Contraceptive access initiatives and programs to expand contraceptive access over the past two decades, following the fervor of the CHOICE project, were often inattentive to health equity and the sociohistorical context of care. While these initiatives improved access to contraception and, in particular, long-acting reversible methods, the enthusiasm for these methods and the framing of them as a panacea for social ills contributed to the entrenchment of non-patient-centered models of contraceptive care and harmful targeting of low-income communities of color. In this commentary we describe a recent Quality Improvement Learning Collaborative grounded in the sociohistorical context of reproductive health care and that used person-centered data and equity-informed quality improvement strategies as an alternative approach to improving access to high-quality contraceptive care. We provide two case studies from community health centers that participated in the learning collaborative, one from primary care and one from a sexual and reproductive care setting, highlighting how equity-informed lessons and data can be applied into different health care settings. This model focuses on promoting non-coercive and person-centered contraceptive care practices at the healthcare level. Contraceptive access initiatives, which work at multiple levels of the health system, can leverage such models and combine them with equity-focused policy interventions and stakeholder-engaged processes to advance equity-informed access more broadly. In the face of ever-changing and increasing threats to reproductive health, rights, and justice, we must stay continuously reflective, attentive to history, and stalwart in our commitment to reproductive autonomy and wellbeing in all efforts to improve contraceptive care access.
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