Findings from a mixed-methods journey map study of barriers to family planning in western Kenya.

Our objective was to map and prioritize barriers to high-quality family planning care in western Kenya. We conducted key informant interviews ( = 19); focus group discussions with clients ( = 55); mystery client visits ( = 180); unannounced visitors ( = 120); and direct observation of client-provider interactions ( = 256) at public facilities offering family planning. We synthesized the data into a client and a provider journey map, which we used to facilitate client ( = 9) and provider ( = 12) discussions.

Childbearing at the margins: A systematic metasynthesis of sexual and gender diverse childbearing experiences.

Background: The reproductive and perinatal health of sexual and gender-diverse (SGD) individuals is a research priority area for the National Institutes of Health. Over the past decade, this childbearing population has been the focus of several qualitative studies providing the opportunity to evaluate and synthesize the qualitative literature on SGD childbearing experiences in a metasynthesis.

Methods: We conducted a literature search of four databases to identify original research published from January 2011 through June 2021.

Characteristics of nursing homes with comprehensive antibiotic stewardship programs: Results of a national survey.

Background: Antibiotic stewardship in nursing homes (NHs) is a high priority owing to intense antibiotic use and increased risk of adverse events. Updated Centers for Medicare and Medicaid Services regulations required NHs to establish antibiotic stewardship programs (ASPs). This study describes the current state of NH ASPs.