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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: 1968




CATEGORY: Contraception (Birth Control) and Family Planning



TITLE



Family planning programs in the U.S.



AUTHORS

Jaffe FS; Guttmacher AF


SOURCE

Demography 5: 910-920. 1968.



ABSTRACT

The organizational and financial problems facing the American family planning movement are described. Family

planning services are provided in the context of a medical economy dominated by private practice which perpetruates

the division between curative and preventive medicine. The care available to the needy is primarily for emergency or

chronic conditions, and offers even less access to preventive services than is available to higher income individuals.

A unified health care system, into which family planning services could be integrated is nonexistent, but the last

decade has seen the rapid transformation of public policy and attitudes towards support of a national family planning

policy. The substantial degree of fertility control displayed by most Americans is evidence more of their desire to

limit family size than of the effectiveness of health programming. In 1965, 84% of all married white women aged 18-

39 had used some method of contraception and 90% either had used or expected to use birth control after the birth of

additional wanted children. Comparable indices for nonwhite couples were 77% and 86%. However, two out of five

couples were found to rely on methods of doubtful effectiveness, particularly those whose income limited their

access to medical care. The National Academy of Sciences has suggested that American population growth since

World War II has been the result of a preference for larger families among those who choose the number of children

they have rather than by high fertility rates among the impoverished segment of the population. U.S. family planning

programs are characterized by two distinct objectives: 1) increased efficiency of contraceptive practive for all couples

of childbearing age to eliminate unwanted births and improve spacing control; 2) "catch-up" programs to provide low-

income couples with economic access to modern methods of birth control. However, studies show that nearly 40%

of births among the poor and near-poor are unwanted compared to 14% among the nonpoor. It has been estimated

that a possible three-fourths of excess fertility could be prevented by perfertly efficient contraception. Some degree of

immediate improvement might be achieved if physicians routinely offered family planning instruction rather than

waiting until the patient has requested it. In the last several years, a program to create an adequate network of

facilities providing modern family planning servies for a defined population (the poor) has become the key issue of

domestic policy. Due to the close relation between high fertility and the incidence of poverty and infant mortality, the

extension of services to low-income persons who would have no other access to them has become the immediate

objective of Federal policy and has been assigned highest priority by Planned Parenthood. The implementation of a

national "closing the gap" program requires that family planning be assigned high priority at all levels of government

which would lead to a major redirection of effort and resources, coupled with the development of adequate

professional incentives. The cost of delivering modern services to five million low-income couples is estimated at

150-200 million dollars a year, compared to annual governmental expenditures on health care totaling more than 16

billion dollars. (PubHealth.info Document ID: CONT9T 1042-06)



PubHealth.info NOTE: The author(s) of this article titled, "Family planning programs in the U.S.", is(are) Jaffe FS;

Guttmacher AF. The source of this article is "Demography 5: 910-920. 1968.". This article was published in 1968 in

English language(s). (PubHealth.info® Document ID: CONT9T 1042-06. All rights reserved with PubHealth.info) PIN:

41042





 

 

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