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At least 19 recordsLinked to original sources

Preventive health services: Family planning.

Family planning in the United States has been a noteworthy success. More than 80 percent of the married women aged 15 to 44 are regular users of contraceptives. Further, virtually all primary care physicians provide contraceptives or family planning services, and there are now an estimated 4,000 family planning clinics in the country receiving support under the Title X Family Planning Authority. Despite this record of success, serious family planning problems remain. Of the slightly more than three and one half million births, an estimated one million are unplanned. More than one million pregnancies are terminated by legal abortion. Certain subgroups of the population have disproportionately high risks of unintended pregnancy. For example, unplanned births are almost twice as frequent among poor as among nonpoor women; one of every four births to black women is unintended versus one in ten to white women; and teenagers, women with language barriers, and women living in rural areas and on Indian reservations experience high rates of unintended pregnancy.

Adolescent↗

Balance in family planning.

Family planning has been so effective in Singapore that a risk exists of there being too few young people to sustain the country's economy in the twenty-first century. Relaxation of birth control policies and immigration laws offers hope that this problem will be averted.

Family Planning Services↗

Perception of and attitudes toward the Nigerian federal population policy, family planning program and family planning in Kaduna State, Nigeria.

This paper discusses the perceptions of the Nigerian population policy, family planning program and family planning using data obtained from a 1995 survey of 600 Atyap women aged 15-49 years, in Nigeria. Additional qualitative data were obtained from married and unmarried women and men, clergymen, government officials, and respected community elders. The predominantly Christian and rural Atyap community generally accepts modern contraception and the need for family size reduction but considers the "four-is-enough" policy to be unacceptable. Religion may be important in determining the success of the federal government to reduce family size to four children by the year 2000.

Adolescent↗

Freedom of choice: Medicaid, managed care, and California family planning clinics.

Access to out-of-plan family planning services for Medicaid beneficiaries enrolled in managed care plans in California has been limited by poor relationships between family planning clinics and contracting managed care plans. Plans either delay or fail to reimburse claims from non-network family planning agencies; family planning staff are unmotivated to identify managed care members through financial screening, to cover costs with other funds, or to refer members back to plan. In addition, plans and clinics fail to coordinate the care of managed care clients by sharing medical records. Based on findings from a pilot project, California will try to facilitate relationships between plans and family planning agencies rather than directly pay out-of-plan claims.

California↗

A multicenter study of the clinical performance of the Ortho Gyne-T380 Slimline intrauterine device in routine use in general practice and family planning clinics. UK Family Planning Research Network.

In a multiclinic use-effectiveness study, 505 parous women were fitted with an Ortho Gyne-T380 Slimline intrauterine device (IUD). Gross cumulative event rates, calculated by the Tietze-Potter life-table method, show the device to have a very low pregnancy rate and a low expulsion rate. The rate of removal following complaints of bleeding and/or pain was high. The incidence of infection was low and more likely to occur among younger users. The older parous women were more likely to have a satisfactory experience of IUD use than younger users. In accordance with current advice, and following a full discussion with the client, long-term use of the device beyond the manufacturer's recommended time period will continue among satisfied users.

Adult↗