DATA ON NATIONAL HEALTH RESOURCES Series 14

Number 15

An Inventory Of Family

Planning Service Sites:

Institutional Characteristics

United States=1974

From information collected in the first annual survey of aIl

facilities included in the National Inventory of Family Planning

Services, statistics are presented on demographic and institutional characteristics of service sites which render medical and

nonmedical family planning services. The family planning service site is described in terms of its geographic and physical

location, the agency or project responsible for its operation, its

funding source, its primary purpose, the length of time it has

been operational, the medical and ancillary services it performed, and the contraceptive methods that it provided.

DHEW Publication No. (HRA)76-181O

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

Public Health Service

Health Resowces Administration

National Center for Health Statistics

Rockville, Mel. October 1975
Library of Congress Cataloging in Publication Data

Morrow, Donna L

An inventory of family planning services sites.

(Vital and health statistics; Series 14, Data on national health resources; no. 15) (DHEW

publication no. (HRA) 76-1810)

Includes bibliographical references.

Supt. of Dec. no.: HE 20.6209:14/15

1. Birth control clinics-United States-Statistics. I.Koch, Hugo K., joint author.11. Title.

III. Series: United States. National Center for Health Statistics. Vital and health statist its:

Series 14, Data on national health resources, manpower and facilities; no.15. IV. Series

United States. Dept. of Health, Education, and Welfare. DHEW publication; no. (HRA)

76-1810 [DNLM: 1. Family planning-U.S.-Statistics. 2. Maternal health services—U.S.

I,!J2 AN148\,n no. 15]

HQ766.5.U5M65 362.8’2 75-619321

TSBN ()&() &()()5fJ4

—

For sak by the Superintendent of Docurncnts, T.T.S. Gm-ernmm.t Printitlg 0ffII,13

Washington, 1).C. 20102- Prico $1.10
NATIONAL CENTER FOR HEALTH STATISTICS

HAROLD MARGULIES, M.D., Acting Director

ROBERT A. ISRAEL, Acting Deputy Director

GAIL F. FISHER, Associate Director for the Cooperative Health Statistics System

ELIJAH L. WHITE, Associate Director for Data Systems

EDWARD E. MINTY, Associate Director for Management

PETER L. HURLEY, Acting Associate Director for Operations

JAMES M. ROBEY, Ph.D., Associate Director for Program Development

ALICE HAYWOOD, Information Officer

DIVISION OF HEALTH MANPOWER AND FACILITIES STATISTICS

GLORIA KAPANTAIS, Director

SHELDON STARR, Deputy Director

EVELYN MATHIS, Chiej Health Facilities Statktics Branch

JOSEPH BARBANO, Chiej Health Manpower Statistics Branch

SHELDON STARR, Acting Chiej Technical Services Branch

Vital and Health Statistics-Series 14-No. 15

DHEW Publication No. (HRA) 76-1810

Library of Congress Cutalog Card Number 75-619321
CONTENTS

Introduction . . . ”-------------- - “...-”,-- . . . . . . . . . . . - ”...---”. ---------- “.

Family Planning Service Sites ------------------- “-------- . ---- ”----------

Geographic Distribution --- ”---------------------- ---- ..----” ---------

Medical Family Planning Service Sites (Clinics) - . ”----------------- --------

Regional Distribution --------- ““-------- ------ ”---------------------- ---

Operating Responsibility for the Clinic --------------------------------

Funding Sources ---------------- -- ”----- ..----” “--------- ------- .- ..”--- --

Primary Purpose of the Clinic ------- --- ..----- ”---- ---- ”.- ----- ”-----

Clinic Site --- ””-- -“”--”- ------- ----””--..-..”” “---- ..”-----”- .“” ---- -

Type of Clinic Session . -- . -------- . - ”------------ - . ”. --- ”. --” - ”-”------

Years of Operation . ..- ”””-------------- - . ”---- . ---- ”--------------- “----

Medical Services Provided ------- ..-------- ”---”----- ------------------

Ancillary Services Provided ------------------------------------------

Contraceptive Methods Used --------------- . .,------- ”---- -“” ---” -. ”-..-”

Nonmedical Family Planning Service Sites - . ------ . . . ”. . .------- ..--..”- -..

Services Provided -. --------------------------- . . . . . . ..- -“. ----- ----

Operating Responsibility and Physical Location ------------------------

Additional Sites --- ”---------------- ----”--”” “-” ------- --- ”..--,. ------.-” “

1974 “Newly Established” Sites --------------------------------------

Special Category Sites -----------------------------------------------

List of Detailed Tables ------------------------------------------------

Appendix I. Methodology -----------------------------------------------

Appendix II. Institutional Terms and Categories --------” “.- ”----- ------”-

Geographic Categories -------------------------------------------------

Geographic Area ----------------------------------------------------

Institutional Terms and Categories ----- . ------------- .-”---.-” -----------

Composition of “Other” Categories ----------------- ”--------- ---------

Family Planning Terms-----------------------'-----------------------

Types of Clinic Session ------------------ -------------------------- ---

Appendix HI----------------------- ---- ””---” “--------- ----.. . -------- ”--”

Project Letter ------------------------------------------------------

Inventory Questionnaire ---------------------------------------------

1

1

2

2

3

4

5

5

6

6

7

9

9

10

11

12

12 “

12

12

13

15

31

34

34

34

35

35

36

37

38

38

40

...

Ill
SYMBOLS

Datanot available ---------------------------------------- ---

Category not applicable ------------------------------- . . .

Quantity zero ---------------------------------------------- -

Quantity morethan Obutless than0.05----- 0.0

Figure does not meet standards of

reliability or precision ------------------------------ *

iv
AN INVENTORY OF

FAMILY PLANNING SERVICE SITES:

INSTITUTIONAL CHARACTERISTICS

Donna L. Morrow and Hugo K. Koch, Division of Health Manpower and Facilities Stdi; iks

INTRODUCTION

This report offers statistical information

about institutional characteristics of 8,170 family planning service sites in the United States

and three of its territories. The information was

gathered in 1974 through the first of an annual

series of surveys of all facilities included in the

newly instituted National Inventory of Family

Pldnning Services.

The rapid expansion of family planning services in the United States since the mid-sixties

has accentuated the need for accurate and current

information about the extent to which these services are available nationally. The National Center

for Health Statistics (NCHS) is charged with the

responsibility for collecting and reporting statistical information about family planning services

throughout the Nation and its territories. To

leurn more about the number and characteristics

of these pvoviders of family planning services

NCHS compiled, during 1972-73, a comprehensive

inventory of all family planning service sites in

the United States. Through annual surveys of

service sites detailed facility characteristics are

collected. The first annual survey of the Inventory

was conducted in the summer of 1974.

The annual surveys have been designed to

gather the following information about the Nation’s institutional providers of family planning services- numbers and location, institutional characteristics, patients, and their staff -

ing patterns.

Findings of the 1974 survey will he presented

in four statistical reports. This report presents

statistics on selected geographic and institutional characteristics of the family planning service site, including its physical location; the

agency responsible for its operation; its funding

source or sources; the length of time it has been

operational; and the services and contraceptive

methods provided at time of survey. The second

report will describe the methodology used in

planning and compiling the Inventory and in developing the survey design (e.g., both data collection

and processing). Two subsequent reports will

center their attention on patients and staffs of

family planning service sites.

A total of 10,321 service sites were surveyed. Of these, 8,170 sites responded in whole

or in part to the Inventory questionnaire. No

attempt has been made to inflate the figure, 8,170,

in order to compensate statistically for total

nonresponse by a facility and thus to establish

a hypothetical total universe of family planning

service sites. (See appendix I for further details.)

However, a statistical adjustment for nonresponses to specific items on the Inventory questionnaire was made. This imputation process is explained in appendix I.

The methodology used in collecting and processing the survey information may be found in

appendix I. Certain definitions and classifications

not defined elsewhere in this report are in appendix

II. Appendix HI contains facsimiles of the project letter and questionnaire used in this survey.

FAMILY PLANNING SERVICE SITES

Service sites which provided family planning

services are classified into two basic categories.

The first category contains all service sites

which offer family planning services that can only

be provided by a physician, nurse-midwife, registered nurse, or other authorized personnel. These

“medical family planning services” include: medi1
cal history; physical examination; laboratory

testing (testing, consultation, and treatment ineluding continuing medical supervision);issuance

of drugs and contraceptive supplies; and appropriate medical referral when indicated. Service

sites in this category will alternately bereferred

to as “medicalf amilyplanningc linics.”

Inthe second category areplacedthose service sites which donot directly provide any of the

medical family planning services described inthe

preceding paragraph. For the purposes of this

report such service sites will be referred to as ,

“nonmedical family planning service sites,” The

functions of such nonmedical service sites are:

Geographic Distribution

The distribution of the 8,057 medical and

nonmedical service sites by State and territory

is shown in table 1. Table 2 shows the distribution of these facilities by geographic region

and division, and by the 10 Standard Federal

Administrative Regions. (See appendix II for the

States and territories included in these geographic areas.) Figure 1 illustrates the percent

distribution of these 8,057 service sites by

Federal regions, and also shows as a rough index

to adequacy of coverage by Federal region a

comparison of a “special risk population,” namely,

the Nation’s estimated 5,613,300 women at risk

. To refer patients to any other site for mediof unwanted pregnancy with incomes below 150

percent of poverty level. 1 The fit between the

cal family planning services.

● To provide space, equipment, contraceptive supply of family planning services and this mess.

supplies, and/or staff to others who provided

ure of potential demand for them is seen to be

medical family planning services.

close in every region.

● To contract or pay others for the provision

of medical family planning services. MEDICAL FAMILY PLANNING

SERVICE SITES (CLINICS)

Most of the data presented in this report

come from 8,057 medical and nonmedical providers of family planning services throughout the

50 States, the District of Columbia, and the territories of American Samoa, Puerto Rico, and the

Canal Zone. Of this total, 4,494 were medical

family planning clinics and 3,563 were nonmedical

family planning service sites. This total of 8,057

is a literal census count of all family planning

service sites which responded in whole or in part

to the Inventory questionnaire and were known to

be operational as of December 31, 1973. It forms

the statistical base for all the detailed tables and

most of the textual commentary in this report.

The survey also yielded information on an additional 89 facilities known to have opened in 1974

prior to the formal completion of data collection

for this survey. These 89 service sites, along

with 24 other “special category” service sites,

are discussed in the sections entitled “1974

Newly Established Sites,” and “Special Category Sites,” respectively. The total number responding to tl}~ survey, therefore, was 8,170 service sites, of which 8,057 are medical and nonmedical providers, 89 are newly established

sites, and 24 are special category sites.

The medical family planning service site

(or clinic) was the chief target of the survey.

These clinics were requested to complete all

the items on the survey questionnaire. Thus,

in addition to their geographic and physical

location and the agency responsible for the operation, data are also available about the primary

purpose, funding source or sources, type~ of

clinic sessions that were held, the length of time

of continuous operation, the medical and ancillary

services performed, and the contraceptive methods that were provided. (Information about patient

characteristics and staffing patterns was also

gathered from the responding clinics; these will

be described in subsequent reports.)

Of the 5,719 medical family planning clinics

included in the initial mailing, 4,494 clinics and

113 service sites responded in whole or in pa! t

to the survey questionnaire. The total of 4,607

respondents yielded an actual response rate of

t?1 percent. The 113 service sites are discussed

in the section “Additional Sites.”

.

1Estimates for 1973 of the “special risk popu]atiun” appear

in the publication Data d ..iIudysm for 1974 Reviskw oj”

DffE1l’ Five- }’tw Pldn for Fatttily Pltwninf Sewicm: Center for

Fami]y Pkmnin$ Dcvdopment, 515 Madison Avenue, Ncw York,

Ncw York, 1974, p. 11.

2
Pwcent of Vpccial riskpopulation” (6,613,300)

8.7

,{:,>.> ,.,iy,,,#,.,:i\.,,: , ,, .,, ,’

23.2 ~~ .. ...’. ‘.

,,

FEDERAL REGIDN1 Percentof medicaland nrmmedicdfamily plannlngsitm (8,067)

RegionI (Boston)

RegionII (New York City)

Regionill (Philadelphia)

RegionIV (Atlanta) 23.0

RegionV (Chlcqw)

i RegionVI (Dalla&Ft. Worth) 12.1

5.9 RegionVIII (Denver)

8.1 RegionIX (San Francisco)

RegicmX [Seattle)

I I I I I I I I I I I

2s n 15

I

10 5 0 0 5 10 15 20 26

PERCENT PERCENT

lScc appendixII for cmnpm.nu of Fcdmal Regions.

Figure 1, Percent distribution of medical and nonmedical family planning sitesand of a “special risk population” by Standard Federal

Administrative Region: United States, 1974

Regional Distribution proportions of medical and nonmedical sites within each Federal region. The findings, rounded to

Tables 1 and 2 show a distribution of the the nearest whole percentage, are tabulated

responding clinics. below:

lt was interesting to cletermine the relative

Federal region

United States and territoriesRegi.on I (Boston)------------------

Region 11 (New York City)----------

Regi.on III (Philadelphia)----------

Reg3.on IV (Atlanta)----------------

RegionV (Chicago)-----------------

Region VI (Dallas-Ft. Worth)-------

Region VII (Kansas City)-----------

Region VIII (Denver)---------------

Region IX (San Francisco)----------

Region X (Seattle) - - - --- - - - -- - - - -- -

Total Medical clinics Nonmedical service sites

Percent

100

100 %

100 67

100 66

100 I 69

100 28

100 21

100 81

—

Iooll 34

100]I 63

44

41

27

33

79

19

37

3
Note that though the national tendency is for

medical clinics to outnumber nonmedical service sites by substantial margins, the tendency is

reversed in Federal Regions V (Chicago), VII

(Kansas City), and VIII (Denver), markedly so

in the latter two regions.

Operating Responsibility for the Clinic

In table 3 the 4,494 responding medical

family planning clinics are distributed geographically according to the agency responsible for

their operation. From the national perspective,

operating responsibility for the clinics was vested

as follows:

*

Operating responsibility

United States and territories

(4,494 clinics) -------------

Government-operated -------------

State -------------------------

County ------------------------

City & metropolitan area -----

Health district ---------------

Indian Health Service ---------

Other Federal Government

(Department of Defense,

Veterans Administration,

Public Health Service,

etc- -------------------------

Other non-Federal government----

Nongovernment-operated ----------

Planned Parenthood

affiliates -------------------

University --------------------

Church ------------------------

Hospital ----------------------

Corporation -------------------

Individual --------------------

Partnership -------------------

Other nongovernment -----------

Percent

of

clinics

100.0

66.0

17.3

29.1

4.8

5.7

1.8

6.8

0.6

34.0

10.3

3.8

0.1

1:::

::?

0.6

Like the nonmedical service sites, thelargest proportion of medical family clinics were

government-operated, the greater number of

these by State and county governments. However,

the proportion of medical family planning clinics

operated by nongovernment agents was clearly

greater than the similar proportion for nonmedical service sites,

government providers

the two principal nonbeing Planned Parenthood affiliates and other nonprofit corporations.

Though supporting data are not presented in

the tables, profitmaking was found to be minimal

in the provision of family planning services, as

evidenced in the finding that profitmaking hospitals, corporations, individuals, and partnerships accounted for the operation of fewer than

1 percent of all family planning clinics.

Patterns of operating responsibility were

far from uniform among the individual States

and territories, as the data in table 4 reveal.

In the listing that follows, the States and territories are grouped according to the agency responsible for operating the largest proportion

of the clinics within their boundaries, while

recognizing that a variety of providers may

support this main provider within any given

State or territorial jurisdiction.

Chiefly county-operated (15jurisdictions).—

Arizona, California, Florida, Georgia, Kansas,

Kentucky, Maryland, Michigan, Mississippi.h4is -

souri, North Carolina, North Dakota, Oklahoma,

Oregon, and West Virginia,

Chiefly State-operated (9 jurisdictions).-

Arkansas, Colorado, Delaware, Montana .Nevada,

New Mexico, Tennessee, Virginia, and Puerto

Rico.

Chiefly ope?’ated bya corporate entity othe?’

than Planned Parenthood [9 jurisdictions).—

Hawaii, Iowa, Louisiana, Maine, Massachusetts,

Nebraska, New Hampshire, Texas+ and Wyoming.

Chiefly ~pevated by affiliatesof Planned

Parenthood (7 ju?%sdiction.s).-Connecticut. Indiana, New Jersey, New York+ Ohio, Vermont,

and Wisconsin.

Chiefly operated by the Health District (5

juvisdictions).— Alabama, Idaho, SouthCarolina,

Utah, and Washington.

Chiefly operated by city ormetropolikm area

govemtment (3 jurisdictions).—Illinois, h4innesota, and the District of Columbia.

Chiefly operated by agencies of the Fedewl

Governmmt other than the Indian Health Service

(3 jwisdictions) .—Rhode Island, South Dakota,

and the Canal Zone.

Chiefly opevated bynongovwnment hospitals

(2 jurisdictions). —Pennsylvania and American

Samoa.

Chiefly operated by Indian Health Se?wice

(1 jurisdiction).—Alaska.

4
Funding Sources

Table 4 presents data about funding sources

for the medical family planning clinics. By the

extent-either full or partial--to which they

supported the operation of these 4,494responding medical clinics, the Nation’s funders of

family planning services appear as follows:

Fundi,ng

source

Department

of Health,

Education,

and

Welfare ----

Other

Federal

agencies---

State government----

County government--- -

city government- ---

S;~;;; regrant ------

Fees, contributions,

donations,

nonprofit

corporations,

university

and hospital free

clinics,

and other

miscellaneous

funders----

Total

Clinics Clinics

fully pa;;$;~y

I

funded

69.0

12.0

48.1

32.7

12.1

1.4

26.3

Percent

14.2

5.3

6.0

0.9

0.7

1.4

.

9.4

54.8

6.7

42.1

31.8

11.4

0.0

16.9

It is evident that a substantial majority of

medical family planning clinics owed their financial support chieflyto Federal, State, and county

funding. The Federal Government led the funding

field by an appreciable margin, chiefly through

the U.S. Department of Health, Education, and

Welfare (DHEW).

Funding patterns varied among clinics, dependent on the government or nongovernment

agency responsible for their operation. (See

table 4.)

As expected, government-sponsored clinics

are supported almost entirely by public funds.

The typical funding pattern is one of partial

support from two or more government sources.

For example, State-operated clinics most frequently received support primarily from State

funds, secondly from DHEW funds, andtoalesser

degree from county and city funds. County-operated clinics received support primarily from

county funds, secondly from DHEW funds, and

to a lesser degree from partial support by city

funds. City-operated clinics received support

primarily from funding hy city government,

secondly from DHEW funds, thirdly (and about

equally) by State and county contributions.

The fundingpattern fornongovernment clinics

also reveals asubstantialcontributionfrompublic

funds, chiefly from DHEW, as table 4 will show.

However, with such clinics there is an increased

reliance on funds from the private sector, e.g.,

fees, donations, contributions, etc.

Primary Purpose of the Clinic

The medical clinics’ responsesto the Inventory question “What is your primary serviceor

purpose?” are presented intable4. They maybe

summarized as follows:

Primary purpose

Medical family planning --------

Comprehensive health care ------

Other (chiefly general

gynecology services) ----------

Sterilization ------------------

V-D testim

7

- --- - ---- - --- -- - -- - -

Postpartum prenatal care -------

Percent

distribution

72.0

22.9

3.2

0.2

0.3

1.4

It was evident, and expected, that a clear

plurality of medical family planning clinics would

report their primary function to be the provision

of medical family planning services as defined

earlier. This tendency held forallclinics regardless of the agent—government or nongovernment—responsible for their operation. Only to a

minor degree, e.g., among clinics operated bythe

Indian Health Service and among the university

clinics, did respondents report a primary purpose

other than medical family planning. Most often

this minority indicated a primary emphasis on

5
comprehensive health care with medical family

planning services receiving relatively less.

Clinic Site

In its general instructions to respondents, the

survey questionnaire defined a “clinic site” as

follows:

“A clinic site is a place or facility at which

any family planning services are provided

on a regularly scheduled basis. It may be a

hospital, health center, mobile unit, freestanding site, church, or store front. For

mobile units each stop is considered a clinic

location... Physicias’s offices should be considered as clinic locations only when there

is a formal relationship with some project

or agency which is responsible for providing

family planning services. Physicians, nurses,

volunteers, etc., who wake home visits for

the purpose of delivering a family planning

service should count their home base of

operation as the clinic location.”

Responses designating clinic sites are tabulated in tables 4 and 5 and summarized as follows:

—-.-.— I

Clinic site I

Percent

distribution

State or local health department building ---------------- -------- ------

Hospital -------- ------------------------ ---------------- -------- -------

School or community building ------- ------- ------- ------- ------- ------- -

Store-front --------------------------- ------------------ ---------------

Physician’s office -------- -------- ----.--- . ------- -------- -------- -----

Mobile unit --------- -------- --.----- --.----- -------- -------- -------. ----

Other sites (e. g., privately owned, leased, or rented sites) -----------

46.0

14.3

12.8

U

3.0

It is evident that a substantial majority of

all clinics used the State or local health department building as their primary locus of activity.

This was, of course, especially true for clinics

under theoperational authority of States, counties,

health districts, andcitie sormetropolita nareas.

An examination of tables 4 and 5 will yield information about sites used by other governmentoperated clinics as well as bytiios eclinicswhich

operated under nongovernment auspices. The

reader may consult appendix H for the long and

varied listing of miscellaneous “other sites”

where medical family planning services were

provided.

Type of Clinic Session

Findings are reported

of clinic sessions held by

in table 6 on the type

the reporting clinics.

Statistics are presented on three types of clinic

sessions—specialized, combined, and mixed.

For the purposes of the Inventory, a session

was “specialized” if only services related to

medical family planning were provided. A “combined” session was one where family planning

services were offered in conjunction with other

health services such as maternity care, postpartum care, maternal and child health, obstetrics and gynecology, comprehensive, or other

6
healthcare.A clinicclassifiedasholding’‘mixed” clinicsiteor the agentor projectresponsible

sessionsisone whichconductedbothspecialized fortheclinic’soperation.

tindcombinedsessions.

By these criteria, survey findings revealed Years of Operation

thata clearmajority(about54 percent)of the

reportingclinicsconductedspecializedsessions, Table 4 presentsstatisticson theyearsof

about 29 percent conducted combined sessions, operation of the reporting clinics as of December

and about 17 percent conducted mixed sessions. 31, 197”3. From anoverall perspective, the findThis order of preference for types of clinic ses- ings may be summarized as follows:

sion proved to be generally true regardless of

Years of operation I

Percent

distribution

All responding clinics-------------------------------------------

r

100.0

Less than 1 year------------------------------------------------------- 11.7

More than 1, less than 2 years----------------------------------------- 15.4

More than 2, less than 3 years----------------------------------------- 15.9

3-4 years -------------------------------------------------------------- 20.1

5-6 years -------------------------------------------------------------- 11.8

7-8 years ---------------------------------------------- ---------------- 12.3

9-10 years ------------------------------------------------------------- 4.8

More than 10 years ----------------------------------------------------- 8.0

Accordingtothedatatheaverageclinicwas ofoperationoftheclinicsaccordingtothepublic

4.9years old.About 63 percentofallreporting or nonprofitagentor projectresponsibleforthe

clinics had been in operation less than 5years. operation.

The followingtabulation showsthemean years

Operating agency

All responding clinics----------------------------------

Govement ----------------------------------------------------

State-------------------------------------------------------

County------------------------------------------------------

City or metropolitan area-----------------------------------

Health district---------------------------------------------

Indian Health Service-------------.-------------------------

Other Federal Government------------------------------------

Other non-Federal government--------------------------------

Nongovernment-------------------------------------------------

Planned Parenthood affiliates-------------------------------

~Jn~sity --------- ------------------ --------- --------- -----

------- ------- ------- ------- ------- ------- ------- -----

Hospital----------------------------------------------------

Corporation-------------------------------------------------

Individual--------------------------------------------------

Partnership-------------------------------------------------

Other nongovernment agent-----------------------------------

Number of

reporting

clinics

4,494

2,966

775

1,308

216

256

3%

25

1,528

461

171

25;

594

12

5

27

Mean years

of clinic

operation

7
Clinic sit= Hospital Clinic site: Health department building

Percent of clinics providing sewicel

Medical Servi=

Percent of clinics providing servicel

Medical histcMv record 99

‘8s ‘Niafinovrword ~g” .-.’ Reproductive history record

9a Blood pressure

48-

1 I I I I I I I I I I

100 S08070605040 3020100

PERCENT

lData rounded to nearest whole percentage.

Insertion of IUD

Syphilis testing

Gonorrhea testing

Pregnancy testing

Routine lab test

lnfertilitf diagnosis

Infertility counseling

Female sterilization

Male sterilization

Sickle cell screening

Other medical services

49

I I I I I I I I I I

I

o 10 20 30 40 50 60 70 60. S4 100

PERCENT

Figure 2. Relation of clinic site to provision of medical services, basedon 2,068 ciinics with service site in the health department

building and 641 clinics with service site inahospital: United States, l974
Medical Services Provided services ranked as follows in terms of the percentage of clinics that performed each service.

Medical services provided by the responding (The double line isusedto separate the services .

clinics are statistically described in tables 7 and commonly provided by most clinics from those

8. From an overall perspective the 19 medical less commonly or rarely performed.)

14

15

16

:;

19

Medical service

Blood pressure ---------------------------------------------------

Pap smear --------------------------------------------------------

Medical history record -------- -------- -------- -------- -------- ---

Pelvis examination -----------------------------------------------

Reproductive history record --------------------------------------

Breast examination -----------------------------------------------

Contraceptive prescription ---------------------------------------

Gonorrhea testing -------- -------- -------- -------- -------- --------

Routine lab tests ------------------------------------------------

Insertion of IUD-------------------------------------------------

Social history record -------- -------- -------- -------- -------- ----

Syphilis testing -------------------------------------------------

Pregnancy testing -------- -------- -------- ---.---- -------- --------

Sickle cell screening --------------------------------------------

Infertility counseling -------- -------- -------- -------- -------- ---

Other medical service .------- -------- -------- -------- --0----- ----

Infertility diagnosis -------- -------- -------- -------- -------- ----

Female sterilization ---------------------------------------------

Male sterilization -----------------------------------------------

The data in table 7 demonstrates that the

tendency to perform agivenservice varies with

the operating responsibility for the clinic. That

it also varies with the clinic sitemaybe observed

in the Inventory findings expressed in table 8.

Figure 2 compares the two most popular sites

used by medical family planning clinics—the

hospital and the health department building. The

reader will note that the clinics at these two

sites are roughly equivalent in their tendencies

to provide the more frequently rendered medical

services. Services such as infertility diagnosis

and counseling, and sterilization (male and fePercent of

responding

clinics that

performed

the service

98.8

98.4

98.1

97.4

96.8

96.5

95.3

94.8

91.1

87.6

85.8

82.1

80.8

41.5

38.5

24.7

22.4

18.9

14.4

male), however, are more often rendered in the

hospital environm ent.

Ancillary Services Provided

Only 4,410 of the 4.494 clinics gave usable

responses to the inventory question concerning

ancillary services or functions. Statistics on

these ancillary services appear in tables ~ and

8. From an overall perspective. the ancillary

services ranked as follows in terms of percentage of clinics that provided each service.

9
Rank Ancillary serv ice

Percent of

responding

clinics that

provided

the service

4

5

6

7

8

Individual counseling about family planning . . . . . . . . . . . . . . . . . . . . . . .

Referral to appropriate agency for social services ----------------

Referral to other clinic for family planning or medical services

not provided at clinic site --------------------------------------

Followup program (followupactivities included contacting persons

who had missed appointments and the scheduling

of reappointments).--.---........................................

Outreach program (i.e., activities which informed prospective

patients of family planning services and assisted them in

availing themselves of the services)-----------------------------

Classroom or group sessions about family planning-----------------

Transportation to the clinic or service site (provided or

subsidized)------------------------------------------------------

Classroom or group sessions on sex education (in addition to

family planning and contraceptive education)---------------------

Baby sitting (while patient was at clinic or service site)--------

Other ancillary service-------------------------------------------

The relationship betweenoperating responsibility for the clinic and the clinic’s tendency to

provide ancillary services is explored intable7.

In general, the clinics operated by Planned

Parenthood affiliates and other nongovernment

corporations showed the mos~ substantial degree

of activity in

their patients.

Contraceptive

providing ancillary services to

Methods Used

Surveyfindings about contraceptive methods

employed by medical family planning clinics are

presented in tables 7 and 8. Information was

sought on the useofll specific methods ofcontraception. From an overall perspective, then

methods ranked as follows in terms of the percentage of clinics that employed each method.

(As with the ranking for medical services, the

double line is used to separate the methods

commonly used by most clinics from those less

commonly or rarely employed.)

6

7

8

J

11

Contraceptive

method

Oral (pill)------------

IUD--------------------

Foam-------------------

Condom-----------------

Diaphragm jelly--------

f

98,4

92,2

91.6

87.8

72.9

60.7

39.7

35.4

29.2

4.6

Percent of

responding

clinics

using the

method

99.6

94.2

90.1

75.7

64.3

Sterilization

(female)-------------- 34.4

Basal temperature

method ---------------- 24.0

Sterilization (male)..- 23.7

Ovulation method -------

Morning-after pill ----- ::;

Injection -------------- 3.8

The tendency to use a given method was

found tovary—at times substantially--depending

10
Clinic sitw Hospital

Percent of clinlcs using methodl

w ....,’..

Q7 ,.:. ... , .,, . .. ,, .. .. .................

.

CONTRACEPTIVE METHOO

Clinic sit~ Health department tilting

Percent of climes .smg methodl

Oral (pill) lW

IUD

Foam

condom

Diaphragm jelly

Basal temperature method 19

Ovulation method

Sterilization (female)

Sterilization (male)

Injection

Morning after pill

34

3

3

I I I I I I I I I I I

o 10203040536070 WWIW

PERCENT

Figure 3. Relation of clinic site to utilization of 11 contraceptive methods, based on 2,068 clinics with service site in the health

department building and 641 clinics with service site in a hospital: United States, 1974

on the clinic site. (See table 8.) Figure 3 graphi- NONMEDICAL FAMILY PLANNING

tally compares the hospital and the health de- SERVICE SITES partment building—the two most popular sites

used by medical family planning clinics-ac- From the nonmedical family planning site

cording to their respective tendencies to employ the Inventory sought only a limited amount of

each of the 11 methods. informati cm—geographic and physical location,

11
agency responsible for its operation, and the

types of nonmedical service it provided. Of the

4,062 nonmedical sites included in this survey

(see appendix I for further details), 3,563 (about

88 percent) responded in whole or in part to the

seven substantive items on the questionnaire

that they were requested to complete. Tables 1

and 2 SI1OWa distribution of these 3,563 responding sites.

Services Provided

The most frequent service offered by nonmedical family planning service sites was referral, i.e., to another site for medical family

planning services (table 9). About 98 percent

of all nonmedical sites performed this service.

In a relatively substantial proportion of cases

(about 29 percent), the nonmedical service sites

also rendered a family planning service by

contracting or paying others for the provision

of medical family planning services. In a minor

proportion of cases (about 10 percent) nonmedical

sites included in their services the providing of

space. equipment, contraceptive supplies. and/or

staff to others who rendered the medical family

planning service.

Operating Responsibility and

Physical Location

Table 9 also presents data about the agents

responsible for the operation of nonmedical service sites. Very few of the nonmedical sites (about

10 percent) were operated by nongovernment

agencies or projects. Nine out of every 10 were

government-operated, almut 92 percent of these

functioning under the operating responsibility of

State and county governments. With this degree

and type of public sponsorship it is not surprising

that most nonmedical service sites operated out

of public facilities. The largest proportion (slightly more than one-half) had their locus of service

in the State and county welfare department building; the second largest proportion (about 31 percent) was

building.

in the State or local health department

ADDITIONAL SITES

The first annual survey of the National

Inventory of Family Planning Services was intended to target family planning service sites

which were known. to be operational as of December 31, 1973, and which could be unambiguously categorized either as medical family

planning clinics or as nonmedical family planning service sites, according to the criteria in

the section “Family Planning Service Sites.”

The discussion in the preceding textual commentary as well as the supporting data in the detailed

tables apply to this data base, numbering in total

8,057 responding sites.

An additional 113 sites are not included in

the tabulations or analysis appearing in this

report. These 113 sites are of two types—newly

established clinics that could not provide the

requested data, and special category sites. A

brief description of both types is given below.

1974 “Newly Established” Sites

The survey discovered and gathered a limited

amount of information about 89 additional clinics

which began operation after December 31. 1973

and before the formal completion of data collection in midsummer 1974. For these 89 new additions data are available about the agency responsible for their operation and about their

clinic sites. and are presented in the tabulation

that follows.

12
Operating responsibility

Number

of

clinics

Total ------- ------- ------- -.----- ------- ------- ------- ------- ------- --

L=====Q

Government-operated ---------------------------------------------------------

I======

State - -- - - ----- - -- -- ---- -- -- - -- -- --- - - ----- ----- -------- ---- - ----- --------

County --------------------------------------------------------------------

City or metropolitan area -------------------------- -----------------------

Health district -----------------------------------------------------------

Indian Health Service -----------------------------------------------------

Other Federal Government --------------------------------------------------

Other non-Federal government ----------------------------------------------

20

22

1

8

1

1

1

Nongovernment-operated ------------------------------------------------------

k

35

Plauned Parenthood affiliates ---------------------------------------------

University ---------------------------------------------------------------- ;

Hospital-:------------------------------------------- --------------------- I 4

Cor~oration -------------------------------------------------- -------------

Other nongovernment -------------------------------------------------------

20

2

Clinic site

Total -----------------------------------------------------------------

1===

89

State or local health department building -----------------------------------

Hospital -------------------------------------.-------------------- ----------

School or community building ------------------------------------------------

Physician’s office ----------------------------------------------------------

Church ----------------------------------------------------------------------

Mobile unit-----------------------------------------------------------------

Other site------------------------------------------------------------------

38

6

22

4

1

1;

Special Category Sites their responses—did not permit clear-cut categorization either as medical or nonmedical

As mentioned above, the data base also ex- providers. Their provision of medical services

clucks 24 family planning sites which may have was at best a minimal effort. These 24 facilities

ken operational prior to 1974 butwhich—from

13
were,therefore,classifiedas “specialcategory” terns theagencyresponsiblefortheiroperation

sites.The followingtabulatedinformationcon- andtheirphysicalocations.

Operating responsibility

Total------.-----------------------------------------------------------

Government-operated----------------------------------------------------------

State----------------------------------------------------.---------c-------

County---------------------------------------------------------------------

Nongovernment-operated-------------------------------------------------------

Planned Parenthood affiliates----------------------------------------------

Corporation----------------------------------------------------------------

Data lacking--------------------------.--------------------------------------

Physical locations

Total------------------------------------------------------------------

State or local health department building------------------------------------

Hospital---------------------------------------------------------------------

School or community building-------------------------------------------------

Church-----------------------------------------------------------------------

Other sites------------------------------------------------------------------

Number

24

16

7

24

13

1

6

1

3

14
LIST OF DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

Number and percent distribution of reported medical family planning clinics and

nonmedical family planning service sites by State and

1974

territory: United States,

--------------------.------------.---..------”-------------------------------

Number and percent distribution of reported medical family planning clinics and

nonmedical family planning service sites by geographic area: United States,1974--

Number of reported medical family planning clinics byoperating responsibility for

the clinic, State, and territory: United States, 1974--.------------..”----------

Number of reported medical family planning clinics by operating responsibility for

the clinic and selected characteristics: United States, 1974---------------------

Number of reported medical family planning clinics by operating responsibility for

the clinic, clinic site, and primary purpose of the clinic: United States, 1974--

Number of reported medical family

the clinic, clinic site, and type

Number of reported medical family

the clinic and services provided:

planning clinics byoperating responsibility for

of clinic session: United States, 1974---------

planning clinics byoperating responsibility for

United States, 1974----------------------------

Number of reported medical family planning clinics by clinic site and services

provided: United States, l974----------------------------------------------------

Number of reported nonmedical family planning service sites by operating responsibility for the site, service site, and services provided: United States, 1974--

rage

16

17

18

20

22

24

26

28

29

15
Table 1. Number and percent distribution of reported medical family planning clinics and nonmedical family planning service sites by State and territory: United States, 1974

State and territory

United States and territories---

States:

Alabama -----------------------------

Alaska ------------------------------

Arizona -----------------------------

Arkansas ----------------------------

California--------------------------

Colorado----------------------------

Connecticut-------------------------

Delaware----------------------------

District of Columbia ----------------

Florida-----------------------------

Georgia-----.-----.-----------------

Hawaii ------.-----------------------

Idaho-------------------------------

Illinois----------------------------

Indiana-----------------------------

Iowa--------------------------------

Kansas------------------------------

Kentucky----.-----------------------

Louisiana ---------------------------

Maine -------------------------------

Maryland ----------------------------

Massachusetts -----------------------

Michigan ----------------------------

Minnesota ---------------------------

Mississippi -------------------------

Missouri ----------------------------

Montana -----------------------------

Nebraska ----------------------------

Nevada------------------------------

New Hampshire -----------------------

New Jersey--------------------------

New Mexico --------------------------

New York----------------------------

North Carolina----------------------

No&h Dakota------------------------

. --------------------------------

Oklahoma----------------------------

Oregon------------------------------

Pennsylvania ------------------------

Rhode Island------------------------

South Carolina----------------------

South Dakota------------------------

Tennessee---------------------------

Texas -------------------------------

Utah--------------------------------

Vermont -----------------------------

Virginia----------------------------

Washington --------------------------

West Virginia -----------------------

Wisconsin ---------------------------

Wyoming -----------------------------

Territories:

Virgin Islands----------------------

American Samoa----------------------

Puerto Rico -------------------------

Guam--------------------------------

Canal Zone--------------------------

~amily planning facilities

rotal

8,057

169

1::

148

482

143

46

21

29

292

3:;

40

203

233

209

201

190

230

1::

163

257

209

176

269

&

:?

131

106

317

1;:

327

169

102

252

22

149

2:;

323

27

23

266

109

l%

38

i

81

i

lfedical Nonmedical

clinics service

sites

Number

4,494

131

i;

3;;

52

38

H

221

248

27

23

57

54

32

1%3

121

1?;

1X

36

101

111

H

15

;;

2;;

9:

165

135

1%

1%

19:

247

13

13

1;:

60

23

6

8?

i

3,563

38

12

50

90

91

8

5

1

1::

1?

146

179

177

147

88

162

34

Family planning facilities

Percent distribution

100.0

——

2.1

0.3

1.3

::;

1.8

0.6

0.3

%2

4.9

0.4

0.5

2.5

$:;

2.5

2.4

2.9

0.5

;::

;::

;:;

1.2

1.3

0.4

0.4

1.6

::;

2.5

:::

2.1

H

0.3

1.9

$;

;.;

0:3

3.3

1.4

1.1

1.8

0.5

:.%

0.0

100.0

2.9

0.4

R

8.7

1.2

:::

::;

5.5

0.6

0.5

1.3

::?

1.2

2.6

2.7

;:;

1.7

t;

2.3

2.5

0.5

0.5

0.3

0.3

1.9

;:;

2.1

!:;

3.0

:::

0.5

2.4

:::

5.5

:::

3.8

1.5

::;

0.1

:.:

.

0.0

100.0

1.1

0.1

0.5

;::

2.6

0.2

:::

2.0

4.2

0.1

0.5

4.1

z::

4.1

2.0

3.1

::;

2.2

2.3

0.4

0.5

1.3

1.0

2:;

::2

1.0

M

2.5

2.1

%:

2.7

::$

3.4

0.9

16
Table 2. Number and percent distributionof reportedmedical familyplanning clinicsand nonmedical familyplanning service sites by geographicarea: United States,1974

—

Geographicareal

United States

GeographicRegions:

and territories2--

Northeast---------------------------

~t~ Central-----------------------

-------------------------------

West--------------------------------

GeographicDivisions:

New England-------------------------

Middle Atlantic---------------------

East North Central------------------

West North central------------------

south Atlantic----------------------

East South Central------------------

West South central------------------

I’pmn ----------------------------

-----------------------------

StandardFederal Administrative

Regions:

Region I (Boston)-------------------

Region II (New York city)-----------

Region III (Philadelphia)-----------

Region IV (Atlanta)-----------------

Region V (Chicago)------------------

Region VI (Dallas-Ft.Worth)--------

Region VII (KansasCity)------------

Region VIII (Denver)----------------

Region IX (San Francisco)-----------

Region X (Seattle)-.----------------

Family planning facilities

Total

8,057

1,027

2,341

3,274

1,328

327

700

1,165

1,176

1,588

816

870

;;:

327

529

804

1,852

1,374

976

783

489

645

272

Medical Nonmedical

services clinics sites

I

Number

4,494

646

700

2,208

854

193

453

430

270

1,::;

601

288

566

193

388

539

1,;;$

673

220

105

521

170

3,563

381

1,641

1,066

474

134

247

735

906

;;:

269

294

180

134

;~;

638

908

303

563

384

124

102

Family planning facilities

lfe:fei:; Nonmedical

Total services

sites

II [

Percent distribution

100.0

12.8

29.1

40.6

16.5

4.1

1::;

14.6

19.7

10.1

10.8

;::

4.1

6.6

10.0

23.0

17.1

12.1

9.7

6.1

8.0

3.4

100.0

14.4

15.6

49.1

19.0

1::?

9.6

2::;

12.1

13.4

1!::

4.3

1:::

27.0

10.4

1:.;

.

1::2

3.8

10000

3.8

2:::

25.4

1:.;

.

::!

5.1

:::

1;::

25.5

1!::

10.8

3.5

2.9

1

For componentsof regions and divisions,see appendix II. ZIncludesrespondentsfrom the territoriesof American Samoa, PUertO RkO, and canal zone.

17
Table 3. Number of reported medical family planning clinics by operating responsibilityfor the clinic,

State and territory

United States and

territories----------

States:

Alabama-------------------

Alaska--------------------

Arizona-------------------

Arkansas------------------

California----------------

Colorado------------------

Connecticut---------------

Delaware------------------

District of Columbia------

Florida-------------------

Georgia-------------------

Hawaii--------------------

Idaho---------------------

Illinois------------------

Indiana-------------------

Iowa----------------------

Kansas--------------------

Kentucky ----------------.

Louisiana-----------------

Maine---------------------

Maryland------------------

Massachusetts-------------

Michigan------------------

Minnesota-----------------

Mississippi---------------

Missouri------------------

Montana-------------------

Nebraska------------------

Nevada--------------------

New Hampshire-------------

New Jersey----------------

New Mexico----------------

New York------------------

North Carolina------------

North Dakota--:-----------

Ohio----------------------

Oklahoma------------------

Oregon--------------------

Pennsylvania--------------

Rhode Island--------------

South Carolina------------

South Dakota--------------

Tennessee-----------------

Texan---------------------

Utah----------------------

Vermont-------------=-----

Virginia------------------

Washington----------------

West Virginia-------------

Wisconsin-----------------

Wyoming-------------------

Territories:

Virgin Islands------------

American Samoa------------

Puerto Rico---------------

Guam----------------------

Canal Zone----------------

State, and territory:United States, 1974

Total

nedical

family

?lanning

:linics

4,494

131

19

87

3;:

52

38

16

2;!?

248

27

23

57

54

32

54

118

121

31

119

1X

1X

111

20

23

15

:;

2;;

9$

165

135

1:2

1;:

195

2:;

1%

65

60

23

6

i

81

i

rotal

2,966

112

:;

2%

32

;

1;?

230

10

23

32

12

4;

92

4

9;

:?

23

99

65

16

10

10

2

g

7:

1?!

50

29

12

103

17:

150

8

159

45

46

5

3

7;

i

Government-operatedmedical family planning clinics

;tate County

Operatingresponsibility

city

or

metropolitan

area

Health

district

[ndian

iealth

Service

Other

Federal

Government1

Other

nonFederal

g:ovSee footnotesat end of table.

18
Table 3, Number of reported medical family planning clinics by operating responsibilityfor the clinic,

State, and territory:United States, 1974- Con.

State and territory

United States

and territories--------

States:

AlabamaL-----------

Alaska-------------

Arizona------------

Arkansas-----------

California---------

Colorado-----------

Connecticut--------

Delaware-----------

Districtof

Columbia----------

Florida------------

Georgia------------

Hawaii-------------

Idaho--------------

Llj&n:s -----------

------------

IOwa---------------

Ransas-------------

Kentucky-----------

Louisiana----------

Maine--------------

Maryland-----------

Massachusetts------

Mfchigan-----------

Minnesota----------

Mississippi--------

Missouri-----------

Montana------------

Nebraska-----------

Nevada-------------

New Hampshire------

New Jersey---------

ye; yo:~o ---------

-----------

North Carolina-----

No&h Dakota-------

---------------

Oklahoma-----------

Oregon-------------

Pennsylvania-------

Rhode Island-------

South Carolina-----

South Dakota-------

Tennessee----------

Texas--------------

Ucah---------------

Vermont------------

Virginia-----------

Washington---------

West Virginia------

Wisconsin----------

Wyoming------------

Territories:

Virgin Islands-----

American Samoa-----

Puerto Rico--------

Guam---------------

Canal Zone---------

Total

medical

family

planning

clinics

—

4,494

131

19

87

3;:

52

38

16

28

221

248

27

23

57

54

;:

118

121

1?;

1:!

1:!

111

20

23

15

:;

2;;

9$

165

135

1:2

22

108

19!

247

13

1%

%

23

6

8;

i

Total

Nongovernment-op&ated medical family planning clinics

Planned

p~:;t -

affiliates

University

171

Operatingresponsibility

Church

6

:

1

i

i

i

i

.-

Hospital

252

Ii

1

8

2

3

:

i

i

2

i

13

26

14

2

i

li

53

1;

4;

2

li

1

i

2

i

i

2

Corporation

594

5

1

1

9

54

i

2

:

15

1:

12

8

11;

26

2;

3

1

2:

i

i

15

13

13

12

2;

4

3:

4

1

1

5;

3

1

1:

3

3

;

Individual

12

1

i

i

i

i

-

i

Partnership

5

-

2

1

-

i

-

i

Other

nongovernment]

27

ISee appendix 11 for componentsof ‘!other’~-categories.

19
Table 4. Number of reported medical family planning clinics by operating responsibility for the clinic and selected

—.

Selected characteristic

Clinic site

All reporting clinics--------------

Health department building-------

Hospital-------------------------

School or cosnmnity building-----

Store-front----------------------

‘PP~r;;iantsoffice---------------

.---------------------------

Mobile unit----------------------

Other sitel----------------------

Primary purpose

All reporting clinics--------------

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartum7prenatal care---------

Cemprehensive health care--------

General GYW services and other

miecellaneousi------------------

Years of operation

All reporting clinics--------------

A

Lees than 1 veal-----------------

More than 1 but less than 2------

More than 2 but less than 3------

3-4 years------------------------

5-6 years------------------------

7-8 years------------------------

9-10 years-----------------------

More than 10 years---------------

Funding services

L reporting clinics--------------

Department of Health, Education

and Welfare---------------------

Partial funding----------------

Full funding-------------------

Other Federal agenciea-----------

Partial funding----------------

Full funding-------------------

State govenusent-----------------

Partial funding----------------

fill funding-------------------

County government----------------

Partial funding----------------

fill funding-------------------

City government------------------

Partial funding----------------

Full funding-------------------

Special research grant-----------

Partial funding----------------

Full funding-------------------

Fees, contributions, donatione,

nonprofit corporations, university and hospital frae clinics,

and other miscellaneous

fundersl------------------------

Partial funding----------------

FU1l funding-------------------

characteristics: United States, 1974

Government-operated medical family planning clinics

I

Total

nedical

family

)lanning ~ota~

:1inics

I

7

4,494 2,966

2,068 1,867

641 252

576 280

22

1:: 57

134

107 1%

763 327

==4==

3,237 2,056

1: 1;

64

1,028 72:

143 103

==4===

526 32S

691 407

715 467

904 543

532 355

554 463

214 182

358 221

3,099

2,459

640

538

302

236

2,161

1,891

270

1,471

1,429

SE

514

%

62

1

1,;;;

302

2,050

1,:;;

337

141

196

1,679

1,442

237

1,351

1,3::

466

4;:

10

9

1

192

1::

State

775

566

;!

1!

%

775

574

i

187

6:

775

I

80

1:!

127

1;

34

775

568

5;;

30

24

672

551

121

221

221

18:

184

i

2

x

6

1,308

95a

1!?

2:

35

%

1,308

935

i

3::

47

1,30E

123

204

155

245

161

;;:

91

1,308

918

804

114

72

62

7:?

682

9%

934

I:i

101

3

2

2

::

6

Operating responsibility

city

or

metropolitan

area

216

115

19

36

5

li

2:

216

135

i

5:

23

216

30

26

%

:;

4

216

164

121

h3

15

:

45

38

3:

35

13;

119

1s

:

1

11

10

1

Health

trict

256

19:

15

1

7

::

256

216

i

3:

6

256

:2

;;

;:

2:

256

——

177

137

40

20

17

15?

139

1;:

112

3:

33

2

41

40

1

Indian

Health

Service

S1

3!

1

2’

1

3;

S1

+

6

-1

6$

51

81

I

15

:

18

1;

3

A

12

81

76 i

4

72

5

2

3

1

1

2

2

i

;

‘1

Other

Federal

G;&n~-

305

1%

26

1!

12?

305

167

i

11?

16

305

;

38

50

3:

56

305

126

56

1%

167

20

17

1;

1

3

3

i

3

2:

4

25

17

2

.

i

25

23

1

1

.

25

1

:

18

1

.

.

.

25

21.

15

6

1

i

17

lj

-

i

1

.

-

.

.

.

See footnotee at end of table.

20
Table 4. Number of reported medical family planning clinics by operatin.gresponsibility for the clinic and selected

char&cieristi&: United S_tat&, 197&— Coi.

Nongovernment-operated medical family planning clinics

Total

medical

family

@J~g Total

1,528

201

389

296

41

85

73

43;

1,528

1,181

5

1

2%

40

1,528

198

284

248

361

177

:;

137

1,528

Operating responsibility

Selected characters tic

:OrPO-

:ation

Partnership

5

i

i

5

2

i

1

5

1

2

5

5

3

3

-

5

3

2

Individual

?lamed

?arenthood

affiliates

University

Hospital :hurcb

Clinic site

All reporting clinics-------------- 4.494 461

—.

64

74

74

16

:;

172

461

455

3

i

461

51

76

78

::

39

:

461

6

1

2

2

1

6

4

i

1

6

1

1

1

1

i

1

6

2

2

i

1

1

1

6

4

2

252

10

209

11

1

1

3

1;

252

139

::

22

252

i;

~

::

42

252

94

59

35

::

5;

54

4

16

14

2:

17

1:

10

181

1::

594

114

1::

:;

1s

21:

594

486

;

9:

9

594

104

116

1%

70

1:

19

594

27

Health department building-------

Hospital-------------------------

School or community building-----

Store-front----------------------

FJ_ii;;ian’soffice---------------

---------------------------

Mobile unit----------------------

Other sitel----------------------

2,068

641

576

63

142

134

107

763

4,494

3,23:

14

1,0%

143

4,494

526

691

715

904

532

;::

358

4,494

Primary purpose

All reporting clinics--------------

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartum7prenatal care---------

Comprehensive health care--------

General GYN services and other

miscellaneousl------------------

Years of ODeratiOn

All reporting clinics--------------

Less than 1 year-----------------

More than 1 but less than 2------

More than 1 but less than 3------

3-4 years------------------------

5-6 years------------------------

7-8 yeara------------------------

9-10 years-----------------------

More than 10 years---------------

Funding sources

All reporting clinics--------------

Department of Health,

Education and Welfare-----------

Partial funding----------------

Full funding-------------------

Other Federal agencies-----------

Partial funding----------------

FU1l funding-------------------

State government-----------------

Partial funding----------------

FU1l funding-------------------

County government----------------

Partial funding----------------

Full funding-------------------

City government------------------

Partial funding----------------

Full funding-------------------

Special research grant-----------

Partial funding----------------

FU1l funding-------------------

Fees, contributions, donations,

nonprofit corporations, upiyersity and hospital free clmu.cs,

and other miscellaneous

funders1------------------------

Partial funding----------------

Full funding-------------------

3,099

2,459

640

538

302

236

2,161

1,891

270

:,:;;

‘s::

514

32

63

62

1

1,180

87S

302

1,049

897

242

201

161

4:;

449

1X

116

8;

73

5;

53

988

704

2S4

362

332

30

;:

1X’

120

4:

47

2;

24

3;

34

430

3s5

45

62

29

3;

2

2:

21

7

9

9

5

4

1

i

121

X

596

374

132

1;;

2%

250

11

42

41

2;

27

7

7

224

197

27

1See appendix 11 for components of “other” categories.

21
Table 5. Number of reported medical family planning cLinics by operating responsibility for the clinic, clink site,

and primary purpose of the clinic: United States, 1974

Clinic site and primary purpose

All clinic sites.............

Health department building-...-----

Medical family planning----------

Sterilization--------------------

V-D testin ......................

Postpartum7prenatal care.........

Comprehensive health care--------

General GTN service and other

miscellaneous ..................

Hospital---------------------------

Medical family planning----------

Sterilization-..-...-..---.......

V-D testin .....................-

Postpartum7prenatal care.........

Comprehensive health care--------

General GYN service and other

miscellaneous ..................

School or conmunity building-------

Medical family planning----------

Sterilization...................-

V-D testin ......................

Postpartum7prenatal care.....-..-

Comprehensive health care....----

General GTN service and other

miscellaneoual..................

Store-front--......................

Medical family planning----------

Sterilization--------------------

V-D testin .....................-

Postpartum7prenatal care---------

Comprehensive health care--------

General GYN service and other

mlscellaneousl.................-

Physician!s office-----------------

Medical family planning.---......

Sterilization....................

V-D testin .....................-

Postpartum?prenatal care-.....---

Comprehensive health care--------

General (XN service and other

miscellaneous -----------------

Church-----------------------------

Medical family planning..........

Sterilization---.................

V-D testin ......................

Postpartum7prenatal care--......-

Comprehensive health care........

General GTN service and other

miscellaneous ..................

Mobile unit........................

Medical family planning----------

Sterilization-.--................

V-D testin ----------------------

Postpartum?prenatal cara---------

Comprehensive health care-----...

General GYN service and other

miscellaneous .................-

Other clinic sitel................-

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartum7prenatal care---------

Comprehensive health care--------

General GTN service and other

miscellaneous ------------------

Total

~edical

family

)lanning

:linics

4,494

2,068

1,532

;

4::

51

641

370

4

1

1%

45

576

409

1

i

144

20

63

52

i

i

3

142

114

1

i

24

2

134

118

i

12

1

107

98

z

3

763

544

i

18!

18

‘otal

2,966

1,867

1,350

;

4:;

51

252

102

1

1

d

20

280

205

6i

14

22

17

i

3

57

45

1

i

10

61

52

;

6

1

100

93

i

3

327

192

:

11:

11

Government-operatedmedical family planning clinics

.—

Operating responsibility

State

775

566

417

14:

2

36

25

i

2

71

51

-

19

1

6

5

i

14

8

i

5

6

5

1

28

28

48

35

i

11

1

County

1,308

950

668

i

24:

25

49

26

i

1?

3

127

99

-

2;

8

6

4

2

23

20

i

35 ~

29

i

4

1

39

32

i

3

79

57

i

1:

5

City

or

metropolitan

area

216

115

65

i

3i

18

19

10

i

7

1

36

24

5

3

5

4

i,

1

1

13

12

1

4

4

.

23

15

i

6

1

Health

district

256

194

165

i

2:

6

8

6

i

1

15

8

.

;

-

1

1

--

7

6

i

20

20

11

10

i

[ndian

Iealth

;ervice

51

4

2

.

i

1

30

2

2:

2

5

.

.

.

i

1

1

1

2

1

i

1

i

.

38

3;

2

Other

~ederal

kwernmentl

305

21

16

i

4

108

32

5

61

12

26

23

-

i

1

3

2

1

10

9

1

.

6

6

.

.

9

9

122

q

2

4:

2

0ther

nonfederal

3~n3-

25

17

17

.

2

i

.

.

-.

.

-

.

.

.

6

5

i

.

.

See footnotes at end of table.

22
Table 5. Number of reported medical family planning clinics by operating responsibility for the clinic, clinic site,

and primary purpose of the clinic: United States, 1974_Con.

Clinic site and primary purpose

All clinic sites-------------

Health department building---------

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartumfprenatal care---------

Comprehensive health care--------

General (XN service and other

miscellaneous ------------------

Hospital-.......................---

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartum?prenatal care---------

Comprehensive health care--------

General GYN service and other

miscellaneous ------------------

School or community building-------

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

PostpartumYprenatal care---------

Comprehensive health care--------

General GYN service and other

miscellaneous ------------------

Store-frOnt------------------------

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartum7prenatal care---------

Comprehensive health care--------

General GYN service and other

miscellaneousi------------------

Physician’a office-----------------

Medical family planning----------

Sterilization-*------------------

V-D testin ----------------------

Postpartum7prenatal care---------

Comprehensive health care--------

General GYN service and other

miscellaneous ------------------

Church-----------------------------

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartum?prenatal care---------

Comprehensive health care--------

General GYN service and other

miscellaneous ------------------

Mobile unit........................

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartum7prenatal care---------

Comprehensive health care--------

General.GYN service and other

miscellaneous ------------------

Other clinic site -----------------

Medical family planning----------

Sterilization--------------------

V-D testin ----------------------

Postpartum7prenatal care---------

Comprehensive health care--------

General GYN service and other

miscellaneous ------------------

Total

medical

family

planning

clinics

4,494

2,068

1,532

;

4;:

51

641

370

4

1

&

45

576

40:

;

144

20

63

52

i

?

3

142

11!

2:

2

134

118

;

12

1

107

98

i

3

763

544

i

18?

18

Fetal

1,528

201

182

i

1s

389

268

3

2;

69

25

296

204

1

i

83

6

41

35

i

i

85

69

.

1;

2

73

66

.

i

6

7

5

i

436

352

1

;

71

7

Nongovernment-operated medical family planning clinics

Planned

Parenthood

affiliates

461

64

63

i

74

72

2

.

74

74

16

16

11

11

.

46

46

.

176

173

1

;

University

171

12

9

.

i

35

20

1

16

4

97

27

1

6;

2

2

2

5

2

.

i

1

4

4

.

-

16

5

i

9

1

Operating responsibility

:hurch

6

1

1

-

2

1

i

2

1

i

-

-

1

1

.

Hospital

252

10

7

i

-

209

116

2i

52

20

11

8

2

1

1

1

.

1

-

i

3

2

i

-

-

-

.

-

-

17

5

i

10

1

:Orp Ocation

594

114

102

1:

63

55

;

5

1

105

90

Ii

3

21

16

i

‘i

53

46

i

1

18

12

i

-

7

5

i

213

160

;

46

4

:ndi-

~idua1

12

-

1

1

11

8

i

-

Part.

lership

5

.

.

3

1

i

-

.

.

.

2

1

1

Other

nOngovernment

27

5

3

i

7

4

i

1

i

1

1

1

1

12

8

i

‘See appendix II for components of “other” categories.

23
Table 6. Number of reportedmedical family planning clinics by operatingresponsibility for the clinic, clinic

site, and type of clinic session:United States, 1974

Government-operatedmedical family planning clinics

Total

2,966

Total Operating responsibility

medical

family

:~$g. .

Clinic site and type

of clinic session

Health

~istrict

Other

nonFederal

government’

City or

metropolitan

area

Other

Federal

Government1

Indian

Health

Service

State County

All clinic sites------------ h ,494 775 1,308 216 256 81 305 25

——

17

1:

1

2 —..—

1

1

——

-

Health departmentbuilding-------- 2,068

1,077

499

492

641

1,867

917

477

473

252

1:?

46

280

566

224

167

175

36

15

11

10

71

28

25

18

6

;

14

10

1

3

6

6

28

950 115 194 4 21

Specialized---------------------

Combined------------------------

Mixed---------------------------

489

206

255

49

21

16

12

127

123

;;

8

4

3

1

15

13

7

1

108

——

23

72

13

26

Hospital--------------------------

Specialized---------------------

Combined------------------------

Mixed------------------.---.----

298

2::

School or communitybuilding------ 576

Specialized---------------------

Combined------------------------

Mixed----------.........---------

322

188

66

63

41

17

5

142

137

:!

22

——

12

9

1

57

43

8

6

61

46

:

100

40

26

34

327

141

158

28

63

38

26

6

12

3

1 ——

1

7

5

1

1

20

6

3 .—

3

10

9

;

6

5

Store-front-----------------------

Specialized---------------------

Combined------------------------

Mixed---------------------------

4

1

1

23

19

4

35

i

2

—.

i

1

1

Physiciantsoffice----------------

Specialized---------------------

Combined------------------------

Mixed---------------------.-----

3

7

134

-

-.. —

———

-

6

.— -

4

2

Church----------------------------

Specialized---------------------

Combined------------------------

Mixed---------------------------

106

20

8

107

22

7

6

39

12

1

4

6

Mobile unit----------------------- 20 9

Specialized---------------------

Combined------------------------

Mixed--------------------.--.---

45

:;

763

——

462

246

55

19

14

6

79

41

2;

14 i

6

11 —.

;’

11

;

122 ——

56

5;

2;

48

i

23

——

11

12

38 —-—

3:

4

Other clinic site*----------------

Specialized---------------------

Combined------------------------

Mixed---------------------------

21

22

5

See headnotesat end of table.

24
Table 6. Number of reported medical family planning clinics by operating responsibility for the clinic, clinic

site, and type of clinic session: United States, 1974-Con.

Nongovernment-operated medical family planning clinics

Total

medical

W;y

ning

:linics

Total

l&ZQ

201

160

22

19

389

2,23

123

43

296

185

X

41

29

8

4

85

Operating responsibility

.

d~id -

ual

12

1

i

-

Clinic site and type

of clinic session

Unirersity

171

Church

Planned

P~taffiliates

Dther

nongovernnent~

Partnership

5

corporation

All clink cites--------

Health department building----

Specialized -----------------

Combined --------------------

Mixed-----------------------

Hospital ----------------------

Specialized -----------------

Combined --------------------

Mixed -----------------------

School or conununitybuilding--

Specialized -----------------

Combined----------.........--

Mixed....................---

Store-front-------------------

Specialized-----------------

Combined--------------------

Mixed.......................

Physician’sofface------------

Specialized-----------------

Combined--------------------

Mixed-----------------------

Church------------------------

Specialized-----------------

Combined--------------------

Mixed-----------------------

Mobileunit-------------------

Specialized-----------------

Combined--------------------

Mixed-----------------------

Other clinicsitel------------

Specialized-----------------

Combined--------------------

Mixed-----------------------

4,494

——

2,068

1,077

499

492

641

298

2;-5

576

322

188

66

63

:;

5

142

461

64

594 27

12

6

5

1

>

11

18

6

97

27

58

12

2

i

5

2

4

3

1

10

:

-

209

%

33

11

6

5

1

1

1

i

3

2

1

-

17

1;

2

114 -

.

.

.

5

1

3

1

7

54

2

8

74

70

3

L

74

71

5

16

93

12

9

63

:;

2

105

E

5

21

5

L

1

1

i

1

1

.-

.

1

1

-

-

.

-

.

.

11

6

5

-

.

-

.

13

1

2

11

15

4

2

53

32

20

?.

18

11

6

1

7

5

1

1

213

148

55

10

96

39

7

134

53

31

1

73

11

46 1

i

——

106

20

8

L07

;;

35

763

60

11

2

7

5

1

1

436

3;:

27

43

2

1

176

462

246

55

155

10

11

1

See appendixII for componentsof “other”categories

25
Table 7. Number of reported medical family planning clinics by operating responsibility for the clinic and services provided: United States, 1974

Total

medical

fSmily

planning

clinics

-—

Government-operated medical family planning clinics

Operating responsibility

Services provided

]ther

F%&al

3&nve

.—

25

Total

2,966

2,923

2,892

2,504

2,913

2,889

2,857

2,931

2,828

2,621

2,631

2,834

2,335

2,751

665

1,165

529

402

1,405

731

2,901

City or

Metropolitan

area

Other

Federal

Government 1

Indian

Health

Service

Health

iistrict

Medical services:

All reporting cli.nics----------- 4,494

4,408

;,:;:

4;420

4,377

4,336

4,439

4,284

3,936

3,689

4,262

3,630

4,092

1,008

1,;;;

648

1,866

1,112

4,410

4,341

3,871

4,041

4,065

3,213

2,675

1,559

1,751

1,287

204

4,494

4,474

4,234

4,047

3,403

2,888

1,080

233

1,544

1,065

169

213

712

77:

77(

74t

646

761

762

73C

77C

74L

682

691

752

662

71C

132

292

13E

4;;

154

768

1,308

1,293

1,290

1,124

1,283

1,271

1,258

1,291

1,255

1,156

1,158

1,257

946

1,:;:

473

193

167

525

321

1,289

216

216

216

205

215

215

215

214

211

203

207

213

187

2:;

63

24

1::

61

216

25f

——

251

25:

216

254

24C

254

255

227

21$

228

25C

197

247

1:

33

1;:

76

245

81

81

78

;:

81

:!

81

77

%

;;

31

52

25

21

1:

78

305

287

285

218

296

295

295

295

286

261

262

272

257

258

125

162

115

103

1.5:

280

Medical history record--------

R;~o@ive history

-----------------------

Social history record---------

Pap smear---------------------

Pelvis examination ------------

Breast examination ------------

Blood pressure ----------------

Contraceptive prescription----

Insertion of IUD--------------

Syphilis testing--------------

Gonorrhea testing-------------

Pregnancy testing-------------

Routine lab tests-------------

Infertility diagnosis---------

Infertility counseling--------

Female sterilization ----------

Male sterilization ------------

Sickle cell screening---------

Other medical service l--------

Ancillary services:

All reporting clinics2----------

Individual counseling---------

Followu program --------------

Referra! to other clinic-----Referral to social services

agency-----------------------

Outreach program --------------

Classroom or group session

on family planning -----------

Classroom or group session

on sex education-------------

Transportation to clinic------

Baby sitting------------------

Other ancillary servicel------

2,856

2,601

2,653

2,653

2,150

1,613

853

1,;;:

103

2,966

2,962

2,824

2,687

2,256

1,663

639

115

1,:;;

101

107

475

756

709

707

675

621

397

280

270

::

775

775

728

708

629

338

105

2%

177

34

2::

1,283

1,201

1,186

1,206

963

716

247

417

312

52

1,308

1,306

1,249

1,195

999

743

272

3%

242

:;

156

208

188

203

211

160

137

85

87

H

216

216

208

207

148

180

57

12

53

22

8

E

241

231

231

235

200

163

1%

83

10

256

255

253

234

203

1:;

8

;:

5$

77

63

70

i:

33

23

39

14

2

81

266

185

231

232

142

144

116

120

101

13

305

Contraceptive methods:

All reporting clinica-----------

Oral (pill)-------------------

---------------------------

Foam--------------------------

Condom------------------------

Diaphragm/j elly---------------

Basal temperature method ------

Ovulation method --------------

Sterilization (female)--------

Sterilization (male)----------

Injection---------------------

Morning after pill------------

Other methodl -----------------

See footnotes at end of table.

26
Table 7. Number of reported medical femily planning clinics by operating responsibility for the clinic and services provided: United States, 1974-Con.

Services provided

Nongovernment-operated medical family planning clinics

otal

1.528

Total Operating responsibility

[edical

family

blanning

:linics

4,494

4,408

$:::

$::;:

4;336

4,439

;,;’2:

3;689

4,262

3,630

4,092

1,008

1,729

849

648

1,866

1,112

4,410

Uniersity

171

167

156

129

168

171

169

170

167

113

140

162

148

144

40

60

32

12

x

165

Xnzrch

lanned

arenthood

ffiliates

ther

nOnovernment1

arterhip

5

h;fi252

249

242

222

249

249

250

247

244

237

223

231

215

233

140

146

147

1::

60

245

236

189

192

21:

11:

151

7t

61

7!

IL

25:

24(

24(

21:

17[

20:

9:

3!

19:

8(

2!

2:

2!

20rp0ration

Medical services:

27

27

26

26

27

27

24

25

25

21

19

25

20

25

~

5

6

8

3

26

461 594 All reporting clinics------

569

562

530

587

564

560

588

558

497

394

550

525

535

136

222

1?;

129

161

591

584

545

56?

57C

48[

40:

29<

33[

25!

3(

59L

58/

53’

54(

48!

44(

19!

5!

18!

17:

1’z

10”

9

8

11

12

11

10

12

10

9

9

9

3

;

5

6

i

12

5

7

~

~

i

,

(

i

:

1:

1:

1(

1:

!

(

1

5

5

5

5

5

5

5

5

5

5

5

4

4

:

3

2

1

3

5

5

3

:

4

1

2

i

-

;

;

t

1,485

l,45t

1,352

1,507

I,4SE

1,475

1,50[

l,45t

1,31:

1,05:

1,42$

1,29:

1,341

34:

56!

32[

24f

463

38!

1,50!

1,48!

1,27(

1,381

1,41:

1,06.

1,o6:

70(

68.

58

10

1,52

1,51

1,41

1,36

1,14

1,22

44

11

52

36

1:

23

453

453

429

454

454

454

457

fg

262

440

368

391

1%

34

1?:

99

459

458

383

446

45C

35E

37e

23C

21:

19[

3t

461

45[

451

43!

34(

40/

9[

11

8:

81

1;

8!

Medical history record---

Rt!n?o?otive history

-----------------.

Social history record----

Pa smear----------------

Pe1vis examination-------

Breast examination-------

Blood pressure-----------

COn~eptive prescrip.

--------------------

Insertion of IUD--------

Syphilis testing---------

Gonorrhea testing--------

Pregnancy testing--------

Routine lab tests--------

Infertility diagnosis----

Infertility cOunseling---

Female sterilization-----

Male sterilization-------

Sickle cell screening----

Other medical service1---

Ancillary services:

All reporting clinicsz-----

26

24

24

24

19

15

1?

5

3

27

161

114

145

12$

8?

loj

8L

E

3L

17

171

171

13(

12:

11:

13[

3

4!

1,

1!

5(

~

Individual counseling----

Followup program---------

R~~i~*~l to other

-------------------

Referral to social

service agency----------

Outreach program---------

Classroom or group session on family plannin~

Classroom or group session on sex education---

Transportation to clinic

Baby sitting--------;----

‘J;~l:ww.::::::_

4,341

3,871

4,041

4,065

3,213

2,675

1,555

1,751

1,287

204

4,49~

Contraceptive methods:

All reporting clinics-----

27

23

23

16

21

6

2

6

6

i

4,471

4,231

$;:

2:88~

1,0s(

l,gi

1,06!

16!

21:

71:

(

grrl (pill)-------------’

---------------------

-Foam--------------------

Condom------------------

Diaphragm/jelly---------

Bge;;oemperatur e

-----------------

Ovulation method--------

Sterilization fersale)--

Sterilization [mele)----

Injection---------------

Morning after pill------

Other methOdl-----------

1See appendix II for components of “other” categories.

‘Total resuonses cumulate to 4,410. This resulted from the exclusion of 84 responses which indicated no ancillary service performed.

27
Table 8. Numberof reportedmedicalfamilyplanningc~W&s by clinicsite and servicesprovided:UnitedStates,

Servicesprovided

Medicalservices:

All reportingclinics-----------

Medicalhistoryrecord--------

Reproductivehistoryrecord---

Socialhistoryrecord---------

Pap smear---------------------

Pelvisexamination------------

Breastexamination------------

Blood pressure----------------

Contraceptiveprescription----

Insertionof IUO--------------

Syphilistesting--------------

Gonorrheatesting-------------

Pregnancytesting-------------

Routinelab teats -------------

Infertilitydiagnosis---------

Infertilitycounseling--------

Femalesterilization----------

Male sterilization------------

Sicklecell screening---------

Othermedicalservices’-.-....

Ancillaryservices:

All reportingclinics2----------

Individualcounseling---------

Followupprogram--------------

Referralto other clinic------

Referralto socialservice

.......................

C%%%m or group sessionson

familyplanning--------------

Classroomor group sessionson

sex education----------------

Outreachprogram--------------

Transportationto clinic------

Baby sitting------------------

Otherancillaryservices’-----

Contraceptivemethods:

All reportingclini.cs-----------

Oral (pill)-------------------

IUD-------------------- ..Q----

Foam--------------------------

Condom------------------------

Diaphragm/jelly---------------

Basal temperaturemethod------

Ovulationmethod--------------

:=E;E [:~y)-”--”””” ----------

Injection---------------------

Morningafter pill------------

Othermethod’-----------------

Total

medical

family

planning

clinics

4,494

——

4,408

4,351

3,856

4,420

4,377

Q,336

4,439

4,284

3,936

3,689

4,262

3,630

4,092

1,008

1,729

849

648

1,866

1,112

4.410

4,341

3,871

4,041

4,065

2,675

1,559

3,213

1,751

1,287

204

4,494

4,474

4,234

;,::;

2;888

1,080

233

1,544

1,065

169

213

712

Health

depart.

men t

building

2,068

——

2,037

2,020

1,814

2,044

;,:;~

2;051

1,979

1,863

1,818

1,989

1,646

1,928

462

825

324

225

1,005

494

2,040

2,022

1,938

1,889

1,889

1,610

1,201

623

745

477

64

2,068

2,067

1,989

1,927

1,645

1,119

388

7%

4:;

3;:

Hospital

641

627

625

542

633

634

635

629

622

593

513

597

542

577

282

339

316

176

307

142

624

608

480

510

560

337

381

221

206

195

37

641

.———

632

620

556

459

509

247

3;:

236

61

:!

——

Clinic site

School or

conanunity

building

576

560

541

476

558

552

549

572

547

449

454

537

448

508

1%

51

1::

156

566

559

470

537

522

404

356

212

236

181

42

576

—-—

572

489

496

418

404

121

1?:

99

15

54

84

kore.

front

Physicians

Dffice

142

135

137

127

140

141

139

137

139

124

l%

113

123

::

::

21

32

138

134

105

114

128

105

%

;:

6

142

;hurch

—.

134

131

132

118

131

130

130

132

128

117

1%

102

122

:;

13

$

134

130

112

130

133

101

:;

66

59

3

134

—-

134

126

124

1::

30

:;

3

2

34

!lobile

unit

.—

107 —..

107

107

1;+

1%

107

;;

104

107

1:!

3:

5

5:

32

106

106

103

105

106

78

:;

41

41

2

107

106

105

96

85

;;

2;

9

.

2;

Other

sitel

763

=

748

727

649

746

747

741

749

720

647

570

716

645

675

131

278

108

128

235

198

739

~

719

608

694

666

523

498

343

346

252

46

763

759

711

66s

561

593

222

2:;

2;;

1%

1See appendixII for componentsof “other”categories.

2Total reaponsea cumulate to 4,410. This resulted from the exclusion of 84 responses which indicated ?io ancillary service performed.

28
Table 9. Number of reported nonmedical family planning service sites by operating responsibilityfor the

site, service site, and servicesprovided:United States, 1974

Nonmedi.calservice site anc

servicesprovided

All service sites-----

Health department

building-------------------

Refer, etc? --------------

Provide space, etc.3------

Contract,etc.4-----------

Hospital--------------------

Refer, etc? --------------

Provide space, etc.3------

Contract,etcfi-----------

School or community

building-------------------

Refer, etc.z--------------

Provide space, etc.3------

Contract,etc.4-----------

Store-front-----------------

Refer, etc.z--------------

Provide space, etc.3------

Contract,etc.4-----------

Physici.an’sofface----------

Refer, etc.s-------J------

Provide space, etc. ------

Contract,etc.4-----------

Church----------------------

Refer, etc.z--------------

Provide space, etc.3------

Contract,etc.q-----------

Mobile unit-----------------

Refer etc.z--------------

Provide space, etc.3------

Contract,etc.4-----------

Public welfare departments

(andmiscellaneousother

sites)l--------------------

Refer, etc.2--------------

Provide space, etc.3------

Contract,etc.4-----------

Total

nOnmedical

family

planning

service

sites

3,562

1,091

1,058

113

242

121

107

?:

394

384

1::

18

17

1

5

28

27

4

6

14

1$

5

9

8

3

2

1,888

1,859

155

653

Government-operatednonmedical fesnilyplanning service sites

Total

3,204

1,057

1,028

99

236

47

44

11

8

308

301

#

10

:

5

21

20

2

10

10

1

3

5

4

2

2

1,746

1,723

126

610

State

1,267

342

334

1;:

3

3

1

2

120

118

4;

4

3

1

3

4

;

1

2

2

i

1

1

791

782

3:;

County

1,69C

623

61C

43

10:

27

25

5

3

150

146

::

4

4

i

12

12

;

6

6

1

1

1

867

858

2%

f-i---.+..-. . .--.. -A-,. .-L. <7 .. . . .

City

or

metropolitan

area

3(

——

1:

1:

;

1

7

t

1

1

11

9

1

3

Health

district

111

67

::

26

5

4

i

14

14

3

3

1

1

i

24

23

i

Indian

Health

Service

9

2

2

i

2

2

1

1

1

4

4

i

Other

Federal

Government

— ...-

74

——

8

:

2

4

4

:

11

11

3

2

1

1

5

5

i

2

2

i

1

:

1

42

40

1:

Other

nonfederal

government

17

3

:

2

1

1

5

5

3

3

1

i

7

7

i

See footnotesat end of table.

29
Table 9. Number of reported nonmedical family planning service sites by operating responsibilityfor the

site, service site, and servicesprovided:United States, 1974—Cm.

Nonmedical service

site and services

provided

All service

sites----------

Health department

building-------------

Refer, etc.2--------

Provide space,

et~.3--------------

Contract,etc.4-----

Hospital--------------

Refer, etc.2--------

P~;i3e space,

. --------------

Contract,eCc.4-----

School or community

building-------------

Refer, etc.2--------

P~i~e space,

. -------------

Contract,etc? -----

Store-front-----------

Refer, etc.2--------

Provide space,

etc.3--------------

Contract,etc.4-----

Physicien’soffice----

Refer, etc.2--------

P~t~;e- space,

- - ------------

Contract,etc.4-----

Church----------------

Refer, etc.2--------

Provide space,

etc.3--------------

Contract,etc.4-----

Mobile unit-----------

Refer, etc.z--------

Provide space,

etc.3__-_r ---

Contract,etc. -----

Public welfare departments (and miscellaneousother

sitesAl--------------

Refer, etc.2--------

Provide, etc.3------

Contract,etc.4-----

Total

nOnmedical

family

planning

service

sites

3,563

——

1,091

1,058

113

242

121

107

39

lC

394

384

1::

18

17

1

5

2:

27

4

6

14

14

1

5

~

[

:

L

1,88E

1,855

15:

65:

_— .-.

Nongovernment-operatednonmedical family planning service sites

Total

359

34

30

14

6

74

63

28

2

86

83

22

11

8

8

7

7

1

4

4

;

4

4

1

142

136

29

43

Planned

Parenthood

affiliates

44

6

5

2

3

3

3

18

18

2

3

3

1

1

1

1

i

12

12

4

4

University

33

1

1

1

1

2

2

1

1

23

22

2

1

7

6

i

Operatingresponsibility

:hurch

4

1

1

i

3

3

Hospital

67

1

1

55

46

20

3

3

1

1

1

1

1

1

1

5

5

i

Corporation

171

18

15

11

12

10

7

1

37

36

16

9

3

3

1

1

1

1

4

4

1

95

91

20

35

Individual

6

1

1

3

3

1

2

2

i

Partnership

4

1

1

1

1

2

2

Other

]ongov-,

moment

30 .—

7

7

;

1

1

.

5

4

L

1

1.

1

-

-

16

15

5

‘See appendix 11 for componentsof “other” categories. 2Refer patients to my other site for medical family planning services.

3provide sPace, e~uiment, contraceptive supplies, snd/or staff to otherswho providemedical femilY Planning services

4Contract or pay others for the provision of medical family planning services.

30
APPENDIX I

METHODOLOGY

The first (1974) annual survey of the National

Inventory of Family Planning Services was based

on a mail survey directed to the providers of

family planning services in the 50 States, the

District of Columbia, and the territories of the

Virgin Islands, American Samoa, Puerto Rico,

Guam, and the Canal Zone.z The survey was designed to acquire information about demographic

and institutional characteristics of the facilities

that provide family planning services, and about

their patients and staffing patterns. The present

report centers its attention on the geographic

location and institutional characteristics of such

facilities.

Procedurally, the survey was divided into two

phases: Phase 1—Development of the universe

and pretest, and Phase 2—Conduct of the mail

survey.

Phme 1-Development of the universe and

pretest. — Prior to beginning the actual survey

effort, the National Center for Health Statistics

in 1972-73 developed a universe of family planning projects which is called the National Inventory of Family Planning Services. The universe

was assembled from the following sources:

Th~ National Reporting System on Family

Planning Services (NRSFPS)

Planned Parenthood affiliates

Community Health Service

Regional Medical Programs

Health Maintenance Organizations

Approximately 3,000 colleges and universities

HUD Model Cities Program

Indion Health Service

Office of Economic Opportunity

. —.—

?

-Thtre wmc IIC)rcsponws from the Virgin lshnds and Gu:km.

/

Maternal and Child Health Service

O’Champus (Department of Defense Organizations)

County health and welfare departments

State health departments

Master Facility Inventory (maintained by the

National Center for Health Statistics)

American Association of Medical Clinics

American Fertility Society

Association for Voluntary Sterilization

Twenty-five religious denominations

The forms, listings, directories. etc.. received from all these sources were put on computer tape, matched and unduplicated. J’@lL~iIIg

an initial universe of 14.524 facilities. In conjunction with Planned Parenthood affiliates, the National Center for Health Statistics then conducted

a pretest survey on a nationwide s:~mple of 500

projects during the spring of 1973. Two questionnaires

1.

2.

were utilized to complete the pretest effort:

Project Characteristic and Clinic Identification Record. This form was completed

by each project. agency. or program

operating any facilities which provided

family planning services.

Clinic Record. This form was completed

by each project, agency. or program for

eve$’y bCi3tksII where they prOvkk’Ll family

planning services.

During the period of data collection for the

pretest, further UIILIU@CL]tiOII of the UIIiVt?IWS was

performed. As a result of this and the analysis

of the pretest findings. the universe was revise~i

to then contain 10,5-7 facilities. The analysis of

the pretest results also made possible the development of a new questionnaire which repl~lced

the two former qu~’stionn;li res. Llpon c(N11pl~’tion

31
of the pretest analysis, a national meeting was

held in October 1973 attended by technical advisors from Federal, State, and local agencies.

Based on the comments of this committee, the

survey procedures and the questionnaire to be

used were revised and finalized. (Appendix III

presents a facsimile of the questionnaire in

final formo)

The last step in finalizing the universe for

this first annual survey was the use of a project

letter. (See appendix HI for a facsimile.) This

letter was used to : (1) confirm the facility’s

address listing, (2) confirm that the facility did

indeed participate in providing family planning

services, and (3) provide the name and actual

location of all family planning facilities for which

the addressee was operationally responsible.

These mailings produced a 95 percent response

rate and resulted in the reduction of the universe

to 10,321 facilities. Of these, 5,857 were treated

as providers of nzedical family planning services

and 4,464 were treated as nonmedical providers.

(See definitions in appendix II.)

Phase 2- Conduct of the mail survey; data

collection and processing. —Phase 2 of the survey

involved the actual conduct of the survey to include questionnaire mailings, f&lowups, editing,

coding, keypunching and verification, and production of data tapes and tabulations. The main

data collection effort for the survey extended

from April through August 1974. It consisted of

an initial mailout of the questionnaire to the

10,321 presumed providers in the newly updated

universe, of two followup mailings, and of final

telephone followups to nonrespondents.

Responses resulted in deletions from the

universe of facilities which proved to be nonproviders, out-of-business, out-of-scope, duplicates, and postmaster returns. (Postmaster returns were minimal due to the use of the preliminary project letter.) Some additions were

made to the list of medical providers from the

ranks of presumed nonmedical facilities which

proved, in fact, to be providing medical family

planning services. The combined effect of these

deletions and additions produced a revised universe of 9,781 facilities of which 5,719 were

presumed medical and 4,062 were presumed

nonmedical service sites.

Of the 5,719 presumed medical providers,

4,607 clinics responded in whole or in port to

the questionnaire. (Medical providers were requested to complete all items on the questionnaire.) A total of 4,494 of these 4,607 clinics

satisfied two basic requirements of the Inventory: (1) They were operational as of December

31, 1973. (2) They could be clearly and unan~higuously categorized as medical provide’rs. RLJsponses were also received from 113 additiomd

service sites. Eighty-nine of this number began

operation in 1974 and were, therefore, unable to

supply answers to most of the items on the questionnaire. Another 24 sites may have heen operational prior to 1974 but their responses did not

permit clear-cut categorization either as medi -

cal or nonmedical providers. Their provision (If

medical services was at best a minimal effort.

In the present report we isolate these 113 sites

from the main data base of 4,494 clinics and

make them the subject of a special discussion

at the end of the textual commentary. It is the

data base of 4,494 responding clinics which

forms the clinic universe in all of the d~’tailed

tables and most of the textual commentary of

this report.

Of the 4,062 presumed nonmedical providers,

3,563 facilities responded in whole or in part tlJ

the limited number of items on the questionnaire

that they were requested to complete. (Items 1-7.)

This reflected a response rate of about 88 percent. It is these 3,563 nonmedical providers which

form the nonmedical data base for the detailed

tables and textual commentary of the present

report.

Therefore, a total of 8,170 service sites—

medical and nonmedical—responded in whole or

in part to the survey and are described in the

present report. This is about 84 percent of the

9,781 family planning service sites included in

the universe.

The 1974 survey was the first annual survey

to be conducted. No previous data are available

on either the responding or nonresponding service sites and there was no contact at all with the

nonrespondents. Having no information on these

normespondents, it is not statistically valid to

assume that the facility characteristics of the

nonrespondents occur in the same proportions

32
as with the respondents. For this reason, the

totals for medical and nonmedical providers

that appear in this report are literal enumerations

of actual respondents. No attempt has been made

to inflate the figures statistically in order to

compensate for total nonresponse by a facility

and thus agree with the estimated universe of

9,781 sites.

Though no inflation to a total universe was

attempted, a statistical adjustment was made for

nonresponses to specific items on the survey

questionnaire. This was done in order to produce

a uniform data base representative of the entire

respondent population of family planning sites.

The imputation procedure was usually a “hot

decking” process, in which records were sorted

by the responses to two or more key classification questions and the needed data was taken

from the previous record in the sort sequence.

33
APPENDIX II

INSTITUTIONAL TERMS AND CATEGORIES

GEOGRAPHIC CATEGORIES

Geographic Area

Geogvaphic Region and Division States Included (Excludes Territories)

Northeast

New England -------------------------------- Connecticut, Massachusetts, Maine, New Hampshire,

Rhode Island, Vermont

Middle Atlantic ------------------------------ New Jersey, New York, Pennsylvania

North Central

East North Central ---- ”.- ------- -- .,--------- Ohio, Indiana, Illinois, Michigan, Wisconsin

West North Central ------------------------- Minnesota, Iowa, Missouri, North Dakota, South

Dakota, Nebraska, Kansas

South

South Atlantic - . - . -- . -- . - .-. ------ ..---.”--- --- Delaware, Maryland, District of Columbia, Virginia,

West Virginia, North Carolina, South Carolina,

Georgia, Florida

East South Central -------------------------- Kentucky, Tennessee, Alabama, Mississippi

West SouthCentral -------------------------- Arkansas, Louisiana, Oklahoma, Texas

West

Mountain ---------------------------------- Montana, Idaho, Wyoming, Colorado, New Mexico,

Arizona, Utah, Nevada

Pacific ------- ------- “-. -”.- .---- ... .- ”-”-. - Washington, Oregon, Alaska, California, Hawaii

34
Standard Federal Administrative Region

(with headquarters city)

Region I (Boston) . .-- . . . .. ”------------- . . . . . . . ..-

Region

Region

Region

Region

Region

Region

Region

Region

Region

11(New York City)----------------------

111(Philadelphia) -----------------------

IV (Atlanta) ----------------------------

V (Chicago) . . . . . . . ..-.---”- -., ------ . . . . . .

VI (Dallas-Ft. Worth) -.----. -.--”---”---

VII (Kansas City) -----------------------

VIII (Denver) -------- -------- . . . ----- .-”--

IX (San Francisco) ----------------------

X (Seattle) “-------- “--------- ------------

States and Tem”tovies Incl&ed

Connecticut, Maine, Massachusetts, New Hampshire,

Rhode Island, Vermont

New York, New Jersey, Puerto Rico, Virgin Islands,

Canal Zone

Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia

Alabama, Florida, Georgia, Kentucky, Mississippi,

North Carolina, South Carolina, Tennessee

Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin

Arkansas, Louisiana, New Mexico, Oklahoma, Texas

Iowa, Kansas, Missouri, Nebraska

Colorado, Montana, North Dakota, South Dakota

Arizona, California, Hawaii, Nevada, Guam, American

Samoa

Alaska, Idaho, Oregon, Washington

INSTITUTIONAL TERMS AND CATEGORIES

Composition of “Other” Categories

Othev physical location and clinic sites.—

State, county, or local welfare department or

government building incIuding courthouse, city

hu.lfi military base or dispensary; free standing clinic; dwelling, including house, apartment

housing project, semiattached house; office building, including bank building, rented office; privately owned, leased, or rented building; miscellaneous sites, including visiting nurses association, adoption agency, Indian health office, medical center, maternity home, remodeled furniture

store, bus station, health maintenance organization, YWCA, youth crisis center, rehabilitation

center, model family practice unit, model cities

facility, and Salvation Army home for girls.

Operating responsibility - other Fedeval Government. —Department of Defense (Army, Navy,

Air Force, etc.), Veterans Administration, Public

Health Service (not Indian Health Service), Urban

League, NIMH, Agricultural Works Health Project, and Family Planning Council.

Operating responsibility - other n.on-Fedeval

Gove?’nment._County Hospital Board.

Operating responsibility - othev nongovef’nmmt. -Private mental health agency, nonprofit

educational corporation, and students.

Other primary service OYpurpose. —General

gynecologic services, abortion, thermo rhythm

clinic, mental retardation care, and child comprehensive heaIth.

Funding souvce - other Federal agencies. —

Office of Economic Opportunity, Department of

35
Defense, Veterans Administration, HUD, and

Migrant Project.

Funding source - special research grant. —

Comprehensive ambulatory care grant, Sunnen

Foundation, Map-Parke Davis, Mead Johnson and

Co., and New Haven Foundation.

Funding sowce - other souvces. —Patient

fees; student fees; prepaid health plan; donations

and contributions; nonprofit corporation including

National Urban League, APHA, United Givers

Fund, United Appeal, American College of OBGYN; Population Council; church; university;

hospital; personal resources; Hun and Co. (TX)

Opportunities Center; Jobs for Progress; National Free Clinics; Munn Fund; and Planned

Parenthood.

Other ‘“medical swvices provided. -Nutri- -

tional counseling, abortions, genetic counseling,

sterilization counseling, prenatal care, vaginal

infection, low hematocrit, physical exam, PPD,

rubella treatment, immunizations, chest X-ray,

mantoux, nonroutine lab tests, weight or diet

counseling, TB screening, cautery, treatment of

infections, WBC, hypertension, diabetes screening, mental health care, radiological, heart and

lung exam, endometrial biopsy, menstrual in-

‘ duction, colposcopy, EKG, cervicitis, and rubella

~testing.

Othw ancillary services. —Dental care and

or referral, education on breast and cervical

cancer, - prenatal classes, RAP sessions, films

and visual aids, translation for Spanish and

Italian speaking patients, recreation and social

services programs, consumers’ advisory board,

and training medical students.

Othw contraceptive methods. -Withdrawal,

suppositories, “The Navajoway.”

‘Family Planning Terms

Family planning services. -Family planning

services provide the means which enable individuals to meet their family planning objectives.

These services are medical, social, and educational.

Medical family planning services refer to

the foIlowing services provided by a physician, nurse-midwife, registered nurse, or

other authorized personnel: medical history,

physical examination; laboratory testing;

testing, consultation, and treatment including

continuing medical supervision; issuance of

drugs and contraceptive supplies; and appropriate medical referral when indicated.

Soczizl and educational family planning services are such services as outreach, the provision of transportation, or babysitting, which

are provided to enable a person to attend a

family planning clinic or to otherwise obtain

medical family planning services. (In the

present report, these are grouped under

“ancillary” services.)

Clinic site. -- A place or facility at which

any medical family planning services were provided on a regularly scheduled basis. It may be

a hospital, health center, mobile unit, free-standing site, church, or store front. For mobile units

each stop was considered a clinic location, physicians’ offices were considered as clinic locations only when there was a formal relationship

with some project or agency which was responsible for providing family planning services.

Physicians, nurses, volunteers, etc., who made

home visits for the purpose of delivering a

family planning service reported their home

base of operations as the clinic location.

Medical family planning clinic. —A family

planning service site which performed medical

family planning services as defined on page of

this appendix.

Nonmedical family planning service site. -A

family planning service site which did not directly

provide any medical family planning services as

defined on page of this appendix, but instead

functioned to:

● Refer patients to any other site for medical

family planning services.

● Provide space, equipment, contraceptive

supplies, and/or staff to others who provided

medical family planning services.

● Contract or pay others for the provision of

medical family planning services.

Family planning patient. —A family planning

patient is a client who met one of the following

conditions during her/his visit:

36
(1) The client was provided a method of

contraception by the clinic.

(2) The client received contraceptive, infertility, or sterilization counseling in

conjunction with a medical service which

was not V.D. or pregnancy testing.

Types of Clinic Session

A combined session was one where family

planning services were offered in conjunction

with other health services such as maternity,

postpartum., maternal and child health, obstetrics

and gynecology, comprehensive, or other health

care.

A clinic classified as holding mixed sessions

was one which conducted both specialized and

combined sessions.

A specialized session was one where only

services related to medical family planning were

provided.

37
APPENDIX Ill

PROJECT LETTER

@

@. %,.,,

< ‘(33‘i DEPARTMENT OF HEALTH. EDUCATION, AND WELFARE

PUBLIC HEALTH SERVICE

‘-.O #-

“s. HEALTH Resources ADMINISTRATION

ROCKVILLE. MARYLAND 2W52

NATIONALCENTFR FOR

HEALTH STATISTICS

October 1973

Dear Administrator:

The rapid increase of family planning programs across the nation over the last decade

has hig~lghted the need for current and accurate information on the extent and nature of

these services.

Therefore, the National Center for Health Statistics has planned an extensive Natiomd

Fandy Planning Services Data Collection System. This system when folly operational will

provide health planners at all levels of government with timely statistics not only on the

number andcharacteristics ofpatientsbutdso facility andstaffcharacteristics and extent

of services available at the many varied facilities – both public and privately funded --

which provide family planning services nationally.

The Center is now in the process of verifying its listing of all facilities in the U.S.

and its outlying temitories which provide some type of Family Planning services. We are

therefore asking your cooperation in completing the back page of this letter and returning it

to us in the enclosed self-addressed postage-paid envelope within five ( 5) days. The information requested will assist us in insuring that all projects, agencies, or programs which

participate in the provisions of family planning services are included in our listing.

We sincerely appreciate your support in this developmental period which is so important

to the success of the full-scale National Family Phuming Services Data Cdection System.

Sincerely yours,

(Mrs.) Gloria HoW

Chief

Health Fac~kies Statistics Branch

Division of Health Resources Statistics

In csse we need to contsct you, plesse enter your phone number

Ares code Phone Number

38
For the purpose of this data collection system, Family planning services are those

medical, social andlor education services which are primarily concerned with the

regulation of concefr tion.

CHECK ONE BOX ONLY

Addressee does not participate in the provision of family planning services.

Addressee maintains a clinic on site which provides family planning services. Our

program is part of a more extensive system for delivering family planning which is

coordinated/operated/funded by

agency name

whose address is

(a)

(b)

(c)

(d)

Addressee is an administrative unit which does participate in the provision of family

planning services at the following locations:

Name of service site

Number. Street Room Number P.O. Box, Route, etc.

Location

City or Town County State Zip

Name of service site

Number Street Room Number P.O. Box, Route, etc.

Location

City or Town County State Zip

Name of service site

Number Street Room Number P.O. Box, Route, etc.

Location

City or Town County State Zip

Name of service site

Number Street Room Number P.O. Box, Route, etc.

Location

City or Town County State Zip

J I 1 1 ,

If more space is needed, please complete this information on a

separate piece of paper and attach to this letter.

Thank you.

COMMENTS

39
INVENTORY QUESTIONNAIRE

OMB Clearance No.

068R-1393

DEPARTMENT OF

HEALTH, EDUCATION, AND WELFARE

PUBLIC HEALTH SERVICE

Health Resources Administration

National Center for Health Statistics

‘NATIONAL INVENTORY OF FAMILY PROJECT NO.

PLANNING SERVICES (NOTE: Clinic name and

1974 address label goes here

ANNUAL SURVEY

Dear Director:

The rapid expansion of family planning services in the United States

since the mid-sixties has brought to the forefront the need for

accurate and current information on the extent to which these services are available nationally. On January 1, 1972, the National

Center for Health Statistics implemented the National Reporting

System for Family Planning Services to collect monthly data on

family planning patients seen in public facilities and the services

they receive. However, there is currently no comprehensive inventory available of all facilities providing family planning services

in the United States and the services available through them.

The National Center for Health Statistics is therefore conducting

this annual survey to obtain current information about each family

planning clinic or service site such as name, location, caseload,

services offered, and staff size. This National Inventory of

Family Planning Services expands upon previous surveys of this

nature conducted by Planned Parenthood-WorldPopulation.

The information from this survey will be used by the National Center

for Health Statistics for statistical reports on the characteristics

of facilities providing family planning services. In addition, the

data will be made available to other agencies to compile directories

of available clinics or service sites, to plan for needed addititional facilities, and to plan for future manpower needs.

One of these questionnaires is to be completed for each clinic or

service site at which your project, agency, or program provides

family planning services.

Before completing this questionnaire,you should familiarize yourself

with the definitions at the top of page 2. If this is one of a group

of clinics or service sites administered or directed by a central

agency, project, or program, please return the completed

questionnaire to your Project so that the questionnaires for all

clinics under the Project’s direction can be returned together.

All questionnaires should be returned within three weeks.

Thank you for your cooperation.

Sincerely,

-BP. r

Edward B. Perrin, Ph.D.

Director

National Center for Health Statistics

40
For this survey, the following definitions apply:

FAMILY PLANNING SERVICES

Family planning services provide the means which enable individuals to meet their family planning objectives. These services

are medical, social, and education>.

Medical family planning services refer to the following

services provided by a physician, nurse-midwife, registered

nurse, or other authorized personnel: medical history;

physical examination; laboratory testing; testing,

consultation, and treatment including continuing medical

supervision; issuance of drugs and contraceptive supplies;

and appropriate medical referral when indicated.

Social and educational family planning services are such

‘es as outreach, the provision of transportation, or

babysitting, which are provided to enable a person to

attend a family planning clinic or to otherwise obtain

medical family planning services.

CLINIC SITE

A clinic site is a place or facility at which any family planning

services are provided on a regularly scheduled basis. It may be

a hospital, health center, mobile unit, free-standing site, church,

or store front. For mobile units each stop is considered a clinic

location; therefore, a separate questionnaire should be completed

for each stop or location. Physicians’ offices should be considered as clinic locations only when there is a formal relationship with some project or agency which is responsible for providing family planning services. Physicians, nurses, volunteers,

etc., who make home visits for the purpose of delivering a family

planning service should count their home base of operations as the

clinic location.

FAMILY PLANNING PATIENT

A family planning patient is a client who meets one of the following conditions during her/his visit:

(1) The client is provided a method of contraception by

the clinic;

(2) The client receives contraceptive, infertility, or

sterilization counseling in conjunction with a

medical service which is not V.D. or pregnancy

testing.
~

:/-2

1. WHAT IS YOUR AREA CODE AND TELEPHONE NUMBER?

I;l

rea Code Number

0.7:

1 1,3 -,7

2a.

3a.

Is THE CORRECT

(name on label)

NAME FOR YOUR CLINIC OR SERVICE SITE?

m r..

~ no ~b. WHAT IS THE CORRECT NAME*-

1s

As:

THE CORRECT

(address on label)

LOCATION FOR YOUR CLINIC OR SERVICE umber t reet P. O. Box, Route

SITE?

n r..

Ity or town ounty

a No~b. WHAT IS THE ENTIR tate p Code

CORRECT LOCATION

4. IS THIS CLINIC OR SERVICE SITE LOCATED IN A: (Mark (X) one box only)

State OP local health Za.1 U department buiZdin9 -<0 s*oP~ -? ~ Mobile unit

-: a Ho8pitaZ Phy.sic<an‘e

-~ii Off;.e

a. WHAT IS THE

NAILING ADDRESS?

School 01.community

‘z = building -t?= Church

21- Q Otncm (spe.if~)

5. PLEASE CHECK THE BOX WHICH BEST INDICATES THE TYPE OF ORGANIZATION MiICH MS OPERATING RESPONSIBILITY (e. g., THAT PROVIDES MOST, IF NOT ALL, OF THE STAFF, SUPPLIES, AND SPACE) FOR THIS CLINIC OR

SERVICE SITE. (DOMJ INCLUDE ORGANIZATIONS INVOLVED ONLY WITH FUNDING.):

Governmental Non-governmental:

State 29-1a

County ,74-7~

City oz.Metmpol{tan areu 35-In

Health District ‘J~-u

Ind;an Health SePu{ce

Othe~ Federal Government

(Speo<fy) ~7- D

Other nonfederal

government (Specif#) 88-10

PZanned Parenthood-h’or.ZdPopulation

Clinic Affiliation No.

..’?.’ 0-.?:

University

Church

C0Ppozk2ti0n_

Individual, p~ofit

r

I-# Profit

L

= nonprofit

-,’.

[

l-+ P.ofit

U Nonprofit

-?

Portner8hip, profit

Othe~ non-government (Specifg)

.

6. DOES ANY OTHER AGENCY OR ORGANIZATION ALSO PROVIDE FAWILY PLANNING SERVICES AT THIS SITE?

;l-1~ No -2D Ye8

4

6a. WHAT IS THEIR NAWE?
-.

7, ARE MEDICAL FAMILY PLANNING SERVICES (A:

OR SERVICE SITE FOR klJICH YOU ARE REPORI

AGENCY OR ORGANIZATION NAMED IN QUESTIO}

1:-~ ‘7 ‘“”

a. WHAT IS YOUR PRIMARY SERVICE

OR PURPOSE?

Med&sal fam6Zg

plann<ng

Steriliaat40n

V-D Tew%ng

Poatpa~tum and/o~

P~enataZ Ca2.*

CompPehen8dve

Hea Zth Care

OtheP (Speoify)

WINED AT THE TOP OF PAGE ZJ FROVIDED AT THIS CLINIC

i? IMPORTANT - THIS QUESTION DOES NOT PER1’AIN TO THE

, BUT TO YOUR OWN AGENCY OR ORGANIZ-.

“ T ‘0 b. DOES THIS CLINIC OR SERVICE SITE:

(1)

4.1-1

(2)

45-1

(3)

4$.1

REFER PATIENTS TO ARY O!PRER SITE FOR

MEDICAL FAMILY PLANWIWG SERVICES?

~ (i.

-w “8

(a) ~~m~ THEIR i4AWF, AND

(Name )

(Stz.eet)

(city) (zip)_

PROVIDE SPACE, EQUIPMENT, CONTRACEPTIVE

SUPPLIES, AMD/OR STAFF TO OT8ERS WRO PROVIDE

MEDICAL FAMILY PLANNING SERVICES?

a 80

-’9 “8

(a) ~DHAE:: THEIR NAWE AND

tNamo )

(Street)

(city) (zip)_

cONTRACT OR PAY OTNERS FOR THE PRO VISIO?/ OF

MEDICAL FAMILY PLANNING SERVICES?

(i)

Ye8

WHAT IS THEIR NAWE }.ND

ADDRESS?

(Name)

(Street)

(C{ty) (z:p)_

tUJE BELOW WITH QUESTION 8. IF NO” WAS NARKED IN 7 AND

HE LAST PAGE. I

8. 00 YOU REPORT TO THE NATIONAL REPORTING SYSTEM FOR FAMILY PLANNING SERVICES?

17-7 n no

‘“v ‘e”

Ba. WHAT IS YOUR ~NUNBER?

?. 4R-5:

9. WHEN DID THIS CLINIC OR SERVICE SITE FIRST BEGIN OFFERING MEDICAL FAMILY PLANNING SERVICES?

/

month yea~

...r $ ,.,, !, .? ,Tc!, ,js

10. PLEASE ENTER BELOW THE NAWE OF EACH COUNTY SERVED BY THIS CLINIC OR SERVICE SITE AND THE percentage

‘<PI; OF YOUR TOTAL PATIENTS FROM EACH COUNTY.

,{. :{

Name of Countg %0 f patient8 Name of Count?j % of wt<exts

C.il -

,..” ~ ,; CCJI

m>ifi 0019 ,,~,...~ =O,O.;

-—

.?..Z: 00.?5 >C4C 004:

43
11. WHAT PERCENTAGE OF YOUR BUDGET FOR FAMILY PLANNING SERVICES WAS RECEIVED IN 1973 FROM THE

FOLLOWING SOURCES? (THE PERCENTAGES SHOULD ADD TO 100 pERcENT.)

a. Department of Eea7.th, Education, and Welfare % ?C42

b. Other Federal agenaien (Specify)

c.

% ,?..62

State government 16--

% C*65

d. County government ,s c,.5,~

e. City government % .Vcl

f. Planned Parenthood-World Population % ,.064

9. Special Reeearch Grant (Specify) % ,,367

h. Other eource(8) than above (Specify) 4?-

% 0070

Total of a - h

16-

10D %

12. -,.,Q WE WOULD LIKE SOME INFORMATION ON YOUR FAMILY PLANNING CLINIC SESSIONS. THESE ARE

g-~ REGULARLY SCHEDULED PERIODS OF TIME DURING WHICH MEDICAL FAMILY PLANNING SERVICES ARE

PROVIDED AT THIS SITE.

DO ??O!T FILL Ili — I

In coZumn (l), cheek the box to <nd<cate the day8 of the ueek dus+g

which medical family plann+ng 8eswiee8 are provided.

In ooZwnn (2), enter the time period during which medi.sat family

plann<ng .service8 are provided (e. g. , 9-11 a.m. ; 3-5 p.m.). If

a split 8ee8ion C8 operated on any day, enter both time per<oda

in the 8ame box for that day. If th<a C8 a comprehen8<ve health

center or llMO where family planning ie provided only on an ‘Isa

neededft ba8i8, check the “a8 neededt’ box <n column (2).

In oolumn (3), oheck the boz which best dee.cribe8 the tgpe of

clinic 8e88ion being he~d. Por the purpo8e8 of thi8 8tudy, a olinio

8e88ion may be apecia~ized (S) (uhere only .?ervicea related to

medical family p Zanning are provided) or combined (c) (where family

planning 8erv<ce8 are offered <n conjunction uith other health

oerv+ce8 eueh aa mater n+ty, poet -partum, maternal and child health,

ob8tetrie8 and gynecology, comprehensive OS. othen health oa~e).

In .wlurnn (4), check the box uhioh deacribe8 the frequency of

these ee88ion8 - H for week~y, B for bimonthly (e. g,, every other

reek), M fm. monthly, or O for othep.

(1) (2) (3) (4)

DaYs of Week TYDe of Frequency of

Medical Family Time Period Clinic Session Sessions

Plannln# Provided From To AS Needed S$. ecialized Combined Weekl Y Bimonthl Y Honthl Y Other

Monday n o n n u n o E!

Tuesday n o n n n D n n

Wednesday D n n n n u n n

Thursday n n u n u u n c1

Friday

n n n n n n n o

Saturda Y

n El c1 El n n u o

Sunday

n n n o El n o 0

13a . WAS THIS CLINIC OR SERVICE SITE CLOSED AT LEAST ONE MONTH (FOUR CONSECUTIVE WSEKS) DUiING ANY

PART OF 1973?

,-,Jr.J4 —.

9-4

10-1 = NO -q Ye.

~ #Qzo*edfrom / to /

month daY month daY Coil

/ to /

Inontti day month day

acl.9

/

to ~

month day CC27

/ to /

month day month day

r.. 7,5

44
14a.

b.

c.

d.

HOW WANY PATIENTS RECEIVED NEDICAL FAMILY PLANNING SERVICES AT THIs SITE FROM JANUARY

1973 THROUGH DECEMBER 31, 1973?

Total Patient8 =C4.?

HO~ ‘MANY OF THESE TOTAL PATIENTS WERE ENTITLED TO SUBSIDIZED FANILY PLANNING SERVICES

1973 UNDER:

(1) Title IV-A (AFDC) ?

CC.28

(2) Tit Ze XIX (Medicaid)?

CC.53

1,

IN

HOW MANY OF THESE TOTAL PATIENTS WERE NEW PATIENTS (e.g., THOSE WHO REGISTERED AND

RECEIVED MEDICAL FAMILY PLANNING SERVICES AT THIS SITE FOR THE FIRST TIME) FROM JANUARY 1,

1973 THROUGH DECEMBER 31, 1973?

NetiPatients CC58

HOW t.L4NY MEDIcAL FAMILY PLANNING VISITS WERE RECORDED AT THIS SITE FROM JANUARY 1, 1973

THROUGH DECEMBER 31, 1973? (DO N~LUDE VISITS OR MAILINGS WHEREBY A PREVIOUSLY

REGISTERED PATIFJNT RECEIVED SUPP~S ONLY. )

?otaz Vi8<ts CC63

(1)

(2J

(s)

(4)

(s)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(18)

(17)

(18)

(19)

WHICH OF THE FOLLOWING SERVICES OR 15b. WHAT PERCENTAGE OF YOUR PATIENTS

FUNCTIONS ARE PROVIDED AT THIS SITE RECEIVED THESE SERVICES IN 1973 ON

FOR FAMILY PLANNING PATIENTS?

(Check all that apply. )

THEIR INITIAL* VISIT FOR MEDICAL

FAM1LY PLANNING SERVICES?

o

a

n

n

n

n

u

0

n

n

o

c1

n

❑

o

n

u

❑

•1

Reoord of pertinent medical hioto~y

Record of repro dwtive hia tory

Pap smea~

Pelvio examination

Breaat examination

l’a?iing of blood pI.e88UPe

Contraceptive pa.esoription

Insertion of IUD

V-D testing fon syph<li.s

V-D testing for gonorrhea

Pregnancy t.38tz%g

Routine lab teete (hemato.srit,

urine for eugar and aZbumin)

Infertility diagnoe i8

Infertility c0un8eLing

Fema’le e.teriZiaation

Male 6teril&ati0n

.%o?ile oeZ3. 8areening

Other mediaaZ 8ervice (Specify)

Percentage

0710

C*13

CC19

CC22

eo31

CC34

CC49

CC52

*An initial visit for medical family planning services is defined as a visit at which

a patient is registered for and receives medical family planning services for the

,, fir~t ~ime,, at this site.

DO NOT FILL IN —

CC64

COS8

FOR AGENCY USE ONLY CC72
Card 8

9-6 .

16. NHICH OF THE FOLLOWING OTHER ANCILLARY SERVICES OR FUNCTIONS ARE PROVIDED AT THIS SITE

(Check all that apply)

1O-2I-J

11-10

12-ID

13-10

14-liq

15-10

16-l U

17-lU

18-10

19- m

20-10

Individual oounaeling about family plann<ng

Pozzou-up P~ogram (Follow-up activities ina Zude contacting pe~aona who

have m<eaed appointment and the aaheduZ6ng of i-eappointmente. )

Refenral to other clinic for fami.lg planning OF medioal eerviaes not

p~ovided at thin site

Refeawal to appropriate agenay foz eooial aervioea

Outreaoh Program (Outreach activities are those uhich inform proupeotiw

patienta of fami ZU ptann$ng aervieea and aneiat them in avaiZing them-

.9eZvea of the 6ewiue8. )

CZaeeroom or g~oup aee.siont! about family p Zann5ng

CZansroom or group seeeione on sex eduoation (in addition to family

pZanning and oontraoeptive eduoation)

.Tnan.sportation to the cZz%&s OF uewioe uite (provided or .aubeidiaed)

Babysitting (uhiZe patient ;6 at ol.inio or 6erv%oe Bite)

Othsp (Speoify)

Jone

17. WHAT PERCENTAGE OF ALL YODR PATIENTS USED OR RSCEIVED THE FOLLOWING TYPES OF CONTRACEPTIVE

METHODS IN 1973? (Include only those methods provided at this site.)

Percentage

OraZ (Pil Z) 00.21

IUD C024

Foam Oa.27

Condom 00.?0

Diaphragm/ieZly 0C33

Baeal !Pempt?~ature Rhythm 0038

cervioaZ-Mwaus Rhythm 4C39

StePi Zixation (f emaZe) 0042

Ster{Z<zatiOn (male) ca45

Injeotion C048

Movning after pi 22 0061

Other (Speoify) 0054

None offered (Inf ertiZitv oounse Zing onZV) CC57

60-”

.

DO NOT FILL IN— CC61

FOR AGl?NCY USE 0NL% CC65

46
qy 18. PLEASE INDICAT’EBELOW THE NUMBER OF STAFF USUALLY INVOLVED IN THE DELIVSRY OF MEDICAL

FAMILY PLANNING SERVICES AT THIS CLINIC OR SERVICE SITE DURING A TYPICAL WEEK. INCLUDE

VOLUNTEERS, CONTRACT, AND PAID EMPLOYEES. COUNT EACH PERSON ONLY ONCE, IN THE OCCUPATION

AT WHICH HE/SHE SPENDS M= TIME.

Total Staff Total staff hours

Staff TYPe delivering famil Y usual IY worked

Dlahnin# services per week

Administrator/Director Cclo ce12

Clerk /Secretary

C21.S CC17

Clinic Aide ?,. ,:0 co~~

Health Educator c?c,:5 C02?

Licensed Practical Nurse

cc.? 0 eo32

Nurse tlidwife/Nurse Practitioner ‘. ~.~<,5 CC.37

Nutritionist

... J,, e’?42

Outreach Worker

,, ,.,; ,, CC4;

PhYsician CC51J CO.52

PhYsician! s Assistant Cc S:> cV57

Registered Nurse ‘,,, ,., l ~.cc. ~

Social Worker ~k,b.~ Ce. s:

Other (S PecifY)

1

C,*7O cc?;

....,-s.

IY.

“NAME OF PERSON COMPLETING THIs FORM: (Please print) JOB TITLE:

TELEPHONE NUMBER:

COMWENTS:

~c~~

DO NOT FILL Iti

Cclt$

FOR INTERNAL USE ONLY C?ci?z

4

* U. S.GOVEBNhlENT PRINTINGOFFIcE: 1975~lo-gslno
Series 1.

Series 2.

Series 3.

Se7ies 4.

Swies 10.

Series 11.

Series 12.

Ses-ies 13.

Series 14.

Sm-ies 20.

Series 21.

Series 22.

For a list

VITAL AND HEALTH STATISTICS PUBLICATION SERIES

Origimdfy Public [Ieolth Service Publicatiovz JYO. 1000

Pvogvams and collection procedures. — Reports which describe the general programs of the National

Center for Health Statistics and its offices and divisions, data collection jmethods used, definitions,

and other material necessary for understanding the data.

Data evulration and methods s’eseavch. — Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analydcal

techniques, objective evaluations of reliability of collected data, contributions to statistical theory.

Analytical studies .—Reports presenting analytical or interpretive studies based on vital and health

statistics, carrying the analysis further than the expository types of reports in the other series.

Documents and committee reports. —Final reports of major committees concerned with vital and

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Da h jyom the Health Interview Suvvev. — Statistics on illness, accidental injuries, disability, use

of hospital, medical, dental, and other services, and other health-related topics, based on data

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Da.kz from the Health Examination Su?wey. —Data from direct examination, testing, and measurement of national samples of the civilian, noninstitutional population provide the basis for two types

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Data from the Ins titutional Popzdation Surveys — Statistics relating to the health characteristics of

persons in institutions, and their medical, nursing, and personal care received, based on national

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Datu j%om the Hospitil Discharge Survey. —Statistics relating to di .<..1‘,-~;ed patients in short-stay

hospitals, based on a sample of patient records in a national sample of hospitals.

Data on health vesou~ces: manpowey and facilities. — Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health

occupations, hospitals, nursing homes, and outpatient facilities.

Data on moytality. — Various statistics on mortality other than as included in regular annual or

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