# Immediate Postpartum Contraception: Implementing and Evaluating Evidence-based Practice

> **NIH AHRQ K08** · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2020 · $155,304

## Abstract

Project Summary/Abstract
Candidate: Michelle H. Moniz, MD, MSc is an obstetrician gynecologist and junior health
services researcher focused on improving reproductive health care, especially for low-income
women. Dr. Moniz's long-term career goal is to become an independent physician-investigator
through development, implementation, evaluation, and dissemination of effective strategies to
integrate evidence-based reproductive health services into routine clinical practice. Research
Context: There is a critical need to improve access to evidence-based contraceptive care after
childbirth, in order to decrease unintended pregnancy rates and improve reproductive health
outcomes. One safe, effective strategy is to provide immediate postpartum long-acting
reversible contraception (IPLARC) to interested women before they leave the hospital after
childbirth. Currently, there is wide variation in provision of IPLARC in real-world settings due to a
dearth of evidence-based guidance on successful implementation methods and strategies for
monitoring service delivery. Research Aims: The overarching goal of this proposal is to design,
evaluate and disseminate evidence-based implementation strategies for IPLARC services. The
study's specific aims are to: 1) Quantitatively evaluate current Medicaid claims-based
approaches for measuring IPLARC provision; 2) Characterize successful IPLARC
implementation experiences and develop an implementation toolkit; and 3) Evaluate the
feasibility of this implementation toolkit for initiating IPLARC in a single new setting. Research
Plan: Dr. Moniz will use current claims-based algorithms to measure IPLARC provision and
compare findings to hospitals' self-reported provision rates. She will conduct in depth, qualitative
study at 5 hospitals that have successfully implemented IPLARC services and 2 sites struggling
with IPLARC implementation, in order to develop an implementation toolkit. She will then use
mixed methods to evaluate the implementation toolkit's feasibility in a single new setting, in
order to inform a future multi-center study. Career Development Plan: Dr. Moniz will develop
expertise in: 1) claims-based monitoring of reproductive health services; 2) implementation
science frameworks; 3) mixed methods; 4) responsible conduct of research. Dr. Moniz's training
will be supported by highly experienced, interdisciplinary mentors; advanced didactic
coursework; and participation in research and career development meetings/seminars within an
ideal training environment. This award will enable Dr. Moniz to become an independent
investigator and national leader in clinical service delivery and policies designed to improve
reproductive health outcomes for low-income women.

## Key facts

- **NIH application ID:** 9900746
- **Project number:** 5K08HS025465-03
- **Recipient organization:** UNIVERSITY OF MICHIGAN AT ANN ARBOR
- **Principal Investigator:** Michelle Helena Moniz
- **Activity code:** K08 (R01, R21, SBIR, etc.)
- **Funding institute:** AHRQ
- **Fiscal year:** 2020
- **Award amount:** $155,304
- **Award type:** 5
- **Project period:** 2018-04-01 → 2023-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9900746

## Citation

> US National Institutes of Health, RePORTER application 9900746, Immediate Postpartum Contraception: Implementing and Evaluating Evidence-based Practice (5K08HS025465-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9900746. Licensed CC0.

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