Background. To improve access for low-income women to state-funded family planning services, California created the Family PACT program in 1997 which expanded service delivery to include all Medicaid providers. Over 2,000 providers participate in this program. Methods. This evaluation compares the quality of education and counseling provided by 45 randomly selected private practices with 57 agencies representing community clinics, public agencies, and federally qualified health centers. Using a structured data collection tool, trained observers accompanied up to three Family PACT clients throughout their family planning visit at each of the 102 selected providers. The clients' perception of their visit was also elicited. Results. 306 family planning clients, half of whom were Spanish-speaking, were observed. Information was recorded on the family planning methods presented, STI and preventive health education, the extent and quality of method and pregnancy counseling, the educational materials distributed, the informed consent process, and the protection of confidentiality. Conclusion. The evaluation concluded that both private and public/non-profit providers provided adequate education and counseling as defined by the Family PACT program. Clients were largely satisfied with the education and counseling they receive. However, clients wanted to receive more information on STIs. The education and counseling delivered by private practice providers was not as extensive as that of the public/non-profit providers.
Learning Objectives: 1. Identify key features of the Family Pact Program 2. Identify strengths and deficiencies in the family planning education and counseling delivered to low income women. 3. Understand differences in how family planning education and counseling is delivered in private practices and public/non-profit providers. 4. Understand the education and counseling expectations of Hispanic family planning clients
Keywords: Family Planning, Hispanic
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: California Family Health Council, Inc
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employer