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This clinic is making emergency contraception easier to access in Mississippi

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This clinic is making emergency contraception easier to access in Mississippi

GREENWOOD – There’s a truck parked in the gravel lot of Greenwood Community Center, muddy from a recent spring shower. 

From the outside, it’s easy to overlook. But inside, people who need it are being provided critical, hard to access health care.

Plan A operates the mobile clinic that travels the Delta, offering free family planning and reproductive health services at each of its stops. It’s become a fixture in a region of Mississippi that sees some of the state’s worst health outcomes. 

The organization does it all — their patients can get birth control, blood sugar and pressure checks, pap smears and mammograms, and even sexually transmitted diseases tests. 

And recently, they’ve added another service to their already-long list. 

Months after the U.S. Supreme Court overturned abortion rights, the organization has launched a telehealth program to make it easier for Mississippians to access emergency contraception. 

Plan A first began shipping free emergency contraception in fall 2022. After organizers learned from patients how challenging it was to access emergency contraception due to cost and availability, the organization started mailing free care packages, filled with emergency contraception, condoms, pregnancy tests and lubricant to people across Mississippi. 

The idea was to get emergency contraception to Mississippians before they need it, ensuring access immediately after unprotected sex.

But Executive Director Caroline Weinberg didn’t want to stop there.

“From the day we started shipping emergency contraception, we always knew we needed to do Ella if we were going to get people what they needed,” she said. “You can’t look at the demographics of this country and think just sending levonorgestrel is the solution, though it’s certainly a start and better than nothing.”

Ella is the emergency contraception recommended for people above 165 pounds, instead of levonorgestrel. While levonorgestrel is over the counter, Ella requires a prescription. Neither medication will harm a pregnant person or a fetus.

So, to make it easier to access, the group launched its telehealth program and started distributing Ella in January.

Mobile clinic provided by Plan A community health care workers in Greenwood, Thursday, April 6, 2023.

Plan A’s reach now extends far past the Delta, where most of its operations are housed — people call in from across the state to ask for Ella prescriptions as far away as Gulfport.

The organization currently gets 250 orders a month for both levonorgestrel and Ella. To date, they’ve shipped out 1,800 care packages. 

In April alone, Plan A has received more than 300 requests for emergency contraception. About 40% of people who request emergency contraception from the organization need Ella. 

Erin Rockwell, the organization’s evaluation and research associate, has been collecting and analyzing survey results about the state’s emergency contraception needs. 

According to Rockwell, while most people knew that there was a specific emergency contraception for people who weigh more than 165 pounds, a minority thought they’d be able to get a prescription for Ella in their community within three days, the time frame of effectiveness. Only a third of those people said they’d be able to afford a doctor’s visit for a prescription.

More than half of survey respondents said they have needed it in the past but been unable to access emergency contraception. The biggest barrier was cost, but access is a close second – many reported they couldn’t buy it anywhere. 

For the past two years, Antoinette Roby has been traveling the Delta in the clinic. She’s a driver turned community health worker, which means she’s the first person most patients will see as they enter the clinic, and the one they’ll primarily deal with. 

Roby, a daughter of the Delta herself, stressed that the clinic is judgment-free. Plan A serves clinics of all ages, background, sexual orientations and gender identities — more often than might be expected, she gets calls from cisgender men who are seeking emergency contraception for their significant others. 

Despite being on the road several days a week with the mobile clinic, Roby said the telehealth program is helping ensure no one falls through the cracks. 

“I feel like sometimes we miss people, even though we go back again,” she said. “So we got the whole telehealth program, and that was another way that we were able to reach the people in the community.”

She wishes something like Plan A would have existed when she was growing up.

“To me, it would have made a big difference,” Roby said. 

Geraldine McElroy, CNM, N.P., wraps up paperwork on a patient at the mobile clinic provided by Plan A community health care workers in Greenwood, Thursday, April 6, 2023.

Myia Graham of Port Gibson lost her Medicaid-sponsored health insurance after turning 18, and since then, has had a difficult time consistently getting the birth control she needs to regulate her polycystic ovary syndrome. 

So when Graham, a 26-year-old graduate student at Delta State University, saw in a school-wide email last spring that the clinic would be visiting campus, she made sure to go — and after her appointment, she made all of her friends go, too.

Graham said the care Plan A provides is more important than ever.

“I hated being a Mississippi resident when we overturned Roe, because we are a state that says one thing and does another,” she said. “We say we care about women … but Mississippi is the last for everything in terms of women’s health.” 

As a Black woman, Graham said the state cares even less about people who look like her. If you’re Black, Mississippi is one of the most dangerous states in this country to give birth in.

That’s why it gives Graham some comfort to know that if she ever needs emergency contraception, she knows where to get it. 

“I wish that it was everywhere, a clinic like this,” she said.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia. 

When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs. 

He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame. 

The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays. 

Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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On this day in 1958

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mississippitoday.org – Jerry Mitchell – 2024-12-20 07:00:00

Dec. 20, 1958

Bruce Boynton played a key role in the U.S. Supreme Court case that led to the Freedom Riders protests of 1961. Credit: Jay Reeves/Associated Press

Bruce Boynton was heading home on a Trailways bus when he arrived in Richmond, Virginia, at about 8 p.m. The 21-year-old student at Howard University School of Law — whose parents, Amelia Boynton Robinson and Sam Boynton, were at the forefront of the push for equal voting rights in Selma — headed for the restaurant inside the bus terminal. 

The “Black” section looked “very unsanitary,” with water on the floor. The “white” section looked “clinically clean,” so he sat down and asked a waitress for a cheeseburger and a tea. She asked him to move to the “Black” section. An assistant manager followed, poking his finger in his face and hurling a racial epithet. Then an officer handcuffed him, arresting him for trespassing. 

Boynton spent the night in jail and was fined $10, but the law student wouldn’t let it go. Knowing the law, he appealed, saying the “white” section in the bus terminal’s restaurant violated the Interstate Commerce Act. Two years later, the U.S. Supreme Court agreed. “Interstate passengers have to eat, and they have a right to expect that this essential transportation food service,” Justice Hugo Black wrote, “would be rendered without discrimination prohibited by the Interstate Commerce Act.” 

A year later, dozens of Freedom Riders rode on buses through the South, testing the law. In 1965, Boynton’s mother was beaten unconscious on the day known as “Bloody Sunday,” where law enforcement officials beat those marching across the Selma bridge in Alabama. The photograph of Bruce Boynton holding his mother after her beating went around the world, inspiring changes in voting rights laws. 

He worked the rest of his life as a civil rights attorney and died in 2020.

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‘Something to be proud of’: Dual-credit students in Mississippi go to college at nation’s highest rate

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mississippitoday.org – Molly Minta – 2024-12-20 06:00:00

Mississippi high school students who take dual-credit courses go to college at the nation’s highest rate, according to a recent report. 

It’s generally true that students who take college classes while in high school attend college at higher rates than their peers. Earlier this year, a study from the Community College Research Center at Teacher’s College, Columbia University found that nationally, 81% of dual-credit students go to college. 

In Mississippi, that number shoots up to 93%, meaning the vast majority of the state’s high school students who take college classes enroll in a two- or four-year university. 

“When we did this ranking, boom, right to the top it went,” said John Fink, a senior research associate and program lead at the research center who co-authored the study. 

State officials say there’s likely no silver bullet for the high rate at which Mississippi’s dual-credit students enroll in college. Here, “dual credit” means a course that students can take for both high school and college credit. It’s different from “dual enrollment,” which refers to a high school student who is also enrolled at a community college. 

In the last 10 years, participation in these programs has virtually exploded among Mississippi high school students. In 2014, about 5,900 students took dual-credit courses in Mississippi, according to the Mississippi Community College Board. 

Now, it’s more than 18,000. 

“It reduces time to completion on the post-secondary level,” said Kell Smith, Mississippi C0mmunity College Board’s executive director. “It potentially reduces debt because students are taking classes at the community college while they’re still in high school, and it also just exposes high school students to what post-secondary course work is like.” 

“It’s something to be proud of,” he added. 

There are numerous reasons why Mississippi’s dual-credit courses have been attracting more and more students and helping them enroll in college at the nation’s highest rate, officials say. 

With a few college credits under their belt, students may be more inspired to go for a college degree since it’s closer in reach. Dual-credit courses can also build confidence in students who were on the fence about college without requiring them to take a high-stakes test in the spring. And the Mississippi Department of Education’s accountability model ensures that school districts are offering advanced courses like dual credit.

Plus, Mississippi’s 15 community colleges reach more corners of the state, meaning districts that may not be able to offer Advanced Placement courses can likely partner with a nearby community college.

“They’re sometimes like the only provider in many communities, and they’re oftentimes the most affordable providers,” Fink said.

Test score requirements can pose a barrier to students who want to take dual-credit courses, but that may be less of a factor in Mississippi. While the state requires students to score a 19 on ACT Math to take certain courses, which is above the state average, a 17 on the ACT Reading, below the state average of 17.9, is enough for other courses. 

Transportation is another barrier that many high schools have eliminated by offering dual-credit courses on their campuses, making it so students don’t have to commute to the community colleges to take classes. 

“They can leave one classroom, go next door, and they’re sitting in a college class,” said Wendy Clemons, the Mississippi Department of Education’s associate state superintendent for secondary education. 

This also means high school counselors can work directly with dual-credit students to encourage them to pursue some form of college.

“It is much less difficult to graduate and not go to college when you already possess 12 hours of credit,” Clemons said.

Word-of-mouth is just as key.

“First of all, I think parents and community members know more about it,” Clemons said, “They have almost come to expect it, in a way.” 

This all translates to benefits to students. Students who take dual-credit courses are more likely to finish college on time. They can save on student debt.

But not all Mississippi students are benefiting equally, Fink said. Thr research center’s report found that Black students in Mississippi and across the country were less likely to pursue dual-credit opportunities. 

“The challenge like we see in essentially every state is that who’s in dual enrollment is not really reflective of who’s in high school,” Fink said.

Without more study, it’s hard to say specifically why this disparity exists in Mississippi, but Fink said research has generally shown it stems from elitist beliefs about who qualifies for dual-credit courses. Test score requirements can be another factor, along with underresourced school districts. 

“The conventional thinking is (that) dual enrollment is just … another gifted-and-talented program?” Fink said. “It has all this baggage that is racialized … versus, are we thinking about these as opportunities for any high school student?”

Another factor may be the cost of dual-credit courses, which is not uniform throughout the state. Depending on where they live, some students may pay more for dual-credit courses depending on the agreements their school districts have struck with local community colleges and universities. 

This isn’t just an equity issue for students — it affects the institutions, too. 

“You know, we’ve seen that dual-credit at the community college level can be a double-edged sword,” Smith said. “We lose students who oftentimes … want to stay as long as they can, but there are only so many hours they can take at a community college. 

Dual-credit courses, which are often offered at a free or reduced price, can also result in less revenue to the college. 

“Dual credit does come at a financial price for some community colleges, because of the deeply discounted rates that they offer it,” Smith said. “The more students that you have taking dual-credit courses, the more the colleges can lose.” 

State officials are also working to turn the double-edged sword into a win-win for students and institutions. 

One promising direction is career-technical education. Right now, the vast majority of dual credit students enroll in academic courses, such as general education classes like Composition 1 or 2 that they will need for any kind of college degree. 

“CTE is far more expensive to teach,” Clemons said.

Smith hopes that state officials can work to offer more dual-credit career-technical classes. 

“If a student knows they want to enroll in career-tech in one of our community colleges, let’s load them up,” Smith said. “Those students are more likely to enter the workforce quicker. If you want to take the career-tech path, that’s your ultimate goal.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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