project aims to provide the necessary education, improve communication for women of reproductive age, and link them up to their desired services including contraception of choice, preconception care, well-woman services and other resources in the community. Additionally, the project will identify client, provider and system level barriers to help inform policies that will support access and sustainability of preconception care and contraceptive services to women of childbearing age.

Of the 6,046,630 women ages 13-44 years living in Texas in 2014, more than 50% needed contraceptive services and supplies.


According to Healthy People 2020, reproductive health is one of the leading health indicators and access to reproductive health is crucial for the health of the nation. If a pregnancy is not planned prior to conception (unintended pregnancy), a woman may be at risk of not attaining optimal reproductive health. In Texas in 2014, there were 6,046,630 women of reproductive age (13-44 years). Of that number, more than an estimated 50% (3,264,120) needed contraceptive services and supplies. 


The project will establish a learning collaborative made up of experts in the field, primary care providers and other relevant stakeholders. The learning collaborative will facilitate the establishment of an effective system that will create the opportunity for every woman of childbearing age to seamlessly access and obtained reproductive health services of choice and linkage to appropriate resources in the community.

Nature of Intervention

This project is planned to be executed over a three-year period starting in 2018. The project will adopt the One Key Question® (OKQ) protocol designed by the Oregon Foundation for Reproductive Health (OFRH) as part of the project framework. The OKQ approach will involve readiness assessment among other activities. Education (training) of identified stakeholders on OKQ implementation and the provision of Long Acting Reversible Contraceptives (LARC) will be carried out. The project will identify client-level, provider-level and system-level barriers to support sustainability and help inform policy. Other planned strategy involves data collection, monitoring and evaluation. Results from the project outcome will serve as means to scale and expand the use of the OKQ protocol and the promotion of LARC services statewide.

Funders and Partners

The subcommittee is presently working in consultation with the Power to Decide (also known as the National Campaign to Prevent Unplanned Pregnancy). This organization has the exclusive rights on all OKQ activities, training, agreement and licenses in the United States outside of the state of Oregon. 


Community Health

Project Lead

Nagla Elerian, MS, Director of Population Health Strategic Initiatives, UT System


June Hanke, MSN, MPH, Harris Health System
Janet Jones, MPH, CHES, Waco-McLennan County Public Health District