5074.0 US Policies to Expand Reproductive Health

Wednesday, October 29, 2008: 8:30 AM
Health policies have significant, sometimes unexpected effects on reproductive health. This panel will address the consequences of different types of health policy decisions. The first panelist will discuss policies for dispensing oral contraceptives; analyzing the association between discontinuation and imperfect use of oral contraceptives and dispensing practices. Lessons learned from a program using GIS to evaluate and monitor California’s family planning program will be discussed, including examples of use of GIS to create maps and reports. Turning to Oregon, the effects of citizenship documentation requirements of the state family planning Medicaid waiver, FPEP (Family Planning Expansion Project), and the Deficit Reduction Act of 2005 will be described. The final panelist will explore the effects of health insurance coverage on the use of contraceptives and preventive gynecological services over time, concluding that efforts to increase access to reproductive health care have not benefited uninsured women, who remain vulnerable to unintended pregnancy and poor reproductive health outcomes.
Session Objectives: 1. Describe what the GIS is and what it does for public health research. 2. Analyze the issue surrounding why discontinuation and imperfect use of oral contraceptive pills is a leading cause of unintended pregnancy. 3. Discuss the FPEP in Oregon. 4. Explore the relationship over time between health insurance coverage and use of family planning and related preventive health services.
Diana Romero, PhD, MA

8:30 AM
Oral contraceptive pill dispensing policy and unintended pregnancy
Diana Greene Foster, PhD, Denis Hulett, Heike Thiel de Bocanegra, PhD, MPH, Michael Policar, MD, MPH and Phillip Darney, MD, MSc
8:50 AM
Using GIS as a tool to evaluate and monitor California's family planning program: Thinking spatially about contraception?
Sandy K. Navarro, Daria P. Rostovtseva, MS, Mary Bradsberry, Marina J. Chabot, MSc, Heike Thiel de Bocanegra, PhD, MPH and Phillip Darney, MD, MSc
9:30 AM
Effects of health insurance coverage on access to contraceptive and preventive gynecologic care
Christina I. Fowler, PhD, MPH, Janet B. Mitchell, PhD and Jiantong Wang, MS

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Population, Family Planning, and Reproductive Health
Endorsed by: Socialist Caucus, School Health Education and Services

CE Credits: CME, Health Education (CHES), Nursing