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At least 19 recordsLinked to original sources
PubMedDate not supplied

[HIV seroprevalence in patients seen at sexually-transmitted disease and family planning centers in Spain, 1995-1996. AIDS Programs of the Autonomic Communities and Network of sexually-transmitted disease, HIV and family planning centers].

BACKGROUND: The sexually-transmitted diseases (STD's) centers are good sentinels for monitoring the sexual transmitting of HIV. This study analyzes the results of voluntary HIV tests run in 1995 and 1996 within a network of STD, HIV and family planning centers in Spain. METHODS: Starting as of 1995, a questionnaire was sent out yearly to said centers for recording the number of individuals found to have HIV the previous year and the number of those who are proven to be HIV positive. A calculation of HIV incidence was based as a function of sex and the main HIV transmission categories. RESULTS: Eighty-one centers answered the survey in 1995, 78 having done so in 1996. Ninety-five percent of these centers ran the HIV test at the request of the interested parties. At the 39 centers which provided data regarding the HIV tests conducted in 1996, a total of 15,964 individuals had been tested. Positive: 4.8% (n = 760) (CI: 4.4%-5.1%). The HIV seroprevalence was higher for males (5.9%) than for females (2.6%; p, 0001). The highest HIV seroprevalence was found among injecting drug users (IDU's) (18.7%). On comparing HIV seroprevalence in 1995 with that of 1996, drops were detected in the number of homosexual/bisexual men from 7.4% to 6.1% (p = 0.049) and in women prostitutes, from 2.0% to 1.3% (p = 0.034). The Sexual partners of IDUs went from 3.4% to 4.6% (p = 0.267). CONCLUSIONS: These results provide a nationwide reference regarding HIV incidence among populations having high-risk sexual relations. The trend therein is favorable among homosexual/bisexual men and female prostitutes.

Adult↗
PubMedDate not supplied

Delivery of primary care services among family planning centers: a response to managed care?

Previous case studies indicate that some family planning centers are transforming themselves into providers of primary care services, in part as a strategy to attract managed care contracts. Data for 98 family planning centers from the 1994 National Survey of Women's Health Centers and supplementary sources are used to explore the factors associated with managed care contracting. Although some organizational-level factors are predictive, no cross-sectional association was found between providing primary care and managed care contracting, which suggests family planning centers are not using primary care as a major contracting strategy.

Analysis of Variance↗
PubMed2005

[A prospective study of the provision of emergency contraception in French family planning centers].

OBJECTIVES: To describe emergency contraception provision, including the efficacy of the method, in family planning centers in suburban Paris two years after the method became available without a prescription. PATIENTS AND METHODS: A prospective study involving two questionnaires was conducted between September 2001 and July 2002 in 27 family planning centers in the Val-de-Marne region. The first questionnaire was completed at the time emergency contraception was dispensed and the second one upon a follow-up visit. Efficacy was calculated for both perfect use (only one act of unprotected intercourse in the current menstrual cycle, emergency contraception treatment initiated within 72 hours) and typical use (including multiple acts of unprotected intercourse in the cycle and/or treatment initiated after 72 hours). RESULTS: A total of 519 requests for emergency contraception was recorded, resulting in the provision of 518 treatments. The women requesting emergency contraception were young (96% under the age of 25) and cited unprotected intercourse and problems with condom use as the main reasons for the request. Information regarding the outcome of emergency contraception treatment was available in 77% of the cases, and a failure rate of 1.9% was observed with perfect use and 2.7% with typical use. DISCUSSION AND CONCLUSIONS: This prospective study of emergency contraception prescription in family planning centers confirms data on the efficacy and safety of the method observed in similar environments. The failure rate associated with typical use is higher than that observed with perfect use.

Adult↗
PubMed2006

[Ambulatory medical abortion performed in a family planning center].

In France, since 2001, medical abortion can be performed in ambulatory conditions, provided an agreement is signed with a hospital serving as referral for complications or failures of the method. This study, reports on the experience of a family planning center (NGO MFPF, Mouvement français de planning familial) in partnership with Delafontaine Hospital in Saint-Denis. In 2004, the MFPF has managed 161 cases of ambulatory medical abortion using a protocol of 200mg of mifepristone on day 1 and 400 to 800 microg of misoprostol on day 3, with possibility for the women to stay at home or go to the hospital for the expulsion. The average age of the women was 24 years and the proportion of young and vulnerable women quite high. The rate of success, defined as the absence or surgical intervention, approached 94.5% and only one case of severe complication was reported, massive hemorrhage 40 days after the initial intake of misoprostol. 75% of women chose to stay home. Acceptance of the method was very good with minimal request for more consultations than the three visits proposed in the protocol. The quality of the follow-up was high with 82% of women attending the medical check, with no difference being observed with regard to age, obstetrical history or socio-economic groups. Ambulatory medical abortion was successful and safe even among vulnerable women. NGOs with multidisciplinary staff involving counsellors, nurses and doctors can offer high quality preparation and follow-up.

Abortifacient Agents, Steroidal↗
PubMed1996

Chlamydia trachomatis screening in family planning centers: a review of cost/benefit evaluations in different countries.

Chlamydia trachomatis is a primary cause of acute or silent salpingitis leading to infertility and ectopic pregnancy. The C. trachomatis epidemic, undiscovered in most cases, spreads, mostly in adolescents, during the years following the onset of sexual activity. As opposed to gonococcal infection which has greatly decreased, C. trachomatis cervical and urethral infection is common in young occidentals. More then 30 different studies covering 200-12,000 subjects screened in family planning centers, college women and men, students and military recruits in different parts of the USA, in Scandinavian countries and France, indicate a prevalence of 5-20% (mean 10%) in apparently healthy young females < 25 years and 5-10% in males. Female prevalence is strongly related to age, being highest (15-20%) in women < 20 years old. Several cost-benefit analyses show that the total cost of the general screening in young populations, which can easily be carried out for women in family planning centers, could save twice the cost of treatment for pelvic inflammatory disease caused by C. trachomatis and six times the total cost of C. trachomatis epidemics if late sequelae are taken into account (tubal infertility treatment, ectopic pregnancy). There is a debate among authors concerning the relative merits of total screening versus selective screening in family planning centers, the most common opinion being to do a total screening of women < 20 years old and selective screening of women 20-30 years of age with at least one risk factor, the most common risk factors being more than one partner in a year, purulent, cervical discharge, failure to use condoms and use of a contraceptive pill. Although the data clearly show that C. trachomatis screening is cost-effective, conducting of the diagnostic laboratory tests used in such screening programs should be carefully evaluated relative to cost, feasibility, specificity and sensitivity and should be adapted to the presumed prevalence in screened populations.

Adolescent↗
PubMed1993

[Epidemiology of Chlamydia trachomatis in a population attending a family planning center].

OBJECTIVE: To know the prevalence of Chlamydia trachomatis in a population attending a Family Planning Center, as well as the distribution of said prevalence in relationship with different variables. METHODS: This was a prevalence study, population-based. So all females over 14 years old who consulted the Planning Center were admitted into the study. We used enzyme-immune assay and DNA probe to identify the microorganism. The statistical analysis used chi 2 and Fisher's exact test when needed. For the confidence intervals, Cornfield's test was used. RESULTS: Of the 2,408 female who participated in the study we found a prevalence of 5.1% this percentage was even higher on the 15 to 21 years old segment: 7.47% p < 0.05. Being single and belonging to the group of non-qualify workers yielded a relative risk of 1.49 and 1.66 respectively. CONCLUSIONS: The prevalence we have found is higher to the one found in different publications in our country, a study to determine Chlamydia trachomatis should be performed in all sexually active women between 15 and 30 years old.

Adolescent↗
PubMed1987

[Young girls and contraception. A survey conducted in the MFPF family planning center, Strasbourg, in 1985].

The results of a survey on contraception among 513 adolescent women attending a family planning clinic in Strasbourg, France, in 1985 are presented. "Eighty percent of them were attending school. In over half the cases, this was their first consultation for contraceptive advice. 33% of the subjects did not return after this initial consultation. The age at which sexual intercourse first occurred was between 14 and 17, with a peak at 15-16 years of age. Most of the girls attending this Family Planning Center were told about it by friends or a sister (78%) and they rarely told their parents what they were doing (76%). Most of them (63%) preferred a woman doctor for a contraceptive consultation." (SUMMARY IN ENG)

Adolescent↗
PubMed1996

[Family planning centers in France: health resource centers for adolescents and young adults].

Family planning centres can play a more extensive role than simple reproductive health, in particular for adolescents and young adults. They can become true health and counseling centres. In France, state supported family planning centres were officially created in 1972; they had been preceded by initiatives developed by non-profit associations. The centres have both educational and medical functions, in the areas of contraception and fight against sterility; since 1990 they have also integrated STD (sexually transmitted diseases) prevention and treatment into their mandates. Family planning centres offer free consultations to adolescent minors, without requiring adult authorization. Overall, young people under the age of 20 account for 25 to 40% of the family planning centre clientele, although they represent only 16% of the potential user population. Females are more likely to frequent the centres than males: one young women in 10 under 20 consults per year, as opposed to only one young man in 400. This is the case for 3 centres in the north of France, which were the objects of the study presented here. In the centres participating in the study, 80% of the clientele were under 20, with the vast majority being under 128 years of age. The availability of contraceptive devices has evidently reduced the reasons for frequenting the centres. As 1 youth in 4 is not yet sexually active however, the preventive role for these centres is obvious and well recognised by the young people. The study indicated that one adolescent among 17 frequents the centres for either health problems or counseling not necessarily having to do with sexuality; some go merely to find someone to talk to. Reasons for these choices most often cited are the assurance of confidentiality and lack of fees. The availability of counsellors, the possibility to consult alone or in a group the possibility to consult without an appointment, the quality of the reception, and the central location of the centres were also cited as important. What the young people appreciated in the family planning centres is exactly what they seek in general health service centres. It is not surprising, therefore, that they use the family planning centres as primary care structures.

Adolescent↗
PubMed1995

[Adolescents and chlamydia: cervix microbiology among adolescents; the first statistics of the family planning centers according to the Calmat law].

Infertility due to Chlamydia trachomatis infection can be prevented by systematic screening of low genital tract infection. This screening is to be done systematically in women < 25 years old in Family Planning Centers. In France, according to Calmat's low, screening and treatment are anonymous and free of charges for adolescents and people without National Health care. In a foreseeable future, screening will be done for both sexes, by PCR or LCR, on first void urines.

Adolescent↗
PubMed1994

Analysis of 369 abortions conducted by mifepristone (RU486) associated with sulprostone in a French family planning center.

OBJECTIVE: To investigate the use of oral mifepristone (RU486; Roussel-Uclaf, Paris, France) associated with IM injection of sulprostone (Schering, Lys-Lez-Lannoy, France) for the induction of legal abortion (7 weeks of amenorrhea in France). DESIGN: An uncontrolled observational study. SETTING: A public family planning center in Paris. PATIENTS: Three hundred sixty-nine (369) pregnant women with up to 7 weeks amenorrhea undergoing legal abortion. INTERVENTIONS: Six hundred milligrams (600 mg) of oral mifepristone followed 48 hours later by an IM injection of 250 micrograms of sulprostone. MAIN OUTCOME MEASURES: Frequency of complete abortion and the need for subsequent surgical evacuation, hospitalization, and blood transfusion. Measurement of the beta-hCG concentration before and 14 days after the oral administration of mifepristone. RESULTS: There was complete abortion in 93.2% of the cases. Of the 25 failures, 8 were continued pregnancies, 6 terminated pregnancy but without expulsion of the conceptus, and 11 were placenta retentions. Eight women required short hospitalization, but none needed blood transfusion. Among the 25 failures, 23 had a beta-hCG concentration > 500 IU/mL [sensitivity 92%, specificity 83%]. CONCLUSION: The sequential use of oral mifepristone and IM injection of sulprostone is effective in inducing abortion up to 7 weeks of amenorrhea. Nevertheless the risk of maternal morbidity associated with sulprostone and also the risk of fetal malformations in cases of continued pregnancy indicate that this method should only be used in specialist centers.

Abortion, Induced↗
PubMed1992

[20 years of a sex education clinic. Are family planning centers still needed?].

The Sexual Information Clinic in Oslo was founded more than 20 years ago. The clinic is the largest family planning centre in Norway, treating 4,000-6,000 patients per year. In recent years the treatment of venereal diseases has become the major component of the daily work. The authors describe the different groups of patients who visit the clinic. The meanage of the patients is 21 years. The high number of legal abortions among younger women and the rising incidence of sexually transmitted diseases prove the continued existence of a need for family planning centres. The authors discuss the situation of family planning centres in Norway in general and stress the importance of their work. They argue that all venereal diseases should be treated free of charge.

Adolescent↗