Family Planning Program

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Tania Barham - One of the best experts on this subject based on the ideXlab platform.

  • enhancing cognitive functioning medium term effects of a health and Family Planning Program in matlab
    American Economic Journal: Applied Economics, 2012
    Co-Authors: Tania Barham
    Abstract:

    It is believed that early life circumstances are crucial to success later in life. Yet causal evidence that the impacts of early childhood health interventions continue into late childhood and adolescence is sparse. This paper exploits a quasi-random placement of the Matlab Maternal and Child Health and Family Planning Program in Bangladesh to determine whether children eligible for child health interventions in early childhood had better cognitive functioning at ages 8-14. I find a Program effect of 0.39 standard deviations on cognitive functioning and similar effects for height and educational attainment (JEL I15, I18, J13, J18, O15).

  • enhancing cognitive functioning medium term effects of a health and Family Planning Program in matlab
    American Economic Journal: Applied Economics, 2012
    Co-Authors: Tania Barham
    Abstract:

    It is believed that early life circumstances are crucial to success later in life. Yet causal evidence that the impacts of early childhood health interventions continue into late childhood and adolescence is sparse. This paper exploits a quasi-random placement of the Matlab Maternal and Child Health and Family Planning Program in Bangladesh to determine whether children eligible for child health interventions in early childhood had better cognitive functioning at ages 8–14. I find a Program effect of 0.39 standard deviations on cognitive functioning and similar effects for height and educational attainment (JEL I15, I18, J13, J18, O15).

Heike Thiel De Bocanegra - One of the best experts on this subject based on the ideXlab platform.

  • trends in cervical cancer screening in california s Family Planning Program
    Journal of Lower Genital Tract Disease, 2018
    Co-Authors: Heike Thiel De Bocanegra, Sandy Navarro, Narissa J Nonzee, Sitaram Vangala, Xinkai Zhou, Charlene Chang, Annabarbara Moscicki
    Abstract:

    ObjectiveGuidelines recommend 3-year cervical cancer screening intervals to avoid unnecessary invasive procedures; however, regular testing remains critical. We evaluated trends in cervical cancer screening among low-income women receiving Family Planning–related services and their association with

  • challenges in translating evidence to practice the provision of intrauterine contraception
    Obstetrics & Gynecology, 2008
    Co-Authors: Cynthia C Harper, Maya Blum, Heike Thiel De Bocanegra, Joseph J Speidel, Michael Policar, Philip D. Darney, Eleanor A Drey
    Abstract:

    OBJECTIVE: Intrauterine contraception is used by many women worldwide, however, it is rarely used in the United States. Although available at no cost from the state Family Planning Program for low-income women in California, only 1.3% of female patients obtain intrauterine contraceptives annually. This study assessed knowledge and practice patterns of practitioners regarding intrauterine contraception. METHODS: We conducted a survey among physicians, nurse practitioners, and physician assistants (n=1,246) serving more than 100 contraceptive patients per year in the California State Family Planning Program. The response rate was 65% (N=816). We used multiple logistic regression to measure the association of knowledge with clinical practice among different provider types. RESULTS: Forty percent of providers did not offer intrauterine contraception to contraceptive patients, and 36% infrequently provided counseling, although 92% thought their patients were receptive to learning about the method. Regression analyses showed younger physicians and those trained in residency were more likely to offer insertions. Fewer than half of clinicians considered nulliparous women (46%) and postabortion women (39%) to be appropriate candidates. Evidence-based views of the types of patients who could be safely provided with intrauterine contraception were associated with more counseling and method provision, as well as with knowledge of bleeding patterns for the levonorgestrel-releasing intrauterine system and copper devices. CONCLUSION: Prescribing practices reflected the erroneous belief that intrauterine contraceptives are appropriate only for a restricted set of women. The scientific literature shows intrauterine contraceptives can be used safely by many women, including postabortion patients. Results revealed a need for training on updated insertion guidelines and method-specific side effects, including differences between hormonal and nonhormonal devices. LEVEL OF EVIDENCE: III.

  • challenges in translating evidence to practice the provision of intrauterine contraception
    Obstetrics & Gynecology, 2008
    Co-Authors: Cynthia C Harper, Maya Blum, Heike Thiel De Bocanegra, Joseph J Speidel, Michael Policar, Philip D. Darney, Eleanor A Drey
    Abstract:

    Intrauterine contraception is used by many women worldwide however it is rarely used in the United States. Although available at no cost from the state Family Planning Program for low-income women in California only 1.3% of female patients obtain intrauterine contraceptives annually. This study assessed knowledge and practice patterns of practitioners regarding intrauterine contraception. We conducted a survey among physicians nurse practitioners and physician assistants (n = 1246) serving more than 100 contraceptive patients per year in the California State Family Planning Program. The response rate was 65% (N = 816). We used multiple logistic regression to measure the association of knowledge with clinical practice among different provider types. Forty percent of providers did not offer intrauterine contraception to contraceptive patients and 36% infrequently provided counseling although 92% thought their patients were receptive to learning about the method. Regression analyses showed younger physicians and those trained in residency were more likely to offer insertions. Fewer than half of clinicians considered nulliparous women (46%) and postabortion women (39%) to be appropriate candidates. Evidence-based views of the types of patients who could be safely provided with intrauterine contraception were associated with more counseling and method provision as well as with knowledge of bleeding patterns for the levonorgestrel-releasing intrauterine system and copper devices. Prescribing practices reflected the erroneous belief that intrauterine contraceptives are appropriate only for a restricted set of women. The scientific literature shows intrauterine contraceptives can be used safely by many women including postabortion patients. Results revealed a need for training on updated insertion guidelines and method-specific side effects including differences between hormonal and nonhormonal devices. (authors)

Cuntong Wang - One of the best experts on this subject based on the ideXlab platform.

  • history of the chinese Family Planning Program 1970 2010
    Contraception, 2012
    Co-Authors: Cuntong Wang
    Abstract:

    Abstract Background China launched a nationwide Family Planning Program offering birth control methods and Family Planning services in the 1970s. Promotion of the widespread use of long-term contraceptive methods has been one of the Program's core strategies. This paper reviews the history of China's Family Planning Program at the national level from 1970 to 2010. Special attention is paid to the history of contraception policy. Study Design This study provides an overview of the last four decades of the Chinese Family Planning Program. Programmatic goals are highlighted during different time periods, with special attention being paid to the role of contraceptive use and the history of contraceptive policy. Results The Chinese Family Planning Program has experienced several transitions. It has evolved from the 1970s period of moderate policy, represented by wan, xi, shao (late marriage and childbearing, birth spacing and limited fertility), through the strict one-child policy of 1979 to the early 1990s. From the mid-1990s to the present, a relatively lenient policy has been in force, characterized by client-centered informed choice. Conclusions The success of the Chinese Family Planning Program has long been heavily dependent on policies advocated by the central government, including Programs promoting contraception to reduce fertility rates. The Program also depended on a logistical support system, including organizational safeguards and free provision of contraception and Family Planning services.

Eleanor A Drey - One of the best experts on this subject based on the ideXlab platform.

  • challenges in translating evidence to practice the provision of intrauterine contraception
    Obstetrics & Gynecology, 2008
    Co-Authors: Cynthia C Harper, Maya Blum, Heike Thiel De Bocanegra, Joseph J Speidel, Michael Policar, Philip D. Darney, Eleanor A Drey
    Abstract:

    OBJECTIVE: Intrauterine contraception is used by many women worldwide, however, it is rarely used in the United States. Although available at no cost from the state Family Planning Program for low-income women in California, only 1.3% of female patients obtain intrauterine contraceptives annually. This study assessed knowledge and practice patterns of practitioners regarding intrauterine contraception. METHODS: We conducted a survey among physicians, nurse practitioners, and physician assistants (n=1,246) serving more than 100 contraceptive patients per year in the California State Family Planning Program. The response rate was 65% (N=816). We used multiple logistic regression to measure the association of knowledge with clinical practice among different provider types. RESULTS: Forty percent of providers did not offer intrauterine contraception to contraceptive patients, and 36% infrequently provided counseling, although 92% thought their patients were receptive to learning about the method. Regression analyses showed younger physicians and those trained in residency were more likely to offer insertions. Fewer than half of clinicians considered nulliparous women (46%) and postabortion women (39%) to be appropriate candidates. Evidence-based views of the types of patients who could be safely provided with intrauterine contraception were associated with more counseling and method provision, as well as with knowledge of bleeding patterns for the levonorgestrel-releasing intrauterine system and copper devices. CONCLUSION: Prescribing practices reflected the erroneous belief that intrauterine contraceptives are appropriate only for a restricted set of women. The scientific literature shows intrauterine contraceptives can be used safely by many women, including postabortion patients. Results revealed a need for training on updated insertion guidelines and method-specific side effects, including differences between hormonal and nonhormonal devices. LEVEL OF EVIDENCE: III.

  • challenges in translating evidence to practice the provision of intrauterine contraception
    Obstetrics & Gynecology, 2008
    Co-Authors: Cynthia C Harper, Maya Blum, Heike Thiel De Bocanegra, Joseph J Speidel, Michael Policar, Philip D. Darney, Eleanor A Drey
    Abstract:

    Intrauterine contraception is used by many women worldwide however it is rarely used in the United States. Although available at no cost from the state Family Planning Program for low-income women in California only 1.3% of female patients obtain intrauterine contraceptives annually. This study assessed knowledge and practice patterns of practitioners regarding intrauterine contraception. We conducted a survey among physicians nurse practitioners and physician assistants (n = 1246) serving more than 100 contraceptive patients per year in the California State Family Planning Program. The response rate was 65% (N = 816). We used multiple logistic regression to measure the association of knowledge with clinical practice among different provider types. Forty percent of providers did not offer intrauterine contraception to contraceptive patients and 36% infrequently provided counseling although 92% thought their patients were receptive to learning about the method. Regression analyses showed younger physicians and those trained in residency were more likely to offer insertions. Fewer than half of clinicians considered nulliparous women (46%) and postabortion women (39%) to be appropriate candidates. Evidence-based views of the types of patients who could be safely provided with intrauterine contraception were associated with more counseling and method provision as well as with knowledge of bleeding patterns for the levonorgestrel-releasing intrauterine system and copper devices. Prescribing practices reflected the erroneous belief that intrauterine contraceptives are appropriate only for a restricted set of women. The scientific literature shows intrauterine contraceptives can be used safely by many women including postabortion patients. Results revealed a need for training on updated insertion guidelines and method-specific side effects including differences between hormonal and nonhormonal devices. (authors)

Stephen Heartwell - One of the best experts on this subject based on the ideXlab platform.

  • a preliminary report of norplant implant insertions in a large urban Family Planning Program
    Contraception, 1993
    Co-Authors: Uel D Crosby, Barry E Schwarz, Karen L Gluck, Stephen Heartwell
    Abstract:

    During the 21-month period between August 1, 1991, and April 30, 1993, 2,358 women received Norplant system insertions in either Parkland Memorial Hospital or the Dallas Maternal Health and Family Planning clinics. Forty-three percent of these women were teenagers with 14% 16 years of age or less. Overall, 431 patients received Norplant implants insertions postpartum prior to discharge from the hospital. To date, 138 Norplant systems have been removed, with the proportion of contraceptive implant removals among teenagers being essentially the same as that in more mature women. Of the reasons given by women discontinuing the Norplant system, an unanticipated high incidence of pain in the arm containing the implants, hair loss, and mood changes were noted. We have found the Norplant system to be a highly effective and highly acceptable contraceptive method for a large number of indigent women.