"Survival mode": access and utilization of reproductive healthcare services post-incarceration
Date
2022
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Publisher
University of Delaware
Abstract
This research explored the barriers to access and utilization of reproductive healthcare services, among women returning to the community from prison. Previous research suggested that a majority of reintegrating women do not desire pregnancy after incarceration. However, most incarcerated and reintegrating women do not utilize healthcare services, contraception, or health insurance consistently. Extant literature implied that reproductive health norms, lack of transportation, as well as fear and distrust in the medical process deter women from utilizing reproductive healthcare services. This research conducted 15 semi-structured interviews with reintegrating women and reentry service providers from Delaware and two bordering counties in Pennsylvania. Findings suggested that there were intrinsic, extrinsic, and systemic barriers to accessing reproductive healthcare post-release. These include self-reliance, lack of knowledge, lack of transportation, social influence, probation/parole requirements, healthcare inconsistency, insensitivity and lack of cultural competency, and the complex reentry process. The findings from this research provided reentry initiatives, medical personnel, and prison facilities with the data and knowledge needed to better implement and enforce policies that would encourage reintegrating women’s utilization of reproductive health services.
Description
Keywords
Access to care, Barriers to care, Reentry, Reproductive health, Women, Healthcare services