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  • Title: Organized family planning services in the United States, 1976-1977.
    Author: Torres A.
    Journal: Fam Plann Perspect; 1979; 11(6):342-7. PubMed ID: 401079.
    Abstract:
    In 1977, an estimated 4.2 million women received contraceptive services from organized family planning programs in the United States. The number of patients has grown each year since the late 1960s, but since 1973, growth has slowed concurrently with a diminished increase in the level of federal funding for family planning services. The proportion of clinic patients who are teenagers increased from 20 percent in 1969 to 31 percent in 1977. An estimated 1.3 million adolescents received services in 1977, compared with just 214,000 in 1969. Contraceptive services were provided during 1977 by 2,574 agencies at some 5,300 clinic sites. Health departments served 42 percent of all family planning patients; Planned Parenthood affiliates served 27 percent; hospitals served 13 percent; and community action groups, free clinics, neighborhood health centers and women's health programs together served 18 percent. Federal expenditures for medical family planning services provided by organized clinics and private physicians rose from an estimated $13.5 million in 1968 to $239.1 million in 1977. Estimated federal expenditures for clinic services were $192.5 million--three-quarters of the total $252.6 million in public and private expenditures for such programs. Federal project grant funds under Title X of the Public Health Services Act accounted for 42 percent of all medical family planning expenditures in clinics, and for 55 percent of all federal funds expended for this purpose. These findings are based on data from the most recent study of the organized family planning service network conducted by The Alan Guttmacher Institute (AGI) for 1977.(ABSTRACT TRUNCATED AT 250 WORDS) In 1977 about 4.2 million women received contraceptives from organized family planning programs in the U.S., according to a study conducted by the Alan Guttmacher Institute. The number of women served in family planning clinics has increased from 863,000 in 1968 to 4,215,000 in 1977, although since 1972 the rate of increase has slowed. About 31% of patients in 1977 were under 20, compared to 20% in 1969. Contraceptive services were provided by 2574 public and private agencies at 5270 different locations. 42% of women receiving family planning services from organized programs in 1977 received them from health departments, 27% from Planned Parenthood affiliates, 13% from hospitals and 18% from other agencies. Health departments constituted 58% of providers although they served only 42% of patients, while Planned Parenthood affiliates, with 7% of providers, served 27% of patients. Federal expenditures for medical family planning services provided by organized clinics and private physicians rose from an estimated $13.5 million in 1968 to $239.1 million in 1977, and estimated federal expenditures for clinic services were $192.5 million. Title X project grants are the main source of federal funds for family planning services, but increases in project grants since 1973 have been modest. Other sources of federal support are the Maternal and Child Health program under Title V of the Social Security Act, and Medicaid and Social Service programs. Details about these funding sources are presented. 76% of expenditures for medical family planning services in organized clinics came from federal sources, 9% from state funds, and 15% from patient fees and private contributions.
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