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Womens Health Issues. 2011 Nov-Dec;21(6):418-24. doi: 10.1016/j.whi.2011.05.008. Epub 2011 Jul 30.

Estimating the fertility effect of expansions of publicly funded family planning services in California.

Author information

  • 1UCSF Bixby Center for Global Reproductive Health, San Francisco, California 94612, USA. fosterd@obgyn.ucsf.edu

Abstract

OBJECTIVE:

To estimate the number of unintended pregnancies averted through the provision of family planning services to low income women in Family PACT, California's Medicaid waiver program.

STUDY DESIGN:

We use a Markov model to estimate the number of pregnancies in the absence of Family PACT based on the contraceptive method mix used before program enrollment, and pregnancies in the presence of the program, based on method dispensing claims.

RESULTS:

Nearly 1 million (998,084) women were provided with contraceptives in Family PACT in 2007. Contraceptive services averted over an estimated 286,700 unintended pregnancies including 122,000 abortions, 133,000 unintended births, and over 40,000 births among teens.

CONCLUSION:

This conservative measure of the effect of Family PACT on unintended pregnancies indicates the benefit of expanding access to contraceptive services, an example for other states considering expanding access to family planning services through a state plan amendment under health care reform.

Copyright © 2011 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

PMID:
21802962
[PubMed - indexed for MEDLINE]
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