 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Claire Brindis, DrPH1, Lori A. Llewelyn, MPP2, Kate Marie, MPA2, Antonia Biggs, PhD3, Catherine Maternowska, PhD, MPH4, Jan Treat, PHN, MN5, and Anna Ramirez, MPH5. (1) Center for Reproductive Health Research and Policy, University of California at San Francisco, 3333 California Street; Suite 265, San Francisco, CA 94143-0936, 415-476-5255, brindis@itsa.ucsf.edu, (2) Center for Reproductive Health Research & Policy, University of California, San Francisco, 2000 O Street, Suite 200, Sacramento, CA 95814, (3) Center for Reproductive Health Research and Policy, University of California, San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94143-0936, (4) University of California, San Francisco, Center for Reproductive Health Research & Policy, 2000 O Street, Suite 200, Sacramento, CA 95814, (5) Office of Family Planning, State of California Department of Health Services, 714 P Street , Suite 440, Sacramento, CA 95814
The Family PACT (Planning, Access, Care and Treatment) Program, established in 1997, provides family planning reproductive health services for low-income adolescents and adults. Program evaluation measured access to services, developed a profile of users, identified service utilization patterns, and assessed the sensitivity of the health care system to the needs of adolescents. To assess the impact of Family PACT on adolescent access, data sources included baseline data on California’s previously established family planning services, enrollment and claims data for the first four years of Family PACT, client exit interviews and on-site observations.
In FY 2000/01, more than 260,000 adolescents were served under Family PACT, representing 21% of all clients served. Adolescent clients served increased from 100,000 in FY 1995/96 to more than 260,000 in FY 2000/01 (161% increase). The proportion of male adolescent clients increased from 1% to 11%. In FY 2000/01, Hispanics comprised 50% of adolescent clients, followed by 32% white, 9% African-American, 6% Asian, Filipino, or Pacific Islander. Over half were 18 or 19 years of age, 42% were 15-17 and 5% were under 15. Contraceptive methods most often dispensed were barrier methods (55% for females, 72% for males), oral contraceptives (44%), contraceptive injections (16%), and emergency contraceptives (7%); 57% received STI screening.
By linking eligibility determination to the delivery of services, removing cost barriers, increasing the numbers and types of providers offering publicly-funded services, and ensuring confidentiality, greater numbers of adolescents obtained needed reproductive health care, thus assuring an opportunity to reduce unintended pregnancies and sexually transmitted infections.
Learning Objectives:
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.