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August 2004, Vol 94, No. 8 | American Journal of Public Health 1341-1346
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Expanded State-Funded Family Planning Services: Estimating Pregnancies Averted by the Family PACT Program in California, 1997–1998

Diana Greene Foster, PhD, Cynthia M. Klaisle, MSN, NP, Maya Blum, MPH, Mary E. Bradsberry, BA, Claire D. Brindis, DrPH and Felicia H. Stewart, MD

The authors are researchers at the University of California, San Francisco, Center for Reproductive Health Research and Policy.

Correspondence: Requests for reprints should be sent to Diana Greene Foster, PhD, University of California, San Francisco, 2356 Sutter St, Suite 200, UCSF Box 1744, San Francisco, CA 94143-1744 (e-mail: greened{at}obgyn.ucsf.edu).

Objectives. The California Family Planning, Access, Care, and Treatment Program was implemented in 1997 to provide family planning services for uninsured, low-income women and men. We estimated the impact on fertility of providing 500 000 women with contraceptives.

Methods. Paid claims and medical record review data were used to estimate pregnancies averted. Pregnancies women experienced while enrolled in the program and pregnancies they would have experienced given methods used before enrollment were modeled as a Markov process.

Results. One year of Family Planning, Access, Care, and Treatment services averted an estimated 108 000 unintended pregnancies that would have resulted in 50 000 unintended births and 41 000 induced abortions.

Conclusions. Providing contraceptives to low income, medically indigent women significantly reduced the number of unintended pregnancies in California.




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