Update on National Data Sets Jennifer Frost Title X Grantee Meeting Seattle, Washington July 31, 2013
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Update on National Data Sets
Jennifer Frost Title X Grantee Meeting
Seattle, Washington
July 31, 2013
Data collection and analysis supported by
the Office of Population Affairs, DHHS,
under
Family Planning Research Cooperative Agreement
#FPRPA006050
Acknowledgments
• Contraceptive Needs and Services, 2010
– Women in Need, 2010
– Clients Served, 2010
– Impact of Services, 2010
• Women’s Use of SRH services and Sources
of Care, 2006-2010 (NSFG)
• Service Delivery Practices Among Clinics,
2010 (Guttmacher Clinic Survey)
New Guttmacher Data Available:
Contraceptive Needs and
Services, 2010 New Report and
Web-based Tables www.guttmacher.org/pubs/win/index.html
Contraceptive Needs and Services:
National, State and County-level Data
• Women in Need • Age (<18, 18-19, 20-29, 30+)
• Income (<100% FPL, 100-137%,
138%-200%%, 200-250%, 250%+)
• Race and ethnicity
• Uninsured by income*
• Numbers of Clinics • By provider type (total and Title X)
• Numbers of Female
• Clients Served • By provider type (total and Title X)
• Percent of need met*
• Impact* • Pregnancies, births and abortions
averted (total and Title X)
• Cost savings (total and Title X)
* Information at national and state-level only
nn
19 million women were in need of publicly
supported contraceptive services in 2010—
3 million more than in 2000
4.9
5.1
4.9
4.1
4.5
5.6
7.5
8.0
8.7
0 5 10 15 20 25
2000
2006
2010
No. of women in need of publicly funded contraceptive services and supplies (in millions)
Teenagers Poor* Low-income†
16.4
17.5
19.1
* Adult women with family income less than 100% of the federal poverty level.
Adult women with family income 100–249% of the federal poverty level.
8.9 million women received publicly
supported contraceptive services in 2010.
2.2M by private physicians
4.7M by Title X clinics
2M by non-Title X clinics
6.7M by publicly funded clinics
Because more women need care, the % of need
met by publicly supported providers has
declined.
25
27
28
10
14
12
12
13
8
0 10 20 30 40 50 60 70 80 90 100
2010
2006
2001
% of the need met by publicly funded providers
Title X clinics Non-Title X clinics Private doctors
47
54
48
[—————-—-—41———---——---—]
[———————--41———————---]
[———------———35—----—-————]
[—] All clinics
Between 2006 and 2010, the impact of publicly
funded contraceptive care increased.
• Numbers of unintended pregnancies averted are up by 15% compared to 2006 – due to changing contraceptive use patterns with and without access to services.
• Public cost savings from preventing unplanned births that would have been paid for by Medicaid have also increased.
In 2010, publicly supported services helped avert
2.2 million unintended pregnancies.
140
590
190
830
240
1,110
80
400
110
570
140
760
0 500 1,000 1,500 2,000 2,500
Teenagers
All
Teenagers
All
Teenagers
All
No. of events averted (in 000s)
Unplanned births Abortions Miscarriages
2,230
460
1,680
360
1,180
Among all publicly
funded clients
Among clinic
clients
Among Title X clinic
clients
260
Without publicly funded contraceptive services,
levels of unintended pregnancy would be much
higher.
35 36 42
15 15
16
16 19
15
0
10
20
30
40
50
60
70
80
All women Poor women* Teenagers
Potential % increase in U.S. unintended pregnancy levels
Private doctors Non-Title X clinics Title X clinics
66 73
70
[—
——
——
——
——
—]
[—] All clinics
[—
——
——
——
——
—]
[—
——
——
——
——
——
—]
*Women aged 20–44 with family income less than 100% of the federal poverty level.
50 51
58
Providing women the contraception
they want to help avoid pregnancies they
don’t want is cost-effective.
$5.3B
Savings
attributable
to Title X
sites
$10.5B
Total savings from publicly
funded family planning
Every $1 spent saves $5.68
Women’s Use of SRH services and
Sources of Care, 1995-2010 (NSFG)
Comparisons between Title
X Clinics, non-Title X Clinics
and Private Providers:
• SRH Services Received
• Mix of Services
• Payment Source for Care
• Provider/Client
Conversations
• Clinic as Usual Source of
Care
Distribution of Women by Source of Care for
Specific SRH Services Received in the Past Year,
2006-2010
77
75
71
71
63
59
50
23
9
10
13
15
18
18
14
31
11
11
12
12
15
17
15
21
3
3
3
2
3
6
21
25
0 20 40 60 80 100
Prenatal care
Pap test
Birth control method
Birth control check-up
Birth control counseling
STD testing or treatment
Test for HIV
EC pills or prescription
Private doctor Title X clinic Non–Title X clinic Other
Distribution of Women According to the Mix of
SRH Services Received, 2006-2010
38
27
18
9
10
8
26
22
28
15
19
14
3
4
5
9
17
28
0 20 40 60 80 100
Title X clinic
Non–Title X clinic
Private doctor/HMO
% distribution of women receiving SRH services
Contraceptive + STD/HIV Contraceptive + other Contraceptive only
STD/HIV Other only Pap/pelvic only
Among clinic clients, the percentage who report
the clinic is their usual source for medical care
63
54
72
68
61
70
70
64
52
52
71
67
0 20 40 60 80 100
Total
Non-Hispanic white Non-Hispanic black
Hispanic
U.S. born Foreign born
0–99% of FPL 100–249% of FPL
≥250% of FPL
Private insurance Medicaid/other public
None
% of women reporting clinic is usual source for care
Service Delivery Practices Among Clinics,
2010 (Guttmacher Clinic Survey)
Comparisons between Title
X and non-Title X Clinics;
and by Provider Type:
• Methods Available On-Site
• Dispensing Protocols
• Other Services/Screening
• Time Spent on Care
• Outreach and Community
Linkages
Getting and Starting a Method:
Title X Clinics Ahead of Others
86
74
72
49
94
39
58
61
34
82
0 10 20 30 40 50 60 70 80 90 100
Initial pill supply and refills on-site
Quick start protocol used often or sometimes
Pelvic exam delayed often or sometimes
EC dispensed ahead of time often or sometimes
Clinic purchases supplies and administers injectable on-site
% of clinics using specific protocol
Title X No Title X
Spending Time with Clients:
Title X Clinics Ahead of Others
37
46
51
55
31
35
38
44
10 20 30 40 50 60
25-year-old client
16-year-old client
Limited English client
Client with complex issues
Average number of minutes spent on counseling and exam, initial visit
Title X No Title X
Thank you!
For more information, visit www.guttmacher.org
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