Abstract
Access to contraception in the United States varies greatly based on geography. In Eastern Kentucky (EKY), access is limited due to geographic isolation, provider shortages, limited transportation and deeply rooted stigma around reproductive health services. All Access Eastern Kentucky (AAEKY) is a community-driven program that focuses on patient and provider education and access to contraception through an innovative no cost mailing system. This commentary reviews the initiative impacts, key insights and lessons learned through clinic and participant surveys. Since 2016, AAEKY has faced a global pandemic, adapted to a quickly changing political landscape, overcome regional flooding and expanded from a 10 county regional focus to a statewide initiative that is helping to reshape how Kentuckians perceive and access contraception.