Reproductive Health Access Project

aka RHAP   |   New York, NY   |  reproductiveaccess.org

Mission

The Reproductive Health Access Project mobilizes, trains, and supports clinicians to make reproductive health care accessible to everyone. We focus on three key areas: abortion, contraception, and miscarriage care.

Ruling year info

2000

Executive Director

Lisa Maldonado MA, MPH

Medical Director

Dr. Linda Prine MD

Main address

PO Box 21191

New York, NY 10025 USA

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Formerly known as

Access Project Foundation, Inc

Access Project

EIN

13-4079983

NTEE code info

Reproductive Health Care Facilities and Allied Services (E40)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

Blog

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

People in the United States face huge barriers to access reproductive health care. Nearly 9 out of 10 counties do not have an abortion provider. In rural areas, 1 in 3 abortion patients has to travel more than 100 miles to receive abortion services. In 32 states and the District of Columbia, low-income individuals are barred from receiving Medicaid to cover abortion services in most cases. Primary care clinicians, who are the main health care providers working in under-served urban and rural U.S. communities, are the key to expanding access to quality reproductive health care. However, merely 6% of family medicine residency programs offer training in abortion care. Most of them do not offer training in the most up-to-date miscarriage care or the broadest range of family planning methods. There is a great need to expand reproductive health training.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Reproductive Health Access Network

Family Medicine Reproductive Health Network was launched in 2007 to increase the number of family physicians providing abortion as part of their routine clinical practice.  In January 2015, we relaunched the program to create the Reproductive Health Access Network and include advance practice clinicians, such as nurse practicians, registered nurses and nurse midwives in the Network. The Network is changing clinical training, medical education, and clinical care by connecting pro-choice primary care clinicians across the country and expanding access to abortion, contraception, and miscarriage care.

Population(s) Served

While contraception is a core component of the family medicine model, most family physicians do not receive adequate training in all family planning methods and very few residency programs offer training in abortion care. The Fellowship in Reproductive Health Care and Advocacy develops leaders who will promote and teach full-spectrum reproductive health care.

This 1-year fellowship is based in New York City. Applicants must be board-certified or board-eligible family physicians. High priority is given to clinicians who plan to provide abortion care in an abortion provider shortage area and/or are committed to developing a new abortion-training program at a family medicine residency program that currently offers no abortion training.

Started in 2008 with 1 annual fellow, in 2013 the program expanded to 3 fellows per year, and in 2016 expanded to 6 fellows.

Population(s) Served

The Miscarriage Care Initiative is an effort to expand access to evidence-based, patient-centered miscarriage care in primary care settings. Our vision is to help family physicians integrate all three forms of miscarriage management — expectant management, medication management, and manual vacuum aspiration (MVA) — into their clinical practice. Five organizations will receive intensive support from RHAP to integrate and expand miscarriage treatment in their primary practice. Through this support RHAP hopes to increase the number of family physicians providing miscarriage care and develop clinical leaders who will become advocates for integrating comprehensive reproductive services in their communities.

Population(s) Served

We create patient education materials and clinical resources that help ensure quality reproductive health care. Our library of trusted, evidence-based, pharma-free educational posters, handouts, and clinical tools are the go-to references for clinicians, universities, hospitals, and health centers across the country and around the world. Our materials are carefully field tested to make sure that they are easy to read and understand. Many of our materials are available in more than two languages, and everything we create is available on our website, for free.

Population(s) Served

Our monthly e-publication, Contraceptive Pearls , highlights evidence-based best practices in contraceptive care. Ninety-nine percent of U.S. women will use some form of contraception in their lifetime. No one method is right for everyone. Our Pearls help clinicians keep up with the latest contraceptive developments and learn best practices that will help them provide excellent and reliable birth control information to their patients.

Population(s) Served

About 87% of U.S. counties do not have an abortion provider. The Gaps Fellowship helps primary care clinicians working in critically underserved areas provide abortion care. Fellows receive intensive training and technical, legal, and financial assistance.

Population(s) Served

Where we work

Awards

2013 Top Non-Profit 2013

Philanthropedia Top Non-Profits

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of participants engaged in programs

This metric is no longer tracked.
Totals By Year
Related Program

Reproductive Health Access Network

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

In less than a year, we have grown our network of family clinicians by over 50 percent.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

The Reproductive Health Access Project (RHAP) is dedicated to ensuring that everyone in the United States can access reproductive health care. We do this by mobilizing, training, and supporting primary care clinicians to provide abortion, contraception, and miscarriage care. We are guided by the belief that that everyone, everywhere should be able to safe and easily access basic reproductive health care from their own health care provider. RHAP works to mainstream health care services that have been marginalized for far too long.

The Reproductive Health Access Project is committed to expanding access to reproductive health care - specifically abortion, contraception, and miscarriage care. We do this by focusing our efforts on several key populations: primary care clinicians, specifically family physicians and advanced practice clinicians, and community health centers.

Family physicians and advanced practice clinicians (APCs) provide the bulk of primary care in this country. Because they are also more likely than other clinicians to work in underserved communities and in rural areas supporting family physicians and APCs to provide abortion, contraception and miscarriage care has the potential of greatly expanding access to individuals most in need.
Federally-Qualified Health Centers, also known as Community Health Centers (CHCs), are our nation’s largest network of primary care providers and provide care to our nation’s most underserved communities. CHCs are required by law to provide comprehensive primary and preventive health care – including voluntary family planning and prenatal care. CHCs track record providing mandated family planning services and miscarriage care is mixed. RHAP strongly believes that as CHCs continue to expand their role in our nation’s health care delivery system, it is critical that they address our country’s reproductive health needs, including abortion care.
Everything RHAP does—from our miscarriage management work, to our Reproductive Health and Advocacy Fellows, to the work of our Reproductive Health Access Network—intentionally targets primary care clinicians, community health centers, and clinicians working in community health center settings.

The Reproductive Health Access Project is a high impact organization--accomplishing a lot with a relatively small budget. We are able to do this because:
Our staff is strong and is led by nationally recognized leaders in the primary care, reproductive health, and public health fields.
Our national network of 2,200+ clinicians in 46 states help us further deepen and expand our impact.
Our board of directors is comprised of individuals from a wide variety of backgrounds who share a deep commitment to RHAP’s mission and dedicate significant time, effort and resources to support the organization. Their expertise complements the staff and strengthens the organization.
Our advisory board consists of thoughtful leaders who provide counsel on issues specific to their areas of expertise to further the priorities and goals of the organization. Advisory Board members are called upon individually on an as-needed basis to advise the organization’s Board of Directors and staff.
We develop strong collaborative relationships with local and national partners that allow us to amplify our impact and extend our reach in ways we could never to on our own.

The Reproductive Health Access Network (Network) has grown tremendously over the past 3 years. Prior to November 2016, there were 680 clinician members and seven Clusters in List states. We now have # members and 22 Clusters in 21 states (list states). In 2017, Network members provided clinical talks and advocated for policies at the state and national level.

Since 2013 Miscarriage Care Initiative (MCI) has integrated comprehensive management of early pregnancy loss into 14 health centers in the following states Montana, Michigan, Illinois, North Carolina, California, Washington, Maine, Colorado, and Indiana. In addition, 11 institutions integrated management of early pregnancy loss into their family medicine residency education and clinical champions went on to provide education on miscarriage management at local and regional conferences.

Since 2017 the Reproductive Health Care and Advocacy Fellowship has graduated 23 fellows (5 additional fellows will graduate in 2019); fellowship sites currently exist in NY, MA, & MN; a new site in WA will open in 2019.
-91% of fellows have provided abortion care since finishing fellowship
-74% are currently providing abortion care in 12 different states (AZ,CA,DE,MA,MD,MI,MN,NJ,NY,OR,PA,WA) (we could count up the different cities, too)
-87% of fellows have taught others at some point since fellowship either as family medicine residency faculty, RHAP fellowship director or as a surgical abortion trainer
-61% of fellows are currently teaching in one of these roles.

The Hands-on Reproductive Health Training Center has trained 17 physicians, 44 APCs from 15 community-based organizations and hospitals in NYC.

We are continuing to expand and deepen the work of our Network. Our goal is to have members in all 50 states and to make reproductive health care an integral part of primary care.

Developing more fellowship training sites, in underserved areas in particular, is an organizational goal.

And, we are committed to expanding access to comprehensive early pregnancy loss management, as this an increasingly important area of work as abortion access becomes more limited.

Financials

Reproductive Health Access Project
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Operations

The people, governance practices, and partners that make the organization tick.

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Connect with nonprofit leaders

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  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

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Reproductive Health Access Project

Board of directors
as of 11/7/2019
SOURCE: Self-reported by organization
Board chair

Danielle Pagano

No Affiliation

Barbara Kancelbaum

Harlene Katzman

Simpson Thacher & Bartlett LLP

Emily Kane-Lee

Association of Reproductive Health Professionals

Ana Marin

Vicki Breitbart

Sarah Lawrence College

Ruth Lesnewski

Beth Israel Residency Program in Urban Family Practice and the Institute for Family Health

Virginia Sobol

Nicole Clark

Nicole Clark Consulting

Gabrielle deFiebre

Transverse Myelitis Association

Sandra Echeverria

City University of New York

Sophia Kerby

State Innovation Exchange

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes