Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1991

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Financing family planning services: is categorical legislation still needed?

AUTHORS

McFarlane DR; Meier KJ

SOURCE

AMERICAN JOURNAL OF GYNECOLOGIC HEALTH. 1991 Sep-Dec;5(5-6):130-7.

ABSTRACT

Federal and state funds have provided for family planning services in American since the 1960s. Since 1976,

services have been funded principally through federal statutes Title X of the Public Health Service Act and Titles V,

XIX, and XX of the Social Security Act as well as various state appropriations. While these statutes aim to ensure

that women of lower socioeconomic status enjoy access to reproductive health care services, levels of public

expenditure in this area vary widely among states. In 1987, public family planning expenditures/woman at risk ranged

from $60.16 in Wisconsin to $9.41 in Florida. Within this range of expenditures, the relative importance of each

funding source per state varies widely. States with the most robust Title XIX programs, Medicaid, however, have

highest per woman family planning expenditures. Upon reviewing the complement of public funding sources and

how they are spent at the state level, the authors argue that categorical legislation is still needed to protect access

to contraceptive services in America. In particular, of funds from supporting statues, Medicaid is distributed most

equitable across the country. These funds paid for 36% of all public outlays for family planning in 1987. Without

categorical legislation, however, Medicaid is insufficient to maintain the national family planning effort; the 1987

contribution of $10.49/woman at risk of unwanted pregnancy was insufficient to provide minimum services. Title X

requires grantees to follow regulations which ensure state uniformity of quality and service distribution; submission

of annual 5-year plans to Congress on how family planning goals will be achieved; and also authorizes monies for

training and research. Despite political attacks, family planning funding must remain separate from maternal and

child health programs. Such independence will keep these services politically visible; allow use of the more

extensive family planning delivery system; catalyze states to spend other monies on family planning; and fuel

innovations in service delivery, client education, and new contraceptive technologies. Title X should even be

reauthorized under more precise mandates and include a national data collection system, consideration of the

shortage of clinicians, and codification of 1981 guidelines reversed by the gag rule. (PubHealth.info Document ID:

CONT3T 2524-06)

PubHealth.info NOTE: The author(s) of this article titled, "Financing family planning services: is categorical

legislation still needed?", is(are) McFarlane DR; Meier KJ. The source of this article is "AMERICAN JOURNAL OF

GYNECOLOGIC HEALTH. 1991 Sep-Dec;5(5-6):130-7.". This article was published in 1991 in English language(s).

(PubHealth.info® Document ID: CONT3T 2524-06. All rights reserved with PubHealth.info) PIN: 12524

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