.

The National

Inventory of Family

Planning Services:

1978 Survey Resutts

Statistics from the 1978 survey of the

National Inventory of Family Planning Services are presented on demographic and institutional characteristics of service sites that

provide medical and nonmedical family plannlng services. Data are given on the physical

location of the service sites, their operating

responsibility, the number of patients

served, medical and ancillary services provided, and the contraceptive methods

available. n

Data From the National Inventory of

Family Planning Services, Series 14,

No. 26

DHHS Publication No. (PHS) 82-1821

U.S. Department of Health and Human

Services

Public Health Service

Office of Health Research, Statistics,

and Technology

National Center for Health Statistics

Hyattsville, Md.

February 1982
Library of Congress Cataloging in Publication Data

Graves, Edmund.

The national inventory of family planning services.

(Vital and health statistics, Series 14, Data from the national

health survey ; no. 26) (DHHS publication ; no. (PHS) 82-1821)

Includes bibliographical references,

1, Birth control clinics–United States–Statistics. 1. National

Center for Health Statistics (U. S.) Il. Title. Ill, Series. IV. Series:

DHHS publication ; no. (PHS) 82-1821,

HQ766.5. U5G7 362.8’ 283 81-607086

ISBN 0-8406 -0234-0 AACR2
National Center for Health Statistics

DOROTHY P. RICE, Director

ROBERT A. ISRAEL, Deputy Director

JACOB J. FELDMAN, Ph.D., Associate Director for

Anai)sis and Epidemiology

GAIL F. FISHER, Ph.D., Associate Director for the

Coopemtive Health Statistics System

GARRIE J. LOSEE, Associate Director for Data

l+ocessing and Services

ALVAN O. ZARATE, Ph.D., Assistant Director for

International Statistics

E. EARL BRYANT, Associate Director for Interview

and Examination Statistics

ROBERT C. HUBER, Associate Director for

Management

MONROE G. SIRKEN, Ph.D., Associate Director for

Researchand Methodology

PETER L. HURLEY, Associate Director for Vital and

Health CareStatistics

ALICE HAYWOOD,Information Officer

Division of Health Care Statistics

W, EDWARD BACON, Ph.D., Director

JOAN F. VAN NOSTRAND, Deputy Director

EVELYN MATHIS, ChieJ Long-Term C@e Statistics Branch

MANOOCHER K. NOZARY, Chief Technical Services Branch
Introduction , , .,, .,..,., . 0.,.,.... . . ...4.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Highlights, ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,,...,

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

Geographic distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Physicai location, , .,.,.,,,.,,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Operating responsibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, , ..,.,,,.’.,......,.,.. ,, . . . . . .

Patients andvisits, ,,, ,.,.,,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medical services provided,,,., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Contraceptive methodsprovided. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Anciiiary services available . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonmedical famiiy planningservice sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Geographic distribution....,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Physical location andoperating responsibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Services provided.,,..,,..,,,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Listofdetaiied tables. .,..,.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendixes

Contents, ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1. Methodology, ..,,.,....,., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

il. Definitions ofcertain termsusedinthis report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

iii, Nationai lnvantory ofFamily Pianning Services 1978survey questionnaire. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of text tables

A,

B.

c.

D,

E,

F,

Number and percent distribution of responding medicai family planning service sites, by location: United States and

territories, 1974, 1975,and197’8, , , ., . .,, ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution ofresponding medical family planning $ervice sites, by operating responsibility: United

States andterritories, 1974, 1975,and 1978. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of patients served and visits as reported by responding medicai famiiy planning service

sites, by standard Federal administrative region: United States and territories, 1978 . . . . . . . . . . . . . . . . . . . . . . . . . .

Number andpercent ofresponding medical family planning service sites, bymedical serviws provided: United States and

territories, 1974,1975,and 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent of responding medical famiiy planning sewicetites, bycontraceptive methods provided: United

States andterritories, 1974, 1975,and 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number and percent of responding medical family planning service sites, by ancillary services provided: United States

andterritories, 1974, 1975,and 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

3

4

4

4

4

5

6

6

6

9

9

9

9

10

24

25

26

28

5

5

6

7

7

8

...

Ill
Symbols

--- Data not available

. . . Category not applicable

Quantity zero

0.0 Quantity more than zero but lessthan

0.05

z Quantity more than zero but lessthan

500

*

Figure does not meet standards of

reliability or precision

# Figure suppressed to comply with

confidentiality requirements
The National Inventory of

Family Planning Services:

1978 Survey Results

by Edmund Graves, Division of Health Care Statistics

Introduction

This report presents findings from the 1978

survey of the National Inventory of Family Planning

Service Sites, The National Inventory is a comprehensive listing of family planning service sites in the

United States, the District of Columbia, and selected

territories. Private physicians’ offices are excluded

from this report. These service sites may provide

direct medical family planning services or they may

serve as referral or contributor agencies; thus, being

classified as providers of nonmedical family planning

services.

The data presented in this report for the National

Inventory of Family Planning Service Sites will differ

from those data obtained through the former National Reporting System for Family Planning Services

for the following reasons. The National Inventory is

designed to collect information on the characteristics

of the service sites themselves on a periodic basis; the

National Reporting System obtained data on patients

receiving medical services at the time the services

were provided. Additionally, the scope of coverage or

the universes of these two data collection programs

are not the same. The National Inventory attempts to

include all sites providing family planning services,

whether federally funded or not and whether provided to the public at large or to a special segment of

the population, such as college students or military

personnel, The National Reporting System, however,

was composed primarily of federally funded systems

and does not necessarily include all independent sites

or those providing services to these special populations. Because of the differences in the universe and

the methods of data collection, there will be variations in the data reported by the two surveys.

Another survey in the Center that includes

information about family planning is the National

Survey of Family Growth. This survey was designed

as a cycle survey; that is, data are collected every few

years by means of a sample survey. The target

population consists of the civilian household population of women aged 15-44 years living in the

conterminous United States who, at the time of the

survey, were married, previously married, or nevermarried mothers with offspring living in the household at the time of interview. This survey provides

current information on fertility and family planning

and their effects on population growth.

The 1978 survey of the National Inventory of

Family Planning Service Sites is the third of the

periodic surveys to be conducted among providers of

family planning services. The two previous surveys

were conducted in 19741 and 1975,2 respectively.

These surveys have been designed to gather basic,

general purpose statistics about providers of family

planning services, such as number and distribution of

service sites, physical location, operating responsibility, number of patients served, and services and

contraceptive methods provided.

A total of 10,188 sites were surveyed in 1978. Of

these, 10,116 were already in the Inventory and an

additional 72 sites were identified during the course

of the survey. However, 1,111 sites were deleted

because they were either out of business, duplicates,

out of scope, or the mail was returned by the post

office as undeliverable. The result of these deletions

and the addition of the 72 sites produced a universe

of 9,077 service sites in 1978. Approximately 77

percent of these service sites provided data for the

survey; thus, all data in this report will be limited to

1National Center for Health Statistics: An Inventory of

Family Planning Service Sites, Institutionrd Characteristics,

United States, 1974, by Donna L. Morrow and Hugo K. Koch.

Vital and Health Statistics. Series 14-No. 15. DHEW Pub. No.

(HRA) 76-1810. Health Resources Administration. Washington. U.S. Government Printing Office, Oct. 1975.

2National Center for Health Statistics: The National Inventory

of Family Planning Services, 1975 Survey Results, by Donna

L. Morrow. Vital and Health Statistics. Series 14-No. 19.

DHEW Pub. No. (PHS) 78-1814. Public Health Service.

Washington. U.S. Government Printing Office, Apr. 1978.

1
the 7,032 responding service sites. No effort was

made to inflate these data to compensate for those

service sites that did not respond to the survey.

Therefore, all tabulations and figures presented are

based solely on the data reported by the responding

service sites.

The 7,032 responding sites were divided into two

categories–medical and nonmedical. Medical family

planning services are defined as any of the following

services provided either alone or in conjunction with

any other service: pap smear, pelvic examination,

breast examination, taking of blood pressure, oral

contraceptive prescriptions, insertion of IUD, urinalysis, blood tests, infertilityy counseling, abortion,

female and male sterilization, and other related

medical services.

Nonmedical family planning services are defined

as any of the following: record of pertinent medical

history; record of reproductive history; record of

pertinent social history; provision of information and

counseling about family planning; followup programs;

contraceptive education; outreach; or the provision of

transportation and babysitting, both of which are

provided to enable a person to attend a family

planning clinic or to otherwise obtain medical family

planning services.

The 1978 survey was the first survey for which

the National Center for Health Statistics categorized

the sites as medical or nonmedical based on responses

to a certain question on the questionnaire. In the two

previous surveys, respondents categorized their sites

using definitions provided as part of the questionnaire.
. A total of 7,032 out of 10,188 family planning

service sites responded to the survey. Of the

7,032 respondents, 5,033 were medical and 1,999

were nonmedical.

. A total of 44.0 percent of all medical family

planning service sites were located in the South.

● The North Central and the South Regions

accounted for over 75 percent of the responding

nonrnedical service sites.

. Health department buildings housed 37.8 percent

of all responding medical service sites. State or

local government agencies operated 95.1 percent

of these,

. Since 1974, the number of medical family planning service sites has increased by approximately

12 percent.

. Government agencies operated 56.7 percent of

the responding medical family planning service

sites.

● There were almost three times as many medical

family planning sites offering natural family

planning as a contraceptive method in 1978 when

compared with 1974.

. The number of sites offering female sterilization

decreased from 1,544 in 1974 to 919 in 1978, a

drop of 40 percent.
Medicalfamily planningservice

sites

The medical family planning service site was the

main interest of the survey. Medical service sites were

requested to complete questions about their location,

operating responsibility, and services provided. Based

upon the response to services provided, sites were

classified as either medical or nonmedical. In addition

to the basic information gathered from all sites,

information about contraceptive methods, number “of

patients, and number of visits were recorded for those

sites classified as medical. More than two-thirds of the

7,032 responding sites were classified as providing

medical family planning services.

Geographic distribution

Table 1 shows the distribution of the responding

medical service sites by State and territory. In 1978,

5,033 service sites were identified as providing medical family planning services.

The regional distribution of the family planning

service sites is illustrated in table 2. As in the 1975

survey, when compared with the other three U.S.

Bureau of the Census regions, the South had the

greatest number of medical service sites. The number

of service sites in the South was more than 2 to 1

when compared with the West and North Central

Regions and almost 3 to 1 when compared with the

Northeast Region.

Physical location

The location of medical

sites refers to the type of

family planning services are

family planning service

facility where medical

provided on a regular

basis (see question #5 on the questionnaire in appendix III). Distribution of the 5,033 medical service

sites by location as a function of operating responsibility and State or territory where they are located,

● appears in tables 3 and 4, respectively.

Examination of table 3 reveals that 1,904 (37.8

percent) of all responding medical service sites are

located in health department buildings. As might be

4

expected, 95.1 percent of these sites were operated

by State or local government agencies. Of the

remaining 3,129 medical sites, 1,572 of them were

located in hospitals, community health centers, or

office buildings, Together these four locations accounted for 69.1 percent of all medical service sites

responding to the question on location on the

questionnaire.

Table 4 shows the distribution of the 5,033

medical service sites by location and State. Thirteen

States reported having more than half of their

medical sites located in State or local health departments. On the other hand, five States (Iowa, Maine,

Massachusetts, Rhode Island, and Vermont) reported

no medical family planning service sites located in

State or local health or welfare department buildings.

The location of medical family planning service

sites for the years 1974, 1975, and 1978 is summarized in table A. Examination of table A indicates

that the number of medical family planning facilities

has increased by 12.0 percent since the first survey

was conducted in 1974. Sites located in schools or

community health centers and those sites that fell

into the category “other” contributed to the largest

portion of this increase (approximately 55 percent),

Although there was a cumulative increase in service

sites, 7 of the 9 locations listed in table A show a

decrease since 1974.

Operating responsibility

In table 5, the responding medical service sites are

distributed by State according to their operating

responsibility. As illustrated in the table, 2,854 of the

5,033 (56.7 percent) responding medical family

planning service sites were operated by an agency of

the government (city, county, district, or State). Six

States (Alabama, Georgia, Kentucky, Mississippi,

South Carolina, and Tennessee) reported over 90

percent of their medical family planning service sites

as an operating responsibility of a government

agency. By way of contrast, out of the 111 reporting
Table A. Number and percent distribution of responding medical family planning setvice sites, by location: United States and territories,

1974, 1975, and 1978

Year of survey

Location

1978 1975 1974 1978 1975 1974

Number Percent distribution

All responding sites, .,,,,,.., . . . . . . . . . . . . . . . . . . . . . . . . 5,033 4,660 4,494 100.0 100.0 100.0

State orlocal health department building . . . . . . . . . . . . . . . . . . . . 1,904 1,928 2,068 37.8 41.4

Stataor local welfare department building . . . . . . ., ., ., , , . . . . .

46.0

45 48 85 0.9 1.0

Hospital, ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1.9

577 660 641 11.5 14.2

School orcommunity healthcenter . . . . . . . . . . . . . . . . . . . . . . . .

14.3

720 557 576 14.3 11.9

Physician’soffice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12.8

89 171 142 1.8 3.7

Store, ,,, .,, .,, .,....., . . . . . . . . . . . . . . . . . . . . . . ..,,

3.1

30 55 63 0.6 1.2

Church . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1.4

81 120 134 1.6 2.6

Mobile unit,,,,,...,.,,,, . . . . . . . . . . . . . . . . . . . . . . . . . .

3.0

49 119 107 1.0 2.5 2.4

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,220 1,002 678 24.2 21.5

Unknown, ,,, ,,, ., ..,..,... . . . . . . . . . . . . . . . . . . . . . . .

15.1

318 --- --- 6.3 . . . ---

NOTE: Fordefinltlonof “othar’’c etegories,s eeeppendix II.

L~.

Tabla B, Number andpercent distribution of responding medical family planning sewicesites, byoperating responsibili~: United States

and territories, 1974, 1975, and 1978

Year of survey

Operating responsibility

1978 1975 1974 1978 1975 1974

Number

All responding sites....,,. . . . . . . . . . . . . . . . . . . . . . . . . . . .

State, , .,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,

County, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

City ordistrict . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Health district . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Indian healthservica . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Neighborhood healthcenter . . . . . . . . . . . . . . . . . . . . . . . . . . . .

University . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..,,,.

Planned parenthood.,,.,,,, . . . . . . . . . . . . . . . . . . . . . . . . . .

Othergovarnmentagency, ,... . . . . . . . . . . . . . . . . . . . . . . . . .

Othernongovarnmentagency.. . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown, ,,, ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5,033

963

1,542

349

a282

123

234

188

326

107

566

b232

Clll

10

4,660

914

1,200

256

281

118

iii

251

1,023

. . .

321

107

. . .

4,494

775

1,308

216

256

81

iii

252

594

461

330

50

. . .

Percent distribution

100.0 100.0 100.0

19.1 19,6 17.3

30.7 25.8 29.1

6.9 5.5 4.8

5.6 6.0 5.7

2.5 2.5 1.8

4.7

3.7 4:; 3:8

6.5 5.4 5.6

2.1 22.0 13.2

11.2 --- 10.3

4.6 6.9 7.3

2.2 2.3 1.1

0.2 . . . . . .

alncludescommunlty action egancy and free clinic,

blncludas military and family plenning council.

Clncludas health maintenance organizations.

sites in Massachusetts, only one was identified as

being the operating responsibility of a government

agency.

Comparison data on operating responsibility are

presented in table Bfor 1974, 1975, and1978. This

table shows more vividly the dominance of government sponsored agenciesin the operation of medical

family planning service sites. Planned parenthood

organizations were included with corporations in the

1975 report since they were primarily affiliates of

corporations, However, in 1978, they were again

treated separately in orderto emphasize their importance in the operation of medical family planning

sites, Although the family planning field is subjectto

much change, with frequent opening and closing of

individual sites, no other large variations are discernible in operating responsibility between 1974,

1975, and 1978.

Patients and visits

Tables 6 and 7 show the number of patients

served, visits, and new patients as reported by the

responding service sites in each State, and other

geographic areas. These data represent annual figures

for calendar year 1977. Many of the responding

service sites did not report this data either totally or

partially. For this reason, the number of sites

represented in these tables is less than the numberof

responding sites given elsewhere in this report.

A total of 4.2million patients were reportedly

5
4,127 sites responding to that part of the questionnaire. These patients made an equivalent of 6.95

million visits. (Equivalent number of visits is equal to

the number of sites reporting patients divided by the

number of sites reporting patient visits multiplied by

the number of visits reported.) This represents an

average of 1.6 visits for each patient; the same as the

1,6 visits for each patient reported in the 1975

survey.

Table C shows the number and percent distribution of service sites by Federal administrative regions

along with the corresponding patients served and

visits reported. This table shows that over 25 percent

of all sites and almost 20 percent of all patients

served and visits reported were in Region IV. Each of

the other nine Federal administrative regions had less

than 15 percent of all sites, patients served, or visits

reported. The patient visits per site ratio was highest

in Region II and lowest in Region VIII.

Medical services provided

Medical services provided by the responding

service sites are described in tables 8 and 9. Table D

lists those medical services categories that were

contained in all three surveys and ranked according to

the number and percent of clinics providing each

service in the 1978 survey. The corresponding number and percent for the 1974 and 1975 surveys are

also included.

As illustrated in table D, the number and percent

of sites providing each of the medical services range

from a high of 4,994 (99,2 percent) for the taking of

blood pressure to a low of 368 (7.3 percent) for

abortions. Almost all of the sites provided for the

taking of blood pressure and the completion of

medical records. In addition, more than 85 percent of

the sites offered those other medical services that

were considered standard, such as pelvic examination

and routine lab tests. Most specialized services were

offered by less than half of the sites. Specialized

services include such procedures as male and female

sterilization and abortion.

Contraceptive methods provided

Contraceptive methods and services provided by

the responding service sites are presented in tables 8

and 9. Table E lists those categories of contraceptive

methods that were included in all three surveys and

ranked according to the number and percent of

clinics providing each service in the 1978 survey. The

corresponding number and percent for the 1974 and

1975 surveys are also included.

Comparison between the years 1974, 1975, and

1978 shows an increase in the number of sites

providing each of the more commonly used contraceptive methods. The most significant increase was in

the natural family planning method. The increase was

from 1,078 sites in 1974 to 3,182 sites in 1978. This

was an increase of about 195 percent.

Of the less commonly provided contraceptive

methods, sterilization, both female and male, showed

a significant decline from 1974-78. In 1974, 1,544

sites offered female sterilization and 1,065 sites male

sterilization. In 1978, only 919 sites offered female

sterilization and 858 sites male sterilization. This was

a drop of about 40 percent for female sterilization

and 19 percent for male sterilization.

Ancillary services available

Ancillary services as defined by the survey are

primarily those social and/or educational services that

provide support for the medical services program of

the service site. The relationship between provision of

ancillary services, location, and operating responsibility are presented in tables 8 and 9. Table F lists those

ancillary services that were surveyed in 1974, 1975,

and 1978. In both 1978 and 1975, 11 sites reported

Table C. Number and percent distribution of patiants served and visits as reportad by responding medical family planning servica sites, by

standard Federal administrative region: United States and territories, 1978

Standard Federal administrative region

Sites Patients Sites Visits Patients

reporting Visits

served reporting Sites Sites

patients

reported

visits

served reported

United States and territorial . . . . . . . . . . . . . . . . ,

Regionl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region al . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region ill . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ragion Vi . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region Vll, . . . . . . . . . . . . . . . . . . . ,,, ,,, .,.

Region Vlll, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number Percant distribution

4,127 4,203,013 4,085 6,876,768

201

349

505

1,039

483

586

222

174

411

157

214,329

534,444

449,099

806,983

543,193

547,691

208,235

123,387

593,811

181,841

197 318,962

344 934,961

504 667,361

1,033 1,346,151

475 891,878

582 873,097

216 359,505

170 191,507

408 989,076

156 304.270

100.0 100.0 100.0 100.0

4.9 5.1 4.8 4.6

8.4 12.7 8.4 13.6

12,2 10.7 12.3 9.7

25.2 19.2 26.3 19,6

11.7 12.9 11.6 13.0

14,2 13,0 14.3 12.7

5.4 5.0 5,3 5,2

4.2 2.9 4.2 2.8

10.0 14.1 10.0 14.4

3.8 4.3 3.8 4.4

6
Table D. Number and percant of responding medical family planning service sites, by madical servicas provided: United Statas and

territories, 1974, 1975, and 1978

Year of survey

Medical service

1978 1975 1974 1978 1975 1974

All responding sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Standerd sewices

Takingof blood pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medical history record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Reproductive history record . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Papsmear, ,,, ,, . . ..o $.... . . . . . . . . . . . . . . . . . . . . . . . . .

Pelvicexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13reastexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Oral contraceptive prescription. . . . . . . . . . . . . . . . . . . . . . . . . . .

Routine labtests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Urinalysis, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Bloodtests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

V,D,testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Gonorrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Syphilis, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pregnancy testing .,, ,...c.. . . . . . . . . . . . . . . . . . . . . . . . . . .

lUD insertion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Social history record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Specialized sarvices

SIcklecell screening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Infertility screening orcounseling . . . . . . . . . . . . . . . . . . . . . . . . .

Infertility screaming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Infertility counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Othermedical sewicesl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female stabilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Malesterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Abortion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberofsites Percent

5,033

4,994

4,926

4,811

4,783

4,779

4,779

4,774

..-

4,733

4,582

4,714

. . .

---

4,657

4,435

4,394

2,731

2,571

. . .

-..

1,490

919

858

368

4,660

4,619

4,554

4,449

4,559

4,537

4,518

4,623

4,396

.-.

. . .

. . .

4,415

3,931

4,226

4,276

3,974

2,330

---

1,291

2,454

1,132

970

858

. . .

4,494

4,439

4,408

4,351

4,420

4,377

4,336

4,264

4,092

. . .

. . .

---

4,262

3,689

3,630

3,936

3,856

1,866

---

1,008

1,729

1,112

849

648

. . .

. . .

99.2

97.8

95,6

95.0

94.9

94.9

94.8

. . .

94.0

91.0

93.6

---

.-.

92.5

88.1

87.3

54.2

51.1

-..O

. . .

29.6

18.2

17.0

7.3

. . .

99.1

97.7

95.5

97.8

97.4

97.0

99.2

94.3

---

-..

---

94.7

84.4

90.7

91.8

85.3

50.0

. . .

27.7

52.7

24.3

20.8

18.4

. . .

. . .

98.8

98.1

86.8

98.4

97.4

96.5

95.3

91.1

. . .

---

. . .

94.8

82.1

80.8

87.6

85.8

41.5

---

22.4

38.5

24.7

18.9

14.4

---

lFcwcI~flIIitlcI~c.f ‘~other~~ see appendix n-abortion isincluded in''other'' forthe Years 1974 and 1975.

Table E, Number andparcent ofresponding medical family planning sewicesites, bycontraceptive methods provided: United Stetes and

territories, 1974, 1975, and1978

Contraceptive method provided

Year of survey

1978 1975 1974 1978 1975 1974

Number providing Percent providing

methods methods

All respondingsites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,033 4,660 4,494 . . . . . . ...

More commonly provided

Oral contraceptive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,850 4,623 4,474 96.3 99.2 99.6

Foam orcream . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,753 4,326 4,047 94.4 92.8 90.1

Condom, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,627 4,100 3,403 91.9 88.0 75.7

Diaphragm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,540 3,847 2,888 90.2 82.6 64.3

IUD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,435 4,276 4,234 88.1 91.8 94.2

Natural familyplanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,182 2,777 1,080 63.2 59.6 24.0

Less commonly providad

Female stabilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 919 970 1,544 18.2 20.8 34.4

Male sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 858 860 1,085 17.0 18.5 23.7

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 533 1,092 1,090 10.6 23.4 24.3

7
that no ancillary services were provided. The number was little change in the number of sites providing

and percent of sites providing each of these ancillary certain types of services in each of the 3 years. The

services in the major categories ranged from a high of largest difference occurred in transportation to the

4,881 (97.0 percent) for individual counseling about service site where the percent of sites providing that

family planning to a low of 1,225 (24.3 percent) for service is 22.0 percent lower in 1978 than it was in

babysitting services. Table F also reveals that there 1975.

Table F. Number and percent of responding medical family planning service sites, by ancillary services provided: United States and

territories, 1974, 1975, and 1978

Year of survey

Ancillary service

1978 1975 1974 1978 1975 1974

Number of sites Percent

All responding sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,033 4,660 4,410 . . . . . . . . .

Individual counseling about family planning . ., . . , . . . . . . , . . . . . 4,881 4,551 4,341 97,0

Referral to appropriate agency for social services . . . . . , . . . . . . . . .

97.9

4,698

98.4

4,066 4,065

Referral to othar site for family planning or medical

93.3 87.5 92.2

services notprovided at this site . . . . . . . . . . . . . . . . . . . . . . . . . 4,600 3,987 4,041

Followup program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

91.4 85.8

4,248

91.6

3,986 3,871

Classroom or group sessions on family planning . . , , . . . . . . , . . . . .

84.4 85,7 87.8

3,407 3,034 2,675

Outreach program . . . . . . . . . . . . , . . . . . . . . . . . . . . . . .. OO. .

67.7 65.3 60,7

3,169 2,989 3,213

Classroom or group sessions on sex education . . . . . . . . . . . . . . . . .

63.0 64.3

2,113

72.9

1,919 1,559

Transportation to service site.., . . . . . . . . . . . . . . . . . . . . . . . . .

42.0 41.3

1,525

35.4

1,956 1,751

Babysitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..O

30.3 42.1

1,225

39.7

1,356 1,287

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..04 .COC3.

24.3 29.2

2,386

29.2

None . . . . . . . . . . . . . . . . . . . . . . .,. , . . . . . . . . . . . .. OO1ll

1,789 204 47,4 38,4 4.6

11 11 0.2 0.2
sites

Less information was requested from the nonmedical family planning service site than from the

medical sites. Information was sought on such items

as physical location, operating responsibility, and the

types of nonmedical services provided.

Geographic distribution

Tables 1 and 2 show the distribution of nonmedical service sites by State, territory, Census regions and

divisions, and Federal administrative regions. Only six

States reported more nonmedical than medical service

sites, They were Indiana, Iowa, Minnesota, North

Dakota, Wisconsin, and Wyoming. This is not surprising since only 28.4 percent of all responding service

sites were classified as nonmedical.

None of the regions reported more nonmedical

than medical service sites. The North Central and the

South Regions were the location for over 75 percent

of the reported nonmedical service sites.

Physical location and operating responsibility

Tables 10, 11, and 12 present data on the

location and operating responsibility of the nonmedical sites. Nearly half of the nonmedical sites were

operated by State governments and more than 85

percent were operated by either the State or county

governments. A majority (55.5 percent) of the

nonmedical sites were located in either State or local

welfare department buildings.

Services provided

Tables 13 and 14 provide data on ancillary services

by location and operating responsibility for the

responding nonmedical service sites. As in the 1975

survey, the most prevalent service provided by the

responding nonmedical service sites was referral to

another site for medical family planning services.

About 85 percent of all responding nonmedical

service sites performed this service. Other important

services performed by these responding nonmedical

service sites were: individual counseling about family

planning (68.4 percent), refemal

for social services (51. 1 percent),

to the service site (43.0 percent).

to another agency

and transportation
List of detailed tables

1. Number and percent distribution of responding medical and

nonmedlcal family planning service sites, by State and territory: United States, and territories, 1978 . . . . . . . . . . . . .

2. Number and percent distribution of responding medical and

nonmedical family planning service sites, by geographic area:

United States and territories, 1978 . . . . . . . . . . . . . . . . .

3. Number of responding medical family planning service sites,

by operating responsibility and location of site: United

States andterritories, 1978 . . . . . . . . . . . . . . . . . . . . . .

4. Number of responding medical family planning service sites,

by location of site, Statar and territory: United States and

territories, 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. Number of responding medical family planning service sites,

by operating responsibility, State, and territory: United

States andterritories, 1978 . . . . . . . . . . . . . . . . . . . . . .

6. Number of patients served and visits and new patients as

reported by responding medical family planning service sites,

by State and territory: United States and territories, 1978 . . .

7. Number of patients served and visits and new patients as

reported by responding medical family planning service sites,

by geographic area: United States and territories, 1978 . . . . .

8.

11

9.

12

10.

13

11.

14

)

12,

15

13.

16

14.

17

Number of responding medical family planning service sites,

by location, services, and contraceptive methods provided:

United States and territories, 1978 . . . . . . . . . . . . . . . . . 18

Number of responding medical family planning service sites,

by operating responsibility, services, and contraceptive

methods provided: United States and territories, 1978 . . . . 19

Number of responding nonmedical family planning service

sites, by location, State, and territory: United States and

territories, 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Number of responding nonmedical family planning service

sites, by operating responsibility, State, and territory: United

States andterritories, 1978 . . . . . . . . . . . . . . . . . . . . . . 21

Number of responding nonmedical family planning service

sites, by operating responsibility and location: United States

andterritories, 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Number of responding nonmedical family planning service

sites, by location and ancillary services provided: United

States andterritories, 1978 . . . . . . . . . . . . . . . . . . . . . . 22

Number of responding nonmedical family planning service

sites, by operating responsibility and ancillary services provided: United States and territories, 1978 . . . . . . . . . . . . . 23

10
Table 1, Number and percent distribution of responding medical and nonmedical family planning service sites, by State and territory: United Statas

and territories, 1978

Medical Nonmedical Medical

State and territory

Nonmedical

Total service service Total service service

sites sites sites sites

United Statas and territories . . . . . . . . . . . . . . . . . .

States:

Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Arizona, ,,, , . . . . . . . . . . . . ., . :.......,

Arkansas, . . . . . . . . . . . . . . . . . . . . . . . . . . .

California, ,,, , . . . . .. $..... . . . . . . . . . . .

Colorado, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Connecticut . . . . . . . . . . . . . . . . . . . . . . . . . .

Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . .

DistrlctofColumbia . . . . . . . . . . . . . . . . . . . . .

Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Georgia . ., . . . . . . . . . . . . . . . . . . . . . . . . . .

Hawaii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Kentucky, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maine ..,.,...,.......,.. . . . . . . . . . . .

Maryland, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Minnesota . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mississippi o, .,, .,, . . . . . . ..o. . . . . . . . . .

Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Navada . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Naw Hampshire . . . . . . . . . ..t. . . . . . . . . . . .

NewJersay, ,, ., .,...,.,. . . . . . . . . . . . . .

New Mexico . . . . . . . . . . . . . . . . . . . . . . . . . .

New York . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Carolina . . . . . . . . . . . . . . . . . . . . . . . .

North Dakota, . . . . . . . . . . . . . . . . . . . . . . . .

Ohio, ,,, ,, . . . . . . . . . . . . . . . . . . . . . . . . .

Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . .

Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . .

Rhode Island . . . . . . . . . . . . . . . . . . . . . . . . .

South Carolina . . . . . . . . . . . . . . . . . . . . . . . .

South Dakota . . . . . . . . . . . . . . . . . . . . . . . . .

Tannassee .,, ,, . . . . . . . . . . . . . . . . . . . . . . .

Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Utah, ,,, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Vermont, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Virginia, . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Washington .,, , . .,, . . . . . . . . . . . . . . . . . . .

West Virginia . . . . . . . . . . . . . . . . . . . . . . . . .

Wisconsin, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wyoming . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Territories

American Samoa . . . . . . . . . . . . . . . . . . . . . . .

Canal Zone, . . . . . . . . . . . . . . . . . . . . . . . . . .

Puerto Rico . . . . . . . . . . . . . . . . . . . . . . . . . .

Virgin islands, . . . . . . . . . . . . . . . . . . . . . . . .

Number Percent distribution

7,032

161

29

100

145

449

143

64

19

25;

314

27

40

158

168

119

133

117

145

37

140

171

225

178

209

213

65

67

6

36

124

93

344

232

63

226

183

107

229

23

139

62

238

296

26

29

269

108

1:

26

1

2

54

8

5,033

103

27

92

99

395

91

53

18

1

214

188

26

32

93

82

26

87

86

109

33

121

111

131

83

152

133

38

36

2:

97

77

283

163

25

173

146

80

176

19

111

41

181

269

19

21

191

82

64

51

9

1

2

52

8

1,999

58

2

8

46

54

52

11

1

37

126

1

8

65

86

93

46

31

36

4

19

60

94

95

57

80

27

31

10

27

16

61

69

38

53

37

27

53

4

28

21

57

27

7

8

78

26

24

81

17

2

100.0

2.3

0.4

1.4

2.1

6.4

2.0

0.9

0.3

3.6

4.5

0.4

0.6

2.2

2.4

1.7

1.9

1.7

2.1

0.5

2.0

2.4

3.2

2.5

3.0

3.0

0.9

1.0

0.1

0.5

1.8

1.3

4.9

3.3

0.9

3.2

2.6

1.5

3.3

0.3

2.0

0.9

3.4

4.2

0.4

0.4

3.8

1.5

1.2

1,9

0.4

0.7

0.1

100.0

2.1

0.5

1.8

2.0

7.9

1.8

1.1

0.4

4.3

3.7

0.5

0.6

1.9

1.6

0.5

1.7

1.7

2.2

0.7

2.4

2.2

2.6

1.7

3.0

2.7

0.8

0.7

0.1

0.5

1.9

1.5

5.6

3.2

0.5

3.4

2.9

1.6

3.5

0.4

2.2

0.8

3.6

5.3

0.4

0.4

3.8

1.6

1.3

1.0

0.2

1.0

0.2

100.0

2.9

0.1

0.4

2.3

2,7

2.6

0.5

0.1

1.8

6.3

0.1

0.4

3.2

4.3

4.7

2.3

1.6

1.8

0.2

1.0

3.0

4.7

4.8

2.8

4.0

1.4

1.6

0.5

1.4

0.8

3.1

3.4

1.9

2.6

1.8

1.4

2.6

0.2

1.4

1.0

2.8

1.4

0.4

0.4

3.9

1.3

1.2

4.0

0.8

0.1

,

11
Table 2. Number and percent distribution of responding medical and nonmedical family planning service sites, by geographic areas: United States

and territories, 1978

Medical Nonmedical Medical

Geographic area ~ L

Nonmedical

Total service servica Total service service

sites sites sites sites

United States and territories . . . . . . . . . . . . . . . . .

Census regions:3

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Census divisions:3

New England . . . . . . . . . . . . . . . . . . . . . . . . .

Middle Atlantic, . . . . . . . . . . . . . . . . . . . . . . .

East North Central . . . . . . . . . . . . . . . . . . . . . .

WestNorth Central . . . . . . . . . . . . . . . . . . . . .

South Atlantic . . . . . . . . . . . . . . . . . . . . . . . .

EastSouth Central . . . . . . . . . . . . . . . . . . . . . .

WestSouth Central . . . . . . . . . . . . . . . . . . . . .

Mountain . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pacific . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Standard Federal administrative ragions:2

Region I . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region al, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region ill . . . . . . . . . . . . . . . . . . . . . . . . . . .

RegionlV . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region V . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region Vl . . . . . . . . . . . . . . . . . . . . . . . .,,,

Region V1l . . . . . . . . . . . . . . . . . . . . . . . . . . .

RegionVlll . . . . . . . . . . . . . . . . . . . . . . . . . .

RegionlX . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region X, . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number Percent distribution

7,032 5,033 1,999

1,057 819 238

1,744 961 783

2,947 2,216 731

1,219 974 245

360

697

909

835

1,453

725

769

499

720

360

532

746

1,661

1,087

862

532

385

584

283

263

556

530

431

1,071

522

623

364

610

263

442

571

1,198

613

700

282

223

521

220

97

141

379

404

382

203

146

135

110

97

90

175

463

474

162

250

162

63

63

100.0 100.0

15.0 16.3

24.8 19.1

41.9 44.0

17.3 19.4

5.1 5.2

9.9 11.1

12.9 10.5

11.9 8.6

20.7 21.3

10.3 10.3

10.9 12.4

7.1 7.2

10.2 12.2

5.1 5,2

7.6 8.8

10.6 11.3

23.6 $3.8

15.5 12.2

12.2 13.9

7.6 5.6

5.5 4.4

8.3 10.4

4.0 4.4

100.0

11.8

39.1

36.6

12.4

4,8

7.0

18.9

20.2

19,2

10,1

7.3

6.8

5.6

4.8

4.5

8,9

23.2

23.6

8.1

12.5

8.1

3.2

3.1

lFor components of regions anddivisions, sea appendix il.

zln~l”des respondents from American Samoa, Cenal Zone, Guam, Puerto Rico, and Virgin Islands.

3E~c]udes respondents from ,4mericen Samoa, Cenal Zone, Guem, PuertO RiCO, end vir9in Islands.

12
Table3. Numkrof responding medical family planning sewicesites, byo@rating responsibiIi~ atilwation of site United States andterritories, 1978

Location

Total Operating responsibility

respondState ing County City Indian CommuheaIth health Health health

LocaI Planned Other

medical health nity health Hospital Univer- Corpodepart- depart- district departparentaction

govern- Other Unknown

sites sewice center hood sity ration

men t ment ment agency

ment

All responding medical sites . . . 5,033 863 1,542 181 168 123 240 234 566 326 188 107 11 374 10

State or local health

department building . . . . . . . . . 1,904 640 973 118 80 - 12 3 44 6 20 1 7

State or local welfare

depatiment building . . . . . . . . . 45 11 18 3 3- 1 7 1 1

Hospital . . . . . . . . . . . . . . . . . . . 577 22 36 3 14 49 18 6 50 264 15 11 84 5

Community health center. . . . . . 511 45 149 4 17 41

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

23 156 15 14 3 8 3 32 1

89 11 14 - 9 3 10 4 1 8- 27 2

School . . . . . . . . . . . . . . . . . . . . 209 19 15 1 3 6 5 9 11 2 133 2- 2 1

Church . . . . . . . . . . . . . . . . . . . . . 81 4 23 2 1 11 3 25 1 1 10

Office building . . . . . . . . . . . . . . 484 41 46 10 5

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

2 63 16 204 4 8 23 1 61

49 7 31 - 1 2 7 1

Courthouse . . . . . . . . . . . . . . . . . 75 21 36 10 3 5

Freestanding clinic . . . . . . . . . . . 53 2- 1 1 1 32 3- 13

Dwelling (houw, apartment,

project) . . . . . . . . . . . . . . . . . . 95 10 11 1 3- 10 2 40 1 2 1 14

Other . . . . . . . . . . . . . . . . . . . . . 543 91 121 9 11 19 60 14 94 9 9 19 4 83

Unknown . . . . . . . . . . . . . . . . . . 316 41 67 20 30 5 22 14 29 27 10 10 2 40 1

NOTE: Fordefinition of ’’other’’ categories, saa appendix Il.

id
Table4. Numhrof respondingmedical femilyplanning sewimsites, bylomtion ofsite, State, andterritory: United States andterritories, 1978

Location

Total

State and territory respond!rrg State or State or Community Dwelling

medicd local health

‘~~~~r~~n~ Hospital health Office Courtsites School (house,

department

building

building house Other Unknown

center apartment,

building project)

All responding medical sites . . . . .

State$

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, . . . . . . . . . .

NewJersey . . . . . . . . . . . . . .

New Mexico . . . . . . . . . . . . .

New York . . . . . . . . . . . . . . .

North Carolina . . . . . . . . . . .

North Dakota . . . . . . . . . . . .

Ohio, .,..,.........,.,

Oklahoma . . . . . . . . . . . . . . .

Oregon . . . . . . . . . . . . . . . . .

Pennsylvania . . . . . . . . . . . . .

Rhode Island . . . . . . . . . . . . .

South Carolina . . . . . . . . . . .

South Dakota, . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . .

Texas . . . . . . . . . . . . . . . . . .

Utah . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . .

West Virginia . . . . . . . . . . . . .

Wisconsin . . . . . . . . . . . . . . .

Wyoming . . . . . . . . . . . . . . .

Territories

AmaricanSamoa . . . . . . . . . .

Canal Zone . . . . . . . . . . . . . .

PuertoRico . . . . . . . . . . . . .

Wrginlslands . . . . . . . . . . . .

5,033

103

:;

99

395

91

53

18

1

214

188

26

32

93

82

26

87

86

109

33

121

111

131

83

152

133

38

36

6

26

97

77

283

163

25

173

146

80

176

19

111

41

181

289

19

21

181

82

84

51

9

1

2

52

8

1,904

56

3

38

54

137

16

1

3

126

130

8

14

23

12

35

76

55

31

51

6

113

40

5

2

1

17

26

29

81

6

30

76

31

14

97

19

134

62

4

122

25

42

13

2

27

3

45

2

3

2

2

1

2

2

1

2

2

1

4

1

4

1

3

2

1

2

2

1

3

1

577

2

16

16

1

40

4

18

2

15

8

8

4

16

12

6

10

4

7

17

32

14

11

3

11

4

4

2

2

22

7

75

6

3

23

11

6

42

3

5

8

4

25

5

15

7

2

5

1

13

2

511

4

3

8

5

61

6

6

1

29

24

1

1

8

7

2

5

1

3

1

36

31

5

15

12

11

9

1

2

10

12

32

7

1

9

10

6

34

11

4

11

6

17

5

4

16

5

2

2

2

5

2

4

2

23

9

2

3

1

1

10

4

1

3

8

5

7

6

4

1

3

3

1

3

8

1

18

4

1

10

5

9

9

1

2

5

14

1

4

3

4

1

3

2

484

4

:

2

36

10

5

2

3

7

3

1

16

22

12

8

4

10

5

10

7

14

18

6

16

4

6

8

9

10

30

6

4

27

3

4

31

1

2

56

5

7

12

10

1

16

1

1

1

75

1“

2

8

2

1

1

2

7

3

2

1

4

1

5

2

5

2

1

4

2

10

:

2

95

1

4

8

1

5

1

1

1

2

1

1

1

3

1

1

2

1

1

10

4

7

2

3

3

13

1

1

11

3

1

1

815

7

21

15

83

13

9

10

2:

10

3

6

17

20

4

12

1

35

1

17

10

22

12

10

28

7

18

9

17

8

32

10

7

46

38

16

28

2

2

1

29

68

4

5

30

16

7

7

2

2

318

29

3

2

16

1

17

11

7

2

2

2

2

7

16

25

12

8

1

17

4

2

3

69

33

23

i

1

4

2

2

1

14
Table5. Numbrof respondng medical family planning sewicesites, byowrating resWnsitiliW, State, andtarritow: United States andterritories, 1978

Operating responsibility

Total

Oistrict

State and tarritory

responding stare County City

med;cal health health or multi- health Indian Community Local Free Planned

sites depart- depart- County depart- health action health parent- Hospital Other

health

clinic

ment ment man t

service agency center hood

department

All respondingmedical sitas . . . . . . .

states

Alabama . . . . . . . . . . . . . . . . .

Alaska . . . . . . . . . . . . . . . . . . .

Arizona . . . . . . . . . . . . . . . . . .

Arkansas . . . . . . . . . . . . . . . . .

California . . . . . . . . . . . . . . . . .

Colorado . . . . . . . . . . . . . . . . .

Connecticut . . . . . . . . . . . . . . .

Dalawara . . . . . . . . . . . . . . . . .

13istrictof Columbia . . . . . . . . .

Florida . . . . . . . . . . . . . . . . . .

Gaorgla . . . . . . . . . . . . . . . . . .

Hawaii . .,, . . . . . . . . . . . . . . .

Idaho . . . . . . . . . . . . . . . . . . .

Illinois . . . . . . . . . . . . . . . . . . .

Indiana, . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . .

Kansas . . . . . . . . . . . . . . . . . . .

Kentucky . . . . . . . . . . . . . . . . .

Louisiana . . . . . . . . . . . . . . . . .

Main . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . .

Massaahuaatts. . . . . . . . . . . . . .

Michigan, . . . . . . . . . . . . . . . .

Minnesota . . . . . . . . . . . . . . . .

Mississippi . . . . . . . . . . . . . . . .

Missouri . . . . . . . . . . . . . . . . . .

Montana, . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . .

Nevada . . . . . . . . . . . . . . . . . .

NewHampshire . . . . . . . . . . . . .

NawJarsey . . . . . . . . . . . . . . . .

New Mexico . . . . . . . . . . . . . . .

New York . . . . . . . . . . . . . . . .

North Carolina . . . . . . . . . . . . .

North Dakota . . . . . . . . . . . . . .

Ohio, . . . . . . . . . . . . . . . . . . .

Oklahoma . . . . . . . . . . . . . . . .

Oregon . . . . . . . . . . . . . . . . . .

Pennsylvania . . . . . . . . . . . . . . .

Rhoda Island . . . . . . . . . . . . . .

South Carolina ...,..... . . . .

South Oakota . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . .

Texas . . . . . . . . . . . . . . . . . . .

Utah . . . . . . . . . . . . . . . . . . . .

Varmint . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . .

Washington . , . . . . . . . , . . . . .

Waat Virginia . . . . . . . . . . . . . .

Wisconsin . . . . . . . . . . . . . . . . .

Wyoming . . . . . . . . . . . . . . . . .

Territories

American.%moa . . . . . . . . . . . .

Canal Zona ., .,, . . . . . . . . . . .

Puerto Rico, . . . . . . . . . . . . . .

Virgin Islands . . . . . . . . . . . . . .

5,033

103

z

99

395

91

53

18

1

214

188

28

32

:

26

87

1:

33

121

111

131

83

152

133

38

38

8

26

97

77

283

163

25

173

146

80

176

19

111

41

181

269

19

21

191

82

84

51

9

;

52

a

963

34

3

57

4

12

1

13

30

25

6

5

1

2

9:

:

1

7

13;

5

5

17

2

7

30

1

11

2

5

6

2

1

104

25

129

68

1

40

1

11

1

33

8

1,542

53

47

28

205

21

142

130

;

20

12

3

58

51

4

74

42

16

3

46

7

1

4

4:

108

3

21

98

55

2

2

3

50

12

4

93

20

36

16

2

181

9

6

4

14

21

4

1

5

29

1

15

1

2

1

1

3

1

26

5

3

2

3

15

9

168

1

2

11

5

1

:

3

9

9

8

7

3

2;

4

12

6

1

28

18

1

1

6

123

16

25

1

1

2

1

2

3

2

10

2

7

3

21

3

11

2

9

1

1

240

1

9

10

1

3

11

12

6

6

4

12

2

10

12

9

3

24

6

3

1

9

2

2

14

4

1

3

54

6

234

2

2

43

6

1

7

1

5

2

4

2

3

2

4

32 t

2

10

2

6

1

2

4

21

3

1

11

3

15

8

4

4

1

8

6

2

1

3

42

15

1

1

1

1

2

2

1

1

2

2

2

3

7

1

566

1

6

24

22

19

2

6

2

14

1

16

34

7

3

14

11

17

2

2

1

41

9

78

1

69

12

3

39

67

5

12

2

11

2

10

1

326

5

15

4

15

1

9

7

4

1

14

3

3

3

1

1

4

14

30

10

6

6

19

2

59

4

13

3:

2

4

1

5

3

7

2

1

2

1

4

648

4

8

7

3

76

13

7

1

1

14

4

2

6

18

8

2

6

1

4

10

7

36

20

16

4

21

5

16

1

20

19

11

50

8

7

23

5

8

66

3

1

1

1

28

4

5

15

21

7

14

4

1

5

15
Table6. Number ofpatients served andvisits andnewpatients asreported byresponding medical family planning service sites, by State and

territory: United States andterritories, 1978

State and territory

Patients Visits New

served’1 reportedl patients

reportadl

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

Naw Hampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NewJersay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Naw Mexico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Oklahoma, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Oragon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Rhode [stand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Utah . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wiwonsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wyoming, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Territories:

American Samoa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Canal Zone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PuertoRico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Virgin islands, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4,203,013

64,582

8,646

72,267

57,530

483,355

49,653

52,523

10,854

156,051

114,862

36,973

11,895

116,304

61,354

55,794

40,719

41,342

103,371

24,654

93,490

97,091

97,083

65,176

69,548

90,246

26,841

21,476

549

13,649

112,846

42,195

328,424

131,202

12,953

166,279

79,031

66,081

201,025

12,271

78,287

15,429

151,109

265,564

10,988

14,141

110,498

95,219

33,232

36,997

7,523

667

448

90,952

1,774

6,876,768

109,760

13,313

111,915

75,263

834,930

91,177

88,360

24,625

309,972

151,833

39,614

18,198

170,963

115,853

129,243

57,056

42,257

1,70,181

45,687

128,290

116,001

143,289

114,381

82,520

143,301

42,092

29,905

958

25,188

185,339

69,376

654,746

258,116

17,988

274,004

148,091

103,497

341,928

19,810

105,558

17,105

286,135

410,186

12,129

23,916

139,914

169,262

32,604

73,388

11,016

1,659

551

88,249

6,076

1,686,071

20,360

3,732

31,283

13,598

203,018

26,563

24,729

3,655

66,150

48,586

13,294

4,881

49,912

24,688

18,029

18,147

12,227

21,168

10,046

17,330

105,839

45,846

30,883

24,149

37,123

9,054

10,322

79

6,196

52,063

15,899

132,450

39,481

4,565

65,841

30,824

34,026

81,829

5,314

22.073

5;597

55,574

109,707

4,791

7,365

38,706

37,486

9,607

16,814

2,655

332

163

11,093

929

‘The numbar of patients sarved was raportad for 82 percent; number of visits and number of new patients were reported for 81 percent of the

responding medical family planning servicesites.

NOTE: Date inthistable are figures for calendar year 1977 collected during the1978 survey.

16
Table7, Numkrof patients served andvisits andnewpatients asreported byresponding medical family planning sewicesites, by geographic

area: United States andterritories, 1978

Geographic area 7

Patients Visits New

served2 reportedz patients

reported2

United Statasand tarritories3 ...,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Census regions: 4

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Central.,,.......,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Census divisions: 4

New England . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Middle Atlantic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EastNorth Central......,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West North Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South Atlantic ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EastSouth Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WestSouth Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mountain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pacific . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Standard Federal administrative regions: 3

Reglonl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region ill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region lo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region V1l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

RagionVlll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region IX, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Region X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4,203,013

856,624

779,810

1,560,553

912,185

214,329

642,295

478,017

301,793

728,476

326,581

505,496

221,911

690,274

214,329

534,444

449,099

806,983

543,193

547,691

208,235

123,387

593,811

181,841

6,876,768

1,500,975

1,692,254

2,475,305

1,517,477

318,962

1,182,013

777,497

914,757

1,150,912

520,672

803,721

356,861

1,160,616

318,962

934,961

667,361

1,346,161

891,878

873,097

359,505

191,507

989,076

304,270

1,686,071

425,831

327,767

533,195

386,761

159,489

266,342

203,101

124,666

245,588

112,310

175,297

95,205

291,556

159,489

186,698

151,127

288,600

233,984

191,196

83,621

53,225

248,006

80,125

‘For components of regions anddivisions, see appendix Il.

2The number of patients servad ~a~ repOrted for 82 percent; number of visits and number Of naw Patients wera reported fOr 81 Percent of the

responding medical family planning service sites.

slnclude~~a~pondant~fr~~ American Samoa, Canel Zona, puerto Rico, anci Vir9in islands.

4Exclud~~re~pondent~from Amarican Samoe, Canai z0rV9,i%.3rVJ RkO, =md virgin Islands.

NOTE: Date inthistable are figures forcalander year 1977 collected during the 1978 survay.

17
Table8. Numhrof reVonding medical family planning sewicesites bylocation, sewims, andcontraceptive methods provided: United Statasand territorias,1978

Location

Total

Servicas and contraceptive responding State or State or Community

Dwelling

methods providad medical local health local walfare Hospital health School

Office COurtsites department

(house,

department building house

Other Unknown

apartment,

building building

center

project)

All responding medical sites . . . . .

Medical services:

Medical history racord . . . . . .

Reproductive history record . . .

Social history record . . . . . . . .

Pap smear . . . . . . . . . . . . . . .

Pelvic examination . . . . . . . . .

8reastexamination . . . . . . . . .

Taking of blood pressure . . . . .

Oral contraceptive

prescription . . . . . . . . . . .

lUD insertion . . . . . . . . . . . .

V.D. testing . . . . . . . . . . . . .

Urinal ysis . . . . . . . . . . . . . .

Blood test . . . . . . . . . . . . . . .

Sickle cell screening . . . . . . . .

Pregnancy testing . . . . . . . . . .

Infertility screening or

counseling . . . . . . . . . . . .

Female sterilization . . . . . . . .

Male sterilization . . . . . . . . . .

Ahrtion . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . .

Contraceptive method%

Oral contraceptive . . . . . . . . .

IUD . . . . . . . . . . . . . . . . . . .

Foamorcream . . . . . . . . . . .

Condom . . . . . . . . . . . . . . . .

Diaphragm . . . . . . . . . . . . . .

Natural family planning . . . . . .

Femalesterilizatiorr . . . . . . . .

Malestarilization . . . . . . . . . .

Injection . . . . . . . . . . . . . . .

Post-coitalpill . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . .

Ancillary swvices 1

Individual counseling about

family planning . . . . . . . . .

Followupprogram . . . . . . . . .

Referral to other sites for family

planning . . . . . . . . . . . . . .

Referral to appropriate agency

forsocialawvices . . . . . . . .

Transportation toservicesite . .

Babysitting . . . . . . . . . . . . . .

Provide space, equipment, supplies, and/or staff to pthers

who provide family planning

services . . . . . . . . . . . . . .

Contract or pay others for the

provision of medical family

planning sewices . . . . . . . .

Outreach program . . . . . . . . .

Classroom or group sessions

about family planning. . . . .

Classroom or group sessions on

sex education . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . .

5,033

4,926

4,811

4,394

4,783

4,778

4,779

4,884

4,774

4,435

4,714

4,733

4,562

2,731

4,657

2,571

819

B58

368

1,490

5,033

4,850

4,435

4,753

4,627

4,540

3,182

919

858

111

232

180

5,033

4,881

4,248

4,600

4,698

1,525

1,225

790

1,062

3,169

3,407

2,113

534

1,904

1,877

1,B63

1,716

1,832

1,829

1,827

1,901

1,826

1,765

1,813

1,815

1,777

1,281

1,776

1,006

254

247

40

554

1,904

1,867

1,765

1,B76

1,866

1,752

1,183

254

247

16

21

64

1,904

1,887

1,738

1,701

1,826

485

445

282

452

1,302

1,332

738

210

45

34

35

32

31

31

31

36

32

33

32

30

29

13

32

21

15

13

6

11

45

36

33

::

32

23

15

13

1

1

1

45

42

31

44

39

20

14

12

22

25

15

10

2

577

564

550

483

560

560

557

568

553

535

550

546

528

327

539

383

320

226

197

176

577

554

535

512

458

522

376

320

226

60

82

32

577

544

417

492

512

157

107

121

75

237

349

187

66

511

506

499

462

493

492

491

510

494

457

484

478

464

280

477

261

58

55

28

152

511

494

457

495

479

465

320

58

55

12

22

14

511

485

429

483

475

178

112

81

89

331

352

216

43

209

204

178

149

199

201

202

206

190

117

193

191

173

85

189

49

12

13

4

82

209

184

117

156

150

172

85

12

13

2

47

4

209

192

119

197

165

30

17

27

18

81

132

97

18

484

470

470

429

452

452

453

481

452

433

448

454

430

155

459

232

58

76

23

167

484

466

433

465

461

446

340

58

76

2

6

21

484

477

436

472

473

209

156

66

140

368

397

289

61

75

70

68

58

58

59

59

75

59

52

57

62

60

18

62

24

14

14

4

13

75

61

52

65

62

5B

45

14

14

1

8

75

74

65

72

71

17

19

11

26

44

49

33

2

95

94

94

81

93

93

93

94

94

85

92

93

87

25

91

35

8

12

3

44

95

93

85

92

92

91

65

9

12

1

6

95

84

78

93

94

30

39

15

12

72

79

53

14

815

781

747

680

743

748

752

808

759

665

744

754

726

358

733

364

96

126

39

282

815

783

665

758

739

708

528

96

126

12

28

40

815

778

644

753

755

303

232

116

143

512

508

304

114

318

316

307

294

316

314

314

315

315

283

301

310

307

188

288

196

83

76

24

9

318

312

293

296

285

294

187

83

76

4

22

318

306

291

293

288

96

84

49

1H

194

186

4

lExcludes 11 sites havlngno ancillary services.

NOTE: Fordefinition of'`other'' categories, saaappendixll.

18
Table9. Numbrof resending medical family planning sites byoperating responsiMlity, sewims, endcontr*eptive methods pr0vi&d: UnitedStates

and territorial, 1978

Services and contraceptive

methods provided

Operating responsibility

Total

responding State County District City

madical health haalth or multi- health Indian Community Local Planned

sites depart- depart- county depart- health action health c~~~~ parant- Hospital

men t ment haalth ment service agency center hood

department

All responding medicel sites . . . . . . .

Medical servicas

Medical history record . . . . . . . .

Reproductive history record . . . .

Social history record . . . . . . . . .

Pap smear . . . . . . . . . . . . . . . .

Pelvic examination . . . . . . . . . . .

Breest examination . . . . . . . . . .

Taking of blood pressure . . . . . . .

Oral contraceptive prescription .,

lUD insertion . . . . . . . . . . . . . .

V,D, testing . .,.,,,,., ,. .,,

Urlnelysis, . . . . . . . . . . . . . . . .

BIoodtast . . . . . . . . . . . . . . . .

Sicklacell screening . . . . . . . . . .

Pregnancy tasting . . . . . . . . . . .

infertility screening or

counsehn g, . . . . . . . . . . . .

Famalasterilization . . . . . . . . . .

Malastarilization . . . . . . . . . . . .

Abortion . . . . . . . . . . . . . . . . .

Othar . . . . . . . . . . . . . . . . . . .

Contraceptive methods

Oral contraceptive , . . . . . . . . . .

IUD . . . . . . . . . . . . . . . . . . . .

Foamorcraam . . . . . . . . . . . . .

Condom . . . . . . . . . . . . . . . . .

Diaphragm . . . . . . . . . . . . . . . .

Natural family planning ..,..,.

Female sterilization . . . . . . . . . .

Malastarilizetion . . . . . . . . . . . .

Injaction . . . . . . . . . . . . . . . . .

Post-coital pill . . . . . . . . . . . . . .

Other ., . . . . . . . . . . . . . . . . .

Ancillary services:

Individual counseling about

family planning.. . . . . . . . . .

Followupprogram . . . . . . . . . . .

Rafarral to other sites for

family planning.. . . . . . . . . .

Refarral to appropriate agency

forsocialsarvices . . . . . . . . .

Transportation to servica

site . . . . . . . . . . . . . . . . . . .

Babysitting, . . . . . . . . . . . . . . .

Provide space, equipment,

supplies, end/or staff to

othars who provide family

planningsarvicas . . . . . . . . . .

Contract or pay others for the

provision of madical family

planning . . . . . . . . . . . . . . .

Outreechprogram . . . . . . . . . . .

Classroom or group sessions

aboutfamily planning . . . . . .

Classroomorgroup sassions

onsexeducation . . . . . . . . . .

Othar . . . . . . . . . . . . . . . . . . .

5,033

4,926

4,811

4,394

4,783

4,779

4,779

4,994

4,774

4,435

4,714

4,733

4,852

2,731

4,657

2,571

919

858

368

1,490

5,0;3

4,850

4,435

4,753

4,627

4,640

3,182

919

856

111

232

190

5,033

4,881

4,248

4,600

4,698

1,525

1,225

790

1,062

3,174

3,407

2,113

534

963

934

921

647

899

892

895

958

907

859

885

902

881

646

877

556

199

187

26

280

853

933

859

845

941

858

609

199

187

6

9

67

863

946

894

792

915

218

153

138

235

665

665

427

85

1,542

1,5(%

1,492

1.376

1,458

1,452

1,457

1,535

1,452

1,366

1,438

1,435

1,401

958

1,404

724

161

157

44

457

1,542

1,486

1,366

1,489

1.476

1,398

913

161

157

23

36

31

1,542

1,513

1,345

1,434

1,459

399

358

246

344

1,015

1,039

629

171

181

179

178

163

174

174

173

179

176

170

174

177

173

107

170

108 ,

21

21

7

36

161

180

170

180

176

170

124

;;

2

2

181

179

161

174

178

41

53

28

71

109

108

77

8

188

166

166

151

184

165

165

166

165

160

161

166

165

108

163

86

47

36

10

33

168

165

160

165

156

181

99

47

36

2

8

6

168

167

153

152

146

65

60

26

32

101

110

69

29

123

123

114

105

120

121

121

123

121

109

119

118

118

18

114

63

23

24

7

28

123

122

109

114

105

75

59

E

8

25

5

123

117

34

116

109

63

14

35

52

72

54

36

4

240

235

233

215

213

213

213

238

215

203

211

215

208

78

210

109

55

53

9

71

240

224

203

234

231

218

165

:

4

3

20

240

235

224

237

238

170

121

61

108

216

188

137

31

234

229

218

193

231

231

232

234

226

202

224

223

217

145

225

125

33

31

25

71

234

225

202

221

213

216

148

E

5

10

7

234

224

183

224

216

91

49

34

16

161

148

103

14

42

41

39

34

40

40

40

40

40

35

38

38

34

12

38

17

3

4

1

18

42

40

35

40

39

40

25

3

4

4

2

42

40

28

42

41

10

7

6

4

29

32

14

10

566

556

551

519

553

555

554

562

556

536

546

551

524

123

534

216

40

86

28

190

566

561

536

5.59

559

554

416

40

86

1

6

22

566

554

475

551

555

221

209

52

67

411

476

344

84

326

318

312

287

320

320

318

318

311

304

313

309

302

220

311

230

221

135

148

82

326

307

304

279

249

286

221

221

135

%

11

326

302

247

273

280

70

55

63

15

112

188

104

37

lExcludatll sites having no ancillary services.

NOTE: Fordeflnitlon of''other'' categories, seeappendixll.

19
Tabla 10. Num&rof responding nonmdical family planning sawims, bylmation, Stita, and territory: UniterJ Statasand territorias,1978

Location

Total

responding Stata or State or

State and tarritory nOn- Iocal local Community

Dwelling

madical health walfara Hospitel haalth School

Office Court- (house,

sitas

Other Unknown

department department

building

canter

house apartment,

building building projwt)

Al I responding non medical sites . . . .

States:

Alabama . . . . . . . . . . . . . . . . . . .

Alaska . . . . . . . . . . . . . . . . . . . . .

Arizona . . . . . . . . . . . . . . . . . . . .

Arkansas . . . . . . . . . . . . . . . . . . .

California . . . . . . . . . . . . . . . . . .

Colorado . . . . . . . . . . . . . . . . . . .

Connecticut . . . . . . . . . . . . . . . .

Dalawara . . . . . . . . . . . . . . . . . . .

District of Columbia . . . . . . . . . .

Florida . . . . . . . . . . . . . . . . . . . .

Gaorgia . . . . . . . . . . . . . . . . . . . .

Hawaii . . . . . . . . . . . . . . . . . . . . .

Idaho . . . . . . . . . . . . . . . . . . . . .

Illinois . . . . . . . . . . . . . . . . . . . . .

Indiana . . . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . . . .

Kansas . . . . . . . . . . . . . . . . . . . . .

Kentucky . . . . . . . . . . . . . . . . . .

Louisiana . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . . . .

Massachu~tts, . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . .

Minnasota . . . . . . . . . . . . . . . . . .

Mississippi . . . . . . . . . . . . . . . . . .

Missouri . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . .

Nevada . . . . . . . . . . . . . . . . . . . .

Naw Hampshira . . . . . . . . . . . . . .

Naw Jarsay . . . . . . . . . . . . . . . . .

New Mexico . . . . . . . . . . . . . . . .

New York . . . . . . . . . . . . . . . . . .

North Carolina . . . . . . . . . . . . . .

North Dakota . . . . . . . . . . . . . . .

Ohio . . . . . . . . . . . . . . . . . . . . . .

Oklahoma . . . . . . . . . . . . . . . . . .

Oregon . . . . . . . . . . . . . . . . . . . .

Pennsylvania . . . . . . . . . . . . . . . .

Rhode Island . . . . . . . . . . . . . . . .

South Carolina . . . . . . . . . . . . . .

South Dakota . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . .

Taxas . . . . . . . . . . . . . . . . . . . . .

Utah . . . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . .

Wast Virginia . . . . . . . . . . . . . . . .

Wisconsin . . . . . . . . . . . . . . . . . .

Wyoming . . . . . . . . . . . . . . . . . . .

Territories

American Samoa . . . . . . . . . . . . .

Canal Zone . . . . . . . . . . . . . . . . .

Puerto Rico. . . . . . . . . . . . . . . . .

Virgin Islands . . . . . . . . . . . . . . .

1,999

58

2

8

46

54

52

11

1

37

126

1

8

65

66

93

46

31

36

4

19

60

94

95

57

80

27

31

10

27

16

61

69

38

53

37

27

53

4

28

21

57

27

7

8

78

26

z

17

2

145

1

1

1

4

1

1

3

2

1

7

8

5

4

2

1

1

1

1

22

2

7

8

1

1

2

:

2

8

1

2

5

3

2

2

5

2

3

2

2

13

1

1,109

16

1

4

:

38

4

16

92

5

33

44

39

26

20

32

11

16

56

51

44

50

16

14

5

14

7

32

44

21

30

15

13

37

3

21

13

42

4

2

4

53

18

16

36

7

33

1

3

2

6

1

6

5

2

1

2

2

1

1

9

1

1

1

1

1

1

1

1

1

32

1

4

1

1

3

2

2

1

1

1

1

3

2

1

1

1

3

1

2

204

1

5

3

1

2

6

10

3

14

4

8

1

1

3

13

4

8

1

6

3

4

3

1

:

5

11

3

4

5

2

2

1

9

3

1

4

12

2

2

15

4

1

125

1

1

7

3

2

11

23

4

1

2

21

2

3

9

1

1

4

1

4

5

3

2

1

1

11

1

10

1

1

1

1

1

2

1

1

1

149

1

10

4

2

1

2

4

1

6

3

3

3

1

2

17

8

4

2

5

2

3

1

7

4

7

1

1

6

7

5

1

1

8

5

3

2

4

2

183

40

1

26

1

1

3

14

17

13

5

2

1

4

2

3

5

3

1

1

5

14

2

13

1

2

1

2

NOTE: For definition of “other” categories, see appandix Il.

20
Table 11. Number of respondingnonmedical family planning service sites, by operating responsibility, State, and territory: United States and territories, 197S

Operating responsibility

Total

responding State County District

State and tarritory City

non- health health or multi. health Indian Community Local Free Planned

medical depart- depart- county depart- health action health parent- Hospital Other

sites health

clinic

men t ment ment setvice agency center hood

department

All respondingnonmedlcal sites . . . .

states

Alabam a . . . . . . . . . . . . . . . . .

Alaska . . . . . . . . . . . . . . . . . . .

Arizona . . . . . . . . . . . . . . . . . .

Arkansas . . . . . . . . . . . . . . . . .

California . . . . . . . . . . . . . . . . .

Colorado . . . . . . . . . . . . . . . . .

Connecticut . . . . . . . . . . . . . . .

Delaware . . . . . . . . . . . . . . . . .

Districtof Columbia . . . . . . . . . .

Florida. . . . . . . . . . . . . . . . . . .

Georgia . . . . . . . . . . . . . . . . . .

Hawaii . . . . . . . . . . . . . . . . . . .

Idaho . . . . . . . . . . . . . . . . . . . .

Illinois . . . . . . . . . . . . . . . . . . .

Indiana . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . .

Kansas . . . . . . . . . . . . . . . . . . .

Kentucky . . . . . . . . . . . . . . . . .

Louisiana . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . .

Minnesota . . . . . . . . . . . . . . . . .

Mississippi . . . . . . . . . . . . . . . .

Missouri . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . .

Nevada . . . . . . . . . . . . . . . . . . .

New Hampshire . . . . . . . . . . . . .

NawJarsay . . . . . . . . . . . . . . . .

NewMaxico ,,..

NawYork.......;;;;;;... .

North Carolina . . . . . . . . . . . . .

North Dakota . . . . . . . . . . . . . .

Ohio . . . . . . . . . . . . . . . . . . . .

Oklahoma . . . . . . . . . . . . . . . . .

Oregon . . . . . . . . . . . . . . . . . . .

Pennsylvania . . . . . . . . . . . . . . .

Rhoda island . . . . . . . . . . . . . . .

South Carolina . . . . . . . . . . . . .

South Dakota . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . .

Taxes, . . . . . . . . . . . . . . . . . . .

Utah . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . .

Vlrglnla . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . .

WastVirginia . . . . . . . . . . . . . . .

Wlsconsln, . . . . . . . . . . . . . . . .

Wyoming . . . . . . . . . . . . . . . . .

Territories

American Samoa . . . . . . . . . . . .

Canal Zone . . . . . . . . . . . . . . . .

PuertoRico . . . . . . . . . . . . . . .

Virgin Islands . . . . . . . . . ..!..

1,999

58

2

8

46

54

52

11

:

37

126

:

65

86

93

46

31

36

4

19

60

94

95

57

80

27

31

10

27

16

61

69

38

53

37

27

53

4

28

21

57

27

7

8

7s

26

24

81

17

2

9s5

53

1

6

31

2

1

4

1

21

100

5

41

7

55

35

30

33

14

45

63

2

49

59

10

20

7

15

6

1

1

3

34

24

43

2

23

19

55

4

5

6

4

24

16

1

2

753

4

4

40

49

15

17

13

71

32

7

1

3

14

S4

5

15

12

9

1

17

41

60

30

41

2

3

4

1

1

7

66

1

2

66

15

30

1

1

2

1

2

1

13

1

1

2

2

1

1

1

11

2

1

1

1

2

1

1

1

1

4

1

1

1

1

30

5

2

1

1

1

1

1

1

1

1

2

1

4

1

7

4

1

1

1

1

2

1

I

21

1

2

1

1

1

2

3

1

2

2

1

2

1

1

30

1

1

2

1

2

1

2

1

1

1

5

2

1

1

2

2

2

1

1

129

1

6

10

1

2

4

1

:

3

3

2

1

1

8

2

3

2

2

3

1

:

10

6

5

1

1

2

5

1

1

s

1

7

3

6

2

NOTE: Fordeflnltion of ’bother’’catagorles,seaappandix Il.

21
Tabkr12. Numkrof responding nonradical familYDlanning sewi@sitas. bvowrating resmnsibiliW andlocation: Unitad Statasand tarritorias, l978

Operating responsibility

Total

responding

Stata County District

nOn- City

health health or multi- health Indien Commurrrly Local Planned

medical depart- depart- county depart- $~e action health ~~~~ parentsitas

Hospital Other

men t ment haalth

ment egency center hood

department

.

Location

Total . . . . . . . . . . . . . . . . . . . . . . . . . . 1,999 985 753

State or local heelth department

building . . . . . . . . . . . . . . . . . . . . . . 145 48 71

State or local welfara department

building . . . . . . . . . . . . . . . . . . . . . . 1,109 655 441

Hospital . . . . . . . . . . . . . . . . . . . . . . . 33 1 10

Community health center . . . . . . . . . . 1 4

School, . . . . . . . . . . . . . . . . . . . . . . . . 3;

Office building

1 1

. . . . . . . . . . . . . . . . . . 204 97 59

Courthouse . . . . . . . . . . . . . . . . . . . . . 125 38 82

Dwelling (house, epartment,

project) . . . . . . . . . . . . . . . . . . . . . . 10 2

Other . . . . . . . . . . . . . . . . . . . . . . . . . 149 49 41

Unknown . . . . . . . . . . . . . . . . . . . . . . 1S3 93 44

30 11 4 30 4 2 21 30 129

16 6- 1 1 2

2

1 16 ;

1 1

28

7 21

1 3

3

1

1-

1

1-

1 1-

1

4

1

16

1 6

7 1 33

2 12 26

1

1-

1-

3 4 1

2

9

4

Table 13, Number ofresponding non~dical familvplanning sewicesites bylocation andancillary sewices provided: United Stetesand territories, 1978

Location

Total

responding State or State or

Ancillary services provided~ rrOn- Iocal local Community 0 welling

medical health Office

welfare Hospital health

Court- [house,

‘Choo’ building house Other Unknown

sites department department center

apartment,

building building

project)

Total . . . . . . . . . . . . . . . . . . . . . . . .

Individual counaaling about family

planning . . . . . . . . . . . . . . . . . . . .

Followup program . . . . . . . . . . . . . .

Referral to other sitas for family

planning . . . . . . . . . . . . . . . . . . . .

Referral to appropriate agency for

social sewices . . . . . . . . . . . . . . . .

Transportation to service site ., . . . .

Babysitting . . . . . . . . . . . . . . . . . . . .

Provide space, equipment, supplies,

andlor staff to others who provide

family planning services . . . . . . . . .

Contract or pay others for the provision of medical family planning. . .

Outreach program . . . . . . . . . !., ,.

Classroom or group sessions

about family planning . . . . . . . . . .

Claaaroom or group sessions

orssexeducetion . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . . . . . . .

1,999 145 1,109 33 9 32 204 125 10 149 183

1,368 90 885 16 6 19 155 79 41

554 39 363 3 3 3 72 24 ; : 19

1,704 121 1,009 24 s 25 174 107 8 108 120

1,022

859

195

95

28

7

508

596

140

19

5

2

5 24 122 73

3 4 99 41

1 25 10

7

7

1

72 97

50 26

8 2

6 2

28 14

3s 11

25 5

27

14 :

43 7

40

39

16 1 8 2 1

584

680

401

455

4

5

3 66 23

3 6 79 42

5

2

178 19 59 5 3 14 29 12 6

149

137

21

15

45

64

1

5

2 10 25 9

2 4 16 14

6

173 ~lta~ reported no ancillary services.

NOTE: For definition of “other” categories, see appendix 11.

22
Table 14, Numbar of responding nonmedical family planning service sites, by oparating responsibdity and ancillary services provided: United States and territories, 1978

Opera tmg responsibdt ty

Total

responding

State

Oistrict

Ancillary services providedl

County City

non- health health or mul ti- health Indian Community Local Free Planned

medics/

depart- depart- county depart- ~ee~!& actmn health clmfc parent- Hospital Other

sites ment men thealth ment agency center hood

department

Total .,,.,,.,,,...,,,,,,..,,,., 1,999

Individual counseling about family

planning . . . . . . . . . . . . . . . . . . . . . . 1,368

Followup program , .,..!.... . . . . . 554

Referral to other sites for family

planning . . . . . . . . . . . . . . . . . . . . . . 1,704

Referral to appropriate agancy for

social services .,, ,,, ,.. . . . . . . . . . 1,022

Transportation to sarvica sita . . . . . . . 859

13abysltting . . . . . . . . . . . . . . . . . . . . . 196

Provide space, equipment, supplies,

and/or staff to others who provide

family plannlng servlcas , , . . . . . . . 43

Contract or pay others for the provision of medical family planning . . . . 584

Outreach program . . . . . . . . . . . . . . . 660

Classroom or group sasslons

about family planning ... ,,, ... . . 176

Classroom or group sessions

on sex education . . . . . . . . . . . . . . . 149

Other . . . . . . . . . . . . . . . . . . . . . . . . . 137

985 753 30 11 4 30 4 2 21 30 129

656 572 25

15

3 1 20

17

16 10 65

246 235 8 2 29

636 671 26 10 2 24 3 2 12 23 95

3 1 15 17 72

1- 5 2 36

1 1 15

460 400

324

80

21

9

1

9 3

3.

21

15

2

484

96

12

306

350

33

13 1

17

13

6

12

16

4 7

1- 3 1 10

1 7 2 32

230

255

67

2 2

4

7 2 11 8 2 48

26

55

57

58

7

1

2-

4-

6

2

7 42

1- 1 3 12

173 $,tas ~apOrtad “~ a“clllary SePJiCeS.

NOTE: For dafin[tlon of “othar” categories, see appandix 11.

23
Appendixes

Contents

Appendix I. Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Appendix Il. Definitions ofcertain terms used in this report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Family planning definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Composition of ’’other’’ categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Geographic areas, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Appendix ill. National Inventory of Family Planning Services 1978 survey questionnaire . . . . . . . . . . . . . . . . . . . , . . . 28

24
Appendix L Methodology

The 1978 survey of the National Inventory of

Family Planning Service Sites is the third survey of

family planning service providers to be conducted.

The survey is designed to acquire information on the

facilities that provide family planning services in the

50 States, the District of Columbia, Puerto Rico, the

Virgin Islands, American Samoa, and the Canal Zone.

The data collection effort began in May 1978 and

consisted of a mail survey to a total of 10,116 known

and 72 newly identified providers of family planning

services, Based on information from previous surveys

and updating activities, the 7,097 service providers

and 3,019 nonmedical service providers were merged

into one file.

An initial mailing and two followup mailings were

conducted among the universe. Prior to the mailing

phase of the data collection, each State was queried

as to whether the questionnaires for that State were

to be mailed through a State agency. Nineteen of the

States and the District of Columbia requested that

this be done. The remaining States were surveyed by

mailing questionnaires directly to the individual

service sites. The actual data collection phase of the

survey was completed in October 1978. No effort was

made to inflate these data to compensate for those

service sites that did not respond to the survey.

Therefore, all tabulations and figures presented are

based solely on the data reported by the responding

service sites.

In 1978, service sites were determined to be

either medical or nonmedical providers based on

criteria established by the National Center for Health

Statistics. The criteria utilized the answers to question 7 on the questionnaire. The overall result of the

application of these criteria to the universe of 7,032

sites increased the medical universe from 4,775 to

5,033 and decreased the nonmedical universe from

2,186 to 1,999.

25
Appendix Il. Definitions of certain

terms used in this report

Family planning definitions

Family planning services. –Family planning services are those services that primarily enable individuals to meet their family planning objectives.

These services may be either medical or nonmedical

in nature.

Medical family planning services refer to any of

the following, provided either alone or in conjunction

with other services: pap smear, pelvic examinations,

breast examinations, taking of blood pressure, oral

contraceptive prescriptions, insertion of IUD, urinalysis, blood tests, infertilityy counseling, abortions,

female and male sterilization, and other related

medical services.

Nonmedical family planning services refer to any

of the following: record of pertinent medical history;

record of reproductive history; record of pertinent

social history, provision of information and counseling about family planning; followup programs; contraceptive education; outreach; or the provision of

transportation and babysitting, both of which are

provided to enable a person to attend a family

planning clinic or to otherwise obtain medical family

planning services.

Familv planning service site. –A service site is any

location or facility where family planning services are

provided on a regular basis. It may be a hospital,

health center, church, storefront, or mobile unit. For

mobile units, each regular stop is considered a

separate service site location; therefore, a separate

questionnaire should be completed for each stop.

Physicians’ offices should be considered as service site

locations only when there is a formal relationship

with a project or agency which is responsible for

providing family planning services.

Family planning patient. -A family planning

patient is any person who makes a family planning

visit to a family planning service site anywhere within

the United States or its territories.

Familv planning visit. –A visit to a family planning service site occurs when the patient’s visit is for

26

the purpose of obtaining health services related

contraception, sterilization, or infertilityy care.

Composition of “other” categories

to

“Other” physical location includes community

building (including neighborhood community action,

women’s clubs, churches, etc.), rented building, office

or space (including professional building), town or

city building, multiservice center (including medical,

social, and psychiatric), county building (excluding

courthouse), nonprofit organization building, outpatient or branch clinics, Indian health center, State

or federal building and health maintenance organization building, mobile units, storefronts, and freestanding clinics.

“Other” operating responsibility includes nonprofit organizations, profit organizations, doctor’s

offices, family planning associations, volunteer

agencies, free clinics, residential homes, women’s

clinics, social service agencies, churches, universities,

Federal agencies, etc.

“Other” medical services provided includes nutritional counseling, genetic counseling, sterilization

counseling, pregnancy counseling, prenatal care, treatment of vaginal infection, diagnosis and treatment of

low hematocrit, immunizations, chest X-rays, nonroutine laboratory tests, weight or diet counseling,

tuberculosis screening, treatment of infections,

mental health care, radiological heart and lung examinations, colposcopy, electrocardiograms, treatment of

cervicitis, contraceptive information and services, and

V.D. treatment.

“Other” contraceptive methods include suppositories and withdrawal techniques.

“Other” ancillary services include pregnancy testing for persons not enrolled for family planning

services; dental care or referral; general education on

health; education on breast and cervical cancer;

prenatal classes: counseling on social issues such as
better housing; children’s day care centers; protective health, V.D., human sexuality, baby care, child

services for adults and children; counseling on rearing, and special education for the handicapped;

heredity, sterilization, abortion, nutrition, premarital referrals to psychiatrists, county nurse, health proproblems, sexual dysfunctions, and pregnancy; deter- viders, and physicians; also referrals to pediatric,

mination of food stamp and medical eligibility; cardiovascular, and orthopedics; and interpreter for

classroom, group, or individual sessions on child foreign language clients.

Geographic areas

Censusregion and division

Northeast

New England,.,,.,,,,.,,,.,.,., ,

Middle Atlentic . . . . . . . . . . . . . . . . . .

North Central

East North Central . . . . . . . . . . . . . . .

Wast North Central, . . . . . . . . . . . . . .

South

South Atlantic, ,,, , .,, . . . . . . . . . .

Eest South Central . . . . . . . . . . . . . . .

West South Central . . . . . . . . . . . . . . .

West

Mountain . . . . . . . . . . . . . . . . . . . . . .

Pacific, ,,, . ., . . ! . . . . . . . . . . . . . . .

Standard Federal administrative region

(w”th headquarter city)

Region l (Boston) . . . . . . . . . . . . . . . . . . .

Region II (Naw York City) . . . . . . . . . . .

RagIon Ill (Philadelphia) . . . . . . . . . . . . .

Region lV (Atlanta)..,........,..,..

Region V (Chicago), , . . . . . . . . . . . . . . .

Region Vl(Dallas-Ft, Worth) . . . . . . . . . .

Region Vll (Kensas City) . . . . . . . . . . . . .

Region Vlll (Denver) . . . . . . . . . . . . . . . .

Region lX(Sen Frencisco) . . . . . . . . . . . .

Region X(Seattla), . . . . . . . . . . . . . . . . .

States included (excludes territories)

Connecticut, Massachusetts, Maine, New Hampshire, Rhoda Island, Vermont

Naw Jersay, New York, Pennsylvania

Ohio, Indiana, Illinois, Michigan, Wisconsin

Minnesote, lowe, Missouri, North Dakote, South Dekota, Nebraska, Kansas

Delawera, Meryiand, District of Columbia, Virginie, West Virginie, North Carolina, South

Carolina, Gaorgia, Florida

Kentucky, Tennessee, Alabama, Mississippi

Arkansas, Louisiana, Oklahoma, Texas

Montane, Idaho, Wyoming, Colorado, Naw Mexico, Arizone, Utah, Nevada

Washington, Oregon, Aleska, California, Hawaii

States and territorial included

Connecticut, Meine, Massachusetts, New Hampshire, Rhoda island, Vermont

New York, New Jarsay, Puerto Rico, Virgin Islands, Canal Zona

Dalawara, District of Columbia, Maryland, Pennsylvania, Virginia, Wast Virginia

Alabame, Florida, Georgia, Kentucky, Mississippi, North Carol ine, South Carolina, Tennessea

Illinois, Indiana, Michigen, Minnasota, Ohio, Wisconsin

Arkanses, Louisiana, New Maxico, Oklahoma, Texas

lowa, Kansas, Missouri, Nebraska

Colorado, Montane, North Dakota, South Dakota, Utah, Wyoming

Arizona, California, Hawaii, Navada, Guam, Americen Samoa

Alaska, Idaho, Oregon, Washington

27
Appendix Ill. National Inventory

of Family Planning Services

1978 survey questionnaire

HRA-106

(2-78)

r

l.-

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

PUBLIC HEALTH SERVICE

National Center for Health Statistics

Hyattsville, Maryland 20782

1

J

OMB Clearance No. 68-S77067

National Inventory of Family

Planning Service Sites

1978 SURVEY

Dear Director:

As part of its responsibility to provide information on the Nation’s health resources, the

National Center for Health Statistics (NCHS) is conducting a nationwide survey of all

facilities which provide family planning services. This survey is authorized by Public Law

93-353 and Public Law 91-572.

The purpose of this survey is to collect baseline and trend information about all sites in the

United States that offer family planning services. Data are being collected about the

operating responsibility, location, services being provided, and patient load. The information collected in this survey will be used to update information from previous

surveys and to obtain initial data on those service sites which began operation after

the last survey. Further, the information will be used by the NTCHS for statistical reports on

the characteristics of facilities; in the publication of directories for uses such as referral

services; and in updating the five-year plan of the Department of Health, Education, and

Welfare as mandated by the Congress in Public Law 91-572. The information being collected

in this survey is general and nonsensitive in nature and will be released by the NCHS to

public and private parties upon request,

The completion of the questionnaire will only take a few minutes of your time and will lend

valuable input about the availability of family planning services. Your participation in this

survey is voluntary and there are no penalties for your refusal to participate. Please complete the questionnaire and return it to us \vithin the next two weeks. You may be assured

that your participation is greatly appreciated and the data you provide will assist in the

improvement of the provision of sert~ices.

Should you have the need to contact us about

with the identification number taken from the

this survey for any reason, please provide us

tmoer left corner of the address label above.

If you have any questio,ls about this survey, pleas; ‘feel free to contact his, Evelyn Mathis on

301/436-8830.

Sincerely yours,

~’J’.%)-4%44

{

/?,$/t.L!_

Dorothy P. Ri

Director

National Center for Health Statistics

28
This questionnaire is to be completed with the requested information for only the service

site identified on the label. If this site is no longer in operation, please indicate this on the

cover page of this questionnaire, Please do not use ‘this form for another service site, or alter

the address label. If you have received more than one questionnaire for this location, please

return the duplicate form(s) to us. Please indicate on the duplicate form(s) that the information requested is provided on another form and give the identification number of that form

as found in the upper left corner of its address label.

Before completing the questionnaire, please read the definitions below. The questionnaire

should be returned to the National Center for Health Statistics (NCHS) unless instructed by

your central agency, program, or project to send the completed questionnaire to it for

collection and subsequent return to NCHS. Please return the questionnaire in the enclosed

preaddressed, postage-paid envelope to the following address within 2 weeks:

Department of Health, Education, and Welfare

National Center for Health Statistics-SRCB

Center Building-Prince George Center

3700 East-West Highway

Hyattsville, Maryland 20782

DEFINITIONS

For the purpose of this survey, the following definitions apply:

Family planning services–are those services which are primarily concerned with enabling

individuals to meet their family planning objectives. These services may be either medical or

nonmedicaJ in nature.

Family planning service site, –A service site is any location or facility where family planning

services are provided on a regular basis. It may be a hospital, health center, church, storefront, or mobile unit. For mobile units, each regular stop is considered a separate service site

location; therefore, a separate questionnaire should be completed for each stop. Physicians’

offices should be considered as service site locations only when there is a formal relationship

with a project or agency which is responsible for providing family planning services.

Family planning patient. – A family planning patient is any person who makes a family

planning visit to a family planning service site anywhere within the United States or its

territories.

Family planning vkit. –P. visit to a family planning service site occurs when the patient’s

visit is for the purpose of obtaining health services related to contraception, sterilization, or

infertility care.

2

29
1. What is your area code and telephone number?

area code cc 9-11 number cc 12-18

Za. Is the name on the identification label the correct name for this service site?

19-1 ❑ Yes

-2 ❑ No ~ b. What is the correct name?

CC 20-69

3a. Is the address on the identification label the actual location (not rnazhg address) of this service site?

70-1 IJ Yes

b. What is the entire correct

location address?

cc 71-150

cc 1s1-177

CC 181-182

Number Street Route

City or Town County CC 178-180

State ZIP Code cc 183-I 87

4a. Is the mailing address for this service site the same as the location address?

I 88-1 ❑ Yes

-2 ❑ No

b. What is the mailing

address?

CC189-268

CC 269-295

CC 299-300

Number Street Route

City or Town County CC 296-298

State ZIP Code CC301.305

5. Where is this service site located? (Check o~e box only.)

306-1

-2

-3

-4

-5

-6

department -7

❑ State or local welfare department

-8

building

-9

❑ Hospital

-o

❑Community health center

307-

❑ Store

❑ Church

❑ Office building

❑ Mobile unit

❑ Other (spec~y)

❑ Physician’s office

❑School

3

30
6a. What is the name of the agency which has primary operating responsibility (actual day-to-day operating

control) for this service site? Ifmm-e than one agency is responsible, include all names.

b. Intb which category (ies) does this agency (ies) fit:

308.1 ❑State government (e.g., health department) 315-1 ❑ “Free” clinic

309-1 ❑ County government (e.g., health department, 316-1 ❑ Planned Parenthood

public nursingoffice, health council)

1

-I ❑ nonprofit

310.1 ❑ District/multi-county government (e.g., health 317- ❑ Hospital ~

department)

-2 IJ profit

.3 ❑ Federal

31 1-I ❑ City government (e.g., health department, 318-1 ❑ Family Planning Council

health council)

319.1 ❑ HMO (Health Maintenance Organization)

312.1 ❑ Indian Health Service (hospital or health unit)

320-1 ❑ University

313- I l_JCommunity action agency

321-1 ❑ Milltary/Veterans Administration

31q.l ❑Health Center (e.g., neighborhood, comprehensive,

women’s clinic) 322- ❑ Other (specify)

7. Which of the following services or functions are currently provided at this location for family

planning patients? (Check all that apply.)

323.1

324-1

32s.1

326-1

327.1

328-1

329.1

330-1

331-1

332- I

333.1

❑ Record of pertinent medical history

❑ Record of reproductive history

r

❑ Record of pertinent social history

❑Pap smear

DPelvic examination

❑Breast examination

❑Taking of blood pressure

lJOral contraceptive prescription

Q Insertion of IUD

❑ VD testing

❑ Urinalysis (n.e.s.)

334- I ❑Blood test (n.e.s.)

33s-1 ❑Sickie cell screening

336-1 @ pregnancy testing

337-1 ❑ Infertility screening/counseling

338-1 ❑ Female sterilization

339- I ❑ Male sterilization

34o-I ❑Abortion

34 I - ❑ Other medical services (spec~y)

342-

343-

344- I ❑None of the above services provided.

~ (If norw is checked, please skip to Question 14.)

4

31
8. Which of the following methods of contraception are currently provided at this location?

(Check all that apply.)

345-1 lJ Oral (Pill) 351-1 l_J Sterilization (female)

346-1 ❑ IUD 352-I •l sterilization (male)

347-1 ❑ Foam/Creams 353-1 ❑ Injection

348-1 ❑ Condom 354-1 ❑ Post-coital pill

35s349-1 ❑ Diaphragm j~$ ❑ Other (specify)

3s0-1H Natural family planning (e.g., basal temperature

and cervical mucus rhythm)

9. Are the services listed in Questions 7 and 8 above provided under the supervision (medical

responsibility) of a physician?

358-1 ❑ Yes -2 ❑ No

10a.

b.

How many patients received medical family planning services at this site from January 1-December 31,

1977? (Do not include patients who received supplies only. Count each patient only once.)

Total patients CC 359-363

How many of these total patients were new patients (i.e., those who registered and received medical

family planning services at this site for the first time) from January 1-December 31, 1977?

New patients cc 364-368

c. How many medical family planning visits were recorded at this service site from January 1-December

31, 1977? (Do not include visits to receive supplies only.)

Total visits CC 369-373

1la. Does this service site maintain medical records for its patients at this location (or in this mobile unit)?

374-1 l_J Yes -2 ❑ No~ (1) At what location are they maintained?

(Please skip to Question 12.)

b. Does this service site also maintain the medical records for other service site locations?

375-I I’J Yes -2 ❑ No

L(1)How many? (2) Please list these other locations:

CC 376-377

5

32
12a. Is this service site open for business on regularly scheduled hours?

378-1 l_J Yes -2 ❑ NO + (b) Pleasedescribe on what basisthe site isopen:

13. Pleaseindicate below the total number of ~rsons in each category who are currently employed by

this service site in providing family planning services.Include all volunteers and persons under contract.

Count each person only once, in the category which best describes his/her duties.

Staff Type

Administrator/Director

Physician

Physician’s Assistant

Registered Nurse

Nurse Midwife/Nurse Practitioner

Licensed Practical Nurse

Clinical Aide

Nutritionist

Health Educator

Social Worker

Clerk/Secretary

Outreach Worker

cc 403.

cc 404-

Other (specifi)C’40S -

CC 406-

Total staff delivering

family planning services

CC379-380

CC381-382

CC 383-384

CC38 S-386

CC 387-388

CC 389-390

CC391-392

cc 393-394

CC395-396 .

CC 397-398

.

cc 399-400

CC 401-402

CC 407-408

cc 409-410

“411-412

cc 413-414

6

33
14.

415-1

416-1

417-1

418-1

419-1

420-1

42i-1

422-1

423-1

424-1

425-1

426-

427-1

Which of the following ancillary services or functions do you provide at this location?

(Check all that apply.)

•1

•1

•1

•1

•1

•1

❑

•1

•1

❑

•1

•1

•1

1ndividual counseling about family planning

Follow-up Program (Follow-up activities include contacting persons who have

missed appointments)

Referral to other clinic for family planning or medical services not provided

at this site

Referral to appropriate agency for social services

Transportation to the clinic or service site (provided or subsidized)

Babysitting (while patient is at clinic or service site)

Provide space, equipment, contraceptive supplies and/or staff to others who

provide medical family planning services

Contract or pay others for the provision of medical family planning

Outreach Program (Outreach activities are those which inform prospective

patients of family planning services and assist them in availing themselves

of the service)

Classroom or group sessions about family planning

Classroom or group sessions on sex education (in addition to family planning

and contraceptive education)

Other (specify)

None

Name of person completing this form:

Job title:

Telephone number:

34

fzU.S. GOVERNMENTPRINTINGOFFICE: 1982-361-16I:503
Vital and Health Statistics series descriptions

SERIES 1.

SERIES 2.

SERIES 3.

SERIES4.

sERIES 10.

SERIES 11.

SERIES 12.

SERIES 13.

Programs and Collection Procedures. -Reports describing

the general progrems of the National Center for Health

Statistics and its offices and divisions and the data collection methods used. They also include definitions and

other material necessa~ for understanding the data.

Data Evaluation and Methods Research. –Studies of new

statistical methodology including experimental tests of

new survey methods, studies of vital statistics collection

mdthods, new analytical techniques, objective evaluations

of reliability of collected data, and contributions to statistical theory.

Analytical and Epidemiological Studies. –Reports prewmting 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 health statistics and documents such as recommended model vital

registration laws and revised birth and death certificates.

Data from the National Health Interview Survey .-Statistics on illness, accidental Injuries, disability, use of hospital, medical, dental, and other services, and other

health-related topics, all besed on data collected in the

continuing national household Interview survey.

Data From the National Health Examination Survey and

the National Health and Nutrition Examination Survey.–

Data from direct examination, testing, and measurement

of national samples of the civilian noninstitutional ized

population provide the basis for (1) estimates of the

medically defined prevalence of specific diseases in the

United States and the distributions of the population with

respect to physical, physiological, and psychological

characteristics and (2) analysis of relationships among the

various measurements without reference to an explicit

finite universe of persons.

Data From the Institutionalized Population Surveys.. -Discontlnued in 1975. Reports from these surveys are included in Series 13.

Data on Health Resources Utilization. –Statistics on the

utilization of health manpower and facilities providing

SERIES 14.

SERIES 15.

SERIES 20.

SERIES 21.

SERIES 22.

SERIES 23.

long-term care, ambulatory care, hospital care, and family

planning services.

Data on Health Resources: Manpower and Facilitiaa.–

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 From Special Surveys. –Statistics on health and

health-related topics collected In special surveys that are

not a part of the continuing data systems of the National

Center for Health Statistics.

Data on Mortality .–Various statistics on mortality other

than as included in regular annual or monthly reports.

Special analyses by cause of death, age, and other demographic variables; geographic and time series analyses; and

statistics on characteristics of deaths not available from

the vital records based on sample surveys of those records.

Data on Natality, Marriage, and Divorce. –Various statistics on natality, marriage, and divorce other than as

included In regular annual or monthly reports. Special

analyses by demographic variables; geographic and time

series analyses; studies of fertility; and statistics on

characteristics of births not available from the vital

records based on sample surveys of those records.

Data From the National Mortality and Natality Surveys.–

Discontinued in 1975. Reports from these sample surveys

based on vital records are included In Series 20 and 21,

respectively.

Data From the National Survey of Family Growth. -

Statistics on fertility, family formation and dissolution,

family planning, and related maternal and infant health

topics derwed from a periodic survey of a nationwide

probability sample of ever-married women 1544 years of

age.

For a list of titles of reports published in these series, write to.

Scientific and Technical Information Branch

National Center for Health Statistics

Public Health Service

Hyattsvdle, Md. 20782
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Public Health Service

Office of Health Research, Statistics, and Technology

Naticnal Center for Health Statistics

3700 East-West Highway

Hyattsville, Maryland 20782

POSTAGE AND FEES PAID

U.S. DEPARTMENT OF HHS

HHS 396

Third Class E) *IAS.MAIL

OFFICIAL BUSINESS

PENALTY FOR PRIVATE USE, $300

From the Off Ice of Health Research, Statistics, and Technology

DHHS Publicatmn No. (PHS) S2-1821, Series 14, No. 26

For lmt!ngs of publicatmns In the VITAL AND HEALTH STATISTICS series, call 301-436 -NCHS