Abortion assistance fund staff and volunteers as patient navigators following an abortion ban in Texas

Author:

White Kari1,Leyser‐Whalen Ophra2,Whitfield Brooke3,Dane'el Asha4,Andrea Alexis5,Rupani Anna6,Kumar Bhavik7,Moayedi Ghazaleh8

Affiliation:

1. Department of Sociology, Steve Hicks School of Social Work University of Texas at Austin Austin Texas USA

2. Department of Sociology and Anthropology University of Texas at El Paso El Paso Texas USA

3. Department of Sociology University of Texas at Austin Austin Texas USA

4. Independent Consultant Austin Texas USA

5. West Fund El Paso Texas USA

6. Fund Texas Choice Dallas Texas USA

7. Planned Parenthood Gulf Coast Houston Texas USA

8. Pegasus Health Justice Center Texas Equal Access Fund Dallas Texas USA

Abstract

AbstractContextAbortion assistance funds constitute an important part of the healthcare safety net by covering some of abortion patients' out‐of‐pocket costs. Few studies have examined the other ways abortion assistance fund staff and volunteers support callers who need help obtaining care.MethodsBetween June and September 2020, we conducted in‐depth interviews with 23 staff and volunteers at 11 local abortion assistance funds that helped Texans seeking abortion care following a March 2020 state executive order that prohibited most abortions. Interviewers explored respondents' experiences with callers whose appointments had been canceled or who traveled out of state and subsequent operational changes. We used both inductive and deductive codes in the thematic analysis.ResultsAbortion assistance fund staff and volunteers bridged callers' information gaps about the services and financial resources available and helped create plans to secure care that accounted for callers' specific needs. They provided emotional support so callers felt it was possible to overcome logistical hurdles to get an abortion, even if that required out‐of‐state travel. Respondents described greater collaboration between Texas‐based abortion assistance funds and out‐of‐state organizations to support callers' more complex logistical needs and increased costs. Some callers who encountered multiple barriers to care, including interpersonal violence, were unable to obtain an abortion, even with additional supports.ConclusionsLocal abortion assistance funds worked with Texas callers to co‐create person‐centered plans for care and expanded inter‐organization collaborations. Initiatives that bolster local assistance funds' infrastructure and capacity will be needed as the abortion access landscape becomes further restricted and complex.

Funder

Susan Thompson Buffett Foundation

Eunice Kennedy Shriver National Institute of Child Health and Human Development

Publisher

Guttmacher Institute

Subject

Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Sociology and Political Science

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