Utilizing Pediatric Primary Care Connections to Advance Reproductive Health

There are four study populations categorized in this study:

* Staff of the Baltimore Medical Systems (BMS) medical practice, which includes clinicians (i.e. M.D., D.O., N.P.), medical assistants, nurses, receptionists;
* Hopkins Community Connection Resource Advocates (i.e. staff) based at the BMS;
* Community health care providers including clinicians, case managers, social workers, and nurses

Eligible BMS patients comprised of the following subpopulations:

1. Latinas with a 12 month old child who is a BMS patient;
2. Latinas with an infant 0-1 month old who is a BMS patient.

Eligibility criteria by population:

Historical control group inclusion criteria are:

* individuals who identify as Latina AND foreign-born, AND
* communication preference is Spanish AND
* 22 years or older (any parent 21 years or younger is almost always also one of the investigator's patients) AND
* are the biological parent of a 12 month old child who is a BMS patient.

Intervention cohort inclusion criteria are:

* individuals who identify as Latina AND foreign-born, AND
* communication preference is Spanish AND
* 22 years or older AND
* are the biological parent of a \< 1 month old who is a BMS patient.

Participant inclusion criteria for Both:

* BMS staff OR Hopkins Community Connection Advocate staff AND
* age 18 years or older.

Participant inclusion criteria for semi-structured interviews:

* Member of intervention cohort group AND child
* has completed 12 months of life AND
* has completed contraceptive need survey.

Participant inclusion criteria for key informant interviews:

* staff member from one of 5 local health care clinics including Baltimore City Department of Health, Planned Parenthood, Women, Infants, and Children, and two federally qualified health centers AND
* direct interaction with Spanish speaking individuals AND
* age 18 years or older.

Exclusion Criteria:

Individuals with bilateral tubal ligation (permanent contraception) at time of recruitment