How’s Iowa Doing? · * Percentage of the need for publicly funded contraceptive services met by Title X–funded clinics Decline in Title X Clients* -23% -49% -45% -15% -6% -4%

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How’s Iowa Doing?

Rachel Benson Gold

Guttmacher Institute

September 15, 2015

How’s Iowa Doing on…

• Unintended pregnancy

• Teens

• Publicly supported family planning

• Abortion

• STIs

• Pregnancy and childbirth

Twelve States of the Midwest

IL

MI

OH

MN WI

IA

ND

SD

NE IN

MO KS

2

Unintended Pregnancy

Unintended Pregnancy Rate*

49

49

49

36 38

39

41

46

41 43

46 43

Source Guttmacher Institute

Year 2010

47 (median)

Highest

Lowest

* Unintended pregnancy rate per 1,000 women 15-44

Insurance Coverage for Women of

Reproductive Age

3

Medicaid Enrollment*

17%

19%

18%

17% 21%

15%

10%

12%

10% 18%

13% 11% 15.6%

Source CPS, Guttmacher

Year 2012–2013, 2013

Highest

Lowest

* Percent of women aged 15-44 covered by Medicaid

Uninsured Women*

18%

16%

17%

11% 13%

14%

11%

20%

17% 19%

20% 19% 21%

Source CPS, Guttmacher

Year 2012–2013, 2013

Highest

Lowest

* Percent of women aged 15-44 uninsured

Teens

4

Source Guttmacher Institute

Year 2010

Teen Pregnancy Rate*

57

52

54

36 39

44

42

47

43 53

54 53 57.4

Highest

Lowest

* Pregnancies per 1,000 women aged 15–19

Medically Accurate Sex Education

Yes

Illinois

Iowa

Michigan

No

Indiana

Kansas

Minnesota

Missouri

Nebraska

North Dakota

Ohio

South Dakota

Wisconsin

Source Guttmacher Institute

Year 2015

Abortion

5

Abortion Rate*

17

15.3

12.9

10.7 7

9.7

9.5

3.9

7.2 7.3

5 12.5 16.9

Source Guttmacher Institute

Year 2011

Highest

Lowest

*Abortions per 1,000 women aged 15-44 by state of occurrence

Abortion Restrictions

Enacted Since 2011*

0

5

8

0 7

5

15

10

6 20

5 30 10 or more

1–9 Source Guttmacher Institute

Year 2015 *number of abortion restrictions enacted between 2011 and August 2015

Publicly Supported Family

Planning Services

6

Need Met by Title X Centers*

11%

14%

9%

17% 12%

29%

21%

14%

21% 8%

12% 17% 21%

Source Guttmacher Institute

Year 2013

Highest

Lowest

* Percentage of the need for publicly funded contraceptive services met by Title X–funded clinics

Decline in Title X Clients*

-23%

-49%

-45%

-15%

-6%

-4%

-18%

-28%

-25% -38%

-30% -34% -12%

Source Guttmacher Institute

Year 2013

Highest

Lowest

*Percent change in number of women receiving Title X–supported contraceptive services

between 2010 and 2013

Adopted ACA Medicaid Expansion

Yes

Illinois

Indiana

Iowa

Michigan

Minnesota

North Dakota

Ohio

No

Kansas

Missouri

Nebraska

South Dakota

Wisconsin

Source KFF

Year 2015

7

Has a Medicaid Family

Planning Expansion

Yes

Indiana

Iowa

Michigan

Minnesota

Missouri

Ohio

Wisconsin

No

Illinois

Kansas

Nebraska

North Dakota

South Dakota

Source Guttmacher

Year 2015

Medicaid Eligibility Level for

Family Planning Services*

138%

185%

205%

200% 306%

300%

138%

52%

54% 146%

206% 38%

Above 138% FPL Source Guttmacher, KFF

Year 2015

* Higher of income ceiling for full-benefit Medicaid or family planning-specific ceiling

8

Planned Parenthood’s Role in

Providing Family Planning Services*

30%

39%

52%

56% 58%

62%

0%

6%

30% 67%

38% 16% 36%

Source Guttmacher Institute

Year 2010

Highest

Lowest

*Percent of women receiving contraceptive care from safety-net family

planning health centers in 2010 served at Planned Parenthood centers

STIs

9

HPV Vaccine Uptake*

48%

41%

35%

43% 41%

38%

42%

33%

43% 44%

28% 25% 39.7%

Source CDC

Year 2014

Highest

Lowest

*Estimated vaccine coverage with ≥ 3 Doses of HPV

vaccine among adolescents girls aged 13-17

Expedited Partner Therapy*

Yes

Illinois

Indiana

Iowa

Michigan

Minnesota

Nebraska

North Dakota

Wisconsin

No

Kansas

Ohio

South Dakota

Source Guttmacher Institute

Year 2015 *For chlamydia and gonorrhea

Chlamydia Rates*

496

454

460

348 412

356

419

471

394 429

454 382 Highest

Lowest

*Reported cases per 100,000 population

446.6

Source CDC

Year 2013

10

Gonorrhea Rates*

128

107

144

72 80

48

70

94

75 109

125 75 Highest

Lowest

*Reported cases per 100,000 population

106.1

Source CDC

Year 2013

HIV Rate*

19

10

12

7 6

5

3

5

5 9

10 7 17.9

Source CDC

Year 2013

Highest

Lowest

*Diagnosed cases in adults and adolescents per 100,000 population

Pregnancy & Childbirth

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Medicaid Births*

56%

53%

49%

39% 43%

38%

29%

36%

43% 47%

50% 33% 50.5%

Source Guttmacher Institute

Year 2010

Highest

Lowest

*Percent of births paid for by Medicaid

Infant Mortality Rate*

6

7.1

7.3

5.1 6.3

4.3

6

6.5

5.2 7.2

6.5 6.5 5.96

Source NCHS

Year 2013

Highest

Lowest

* Infant deaths per 1,000 live births

IOWA SCORECARD Unintended pregnancy rate X

Insurance coverage (pre ACA) X

Teen pregnancy rate X

Sex education policy X

Abortion rate X

Number of new abortion restrictions X

Meeting the family planning need X

Family planning clients X

Medicaid eligibility for family planning X

HPV vaccine uptake X

Chlamydia rate X

Gonorrhea rate X

Expedited partner therapy policy X

HIV incidence X

Infant mortality rate X

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Thank you!

For more information, visit www.guttmacher.org