Data from the

NATIONAL HEALTH SURVEY

The National Inventory

of Family PlanningServices:

1975 Survey Results

Statistics from the 1975 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 planning services. Data are given on the physical location of

the service sites, their primary purpose and operating responsibility,

the number of patients served, medical and ancillary services provided, and the contraceptive methods available.

DHEW Publication No. (PHS) 78-1814

Series 14

Number 19

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

Public Health Service

National Center for Health Statistics

Hyattsviller Md. April 1978
,,

I

Library of Congress Cataloging in Publication Data

Morrow, Donna L.

The National inventory of’ family plannin~ scr~’ices.

(Vital and health statistics: Series 14, Data on nationa] health resources; no. 19) (DHEW

publication; no. (PHS) 78-1 814)

1. Birth control clinics–United States–Statistics. I. ‘ritle. II. Series: United States.

National Center for Health Statistics. Vital and IIealth statistics: Series 14, Data on national

health resources, manpower and facilities; no. 19. III. Series: United States. Dept. of Health,

Education, and Welfare. DHEW publication; no. (PHS) 78-1814.

HQ766.5.U5M66 362.8’2 77-19333

ISBN 0-8406 -0118-2
NATIONAL CENTER FOR HEALTH STATISTICS

GAIL F.

JAMES T.

DOROTHY P. RICE, Director

ROBERT A. lSIUiEL, Deputy Director

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

FISHER, Associate Director for the Cooperative Health Statistics System

ELIJAH L. WHITE, Associate Director for Data Systems

BAIRD, JR., Ph.D., Associate Director for International Statistics

ROBERT C. HUBER, Associate Director for Management

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

PETER L. HURLEY, Associate Director for Operations

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

PAUL E. LEAVERTON, Ph.D., Associate Director for Research

ALICE HAYWOOD, Information Officer

DIVISION OF HEALTH MANPOWER AND FACILITIES STATISTICS

GLORIA KAPANTAIS, Director

SHELDON STARR, Deputy Director

EVELYN MATHIS, Chief, Health Facilities Statistics Branch

JOSEPH BARBANO, ChieJ Health Manpower Statistics Branch

CHARLES M. CRONER, Ph.D., Chief, Technical Services Branch

Vital and Health Statistics-Series 14-No. 19

DHEW Publication No. (PHS) 78-1814

Library of Congress Catalog Card Number 77-19333
CONTENTS

ktroduction ............................................................................................................................................

Medicaf Family Planning Service Sites .....................................................................................................

Geographic Distribution ....................................................................................................................

Physical Location ...............................................................................................................................

Operating Responsibfity ....................................................................................................................

Primary ~ose.o ...............................................................................................................................

Patients and Visits ..............................................................................................................................

Medical Services Provided ..................................................................................................................

Ancillary Services Available ...............................................................................................................

Contraceptive Methods Provided ........................................................................................................

Staffing ..............................................................................................................................................

Nonmedical Family Planning Services Sites .............................................................................................

Geographic Distibution .....................................................................................................................

Physicaf Location and Operating Responsibility ................................................................................

Services Provided ...............................................................................................................................

I.ist of Detaifed Tables ............................................................................................................................

Appendixes

I. Methodology ..............................................................................................................................

II. Definitions and Geographic Areas ..............................................................................................

III. Nationrd Inventory of Family Planuing Services 1975 Annuaf Survey Questionnaire .................

1.

2.

3.

A.

B.

c.

D.

E.

LIST OF FIGURES

Comparison of percents of responding medical family planning service sites providing each type

of medical service: United States and territories, 1974 and 1975 .................................................

Comparison of percents of responding medical family planning service sites providing each type

of ancillary service: United States and territories, 1974 and 1975 ................................................

Comparison of percents of responding medical family planning service sites offering each type of

contraceptive method: United States and terntones, 1974 and 1975 ...........................................

LIST OF TEXT TABLES

Percent distribution of responding medical family planning service sites, by location: United

States and terntones, 1974 and 1975 ...........................................................................................

Percent distribution of responding medicaf family planning service sites, by operating

responsibility: United States and terntones, 1974 and 1975 ........................................................

Percent distribution of responding medical family planning service sites, by primary purpose:

United States and terntones, 1974 and 1975 ...............................................................................

Percent distribution of patients served and visits reported by responding medical family planning

service sites, by Federaf region: United States and territories, 1975 .............................................

Number of patients, visits, and new patients reported by responding medical family planning

service sites, with percent increases: United States and terntones, 1974 and 1975 .......................

1

2

2

2

3

3

4

5

5

6

7

7

7

7

8

9

23

25

28

5

6

7

2

3

3

4

4

iii
F. Percent of responding medical family planning service sites, by medical services provided: United

States and terntones, 1974 and 1975 ........................................................................................... 4

G. Percent of responding medkal family planning service sites, by ancillary services provided: United

States and territories, 1974 and 1975 ........................................................................................... 6

FL Percent of responding medical family planning service sites, by contraceptive methods provided:

United States and territories, 1974 and 1975 ............................................................................... 6

J. Number of staff members reported by responding medical family planning service sites, by type

of personnel: United States and terntones, 1974 and 1975 .......................................................... 7

SYMBOLS

Data not available--——--———-- ---

Category not applicable—-–— . . .

Quantity zero—–—------——

Quantity more than Obut less than 0.05---- 0.0

Figure does not meet standards of

reliability or precision-——-—-— *
THE NATIONAL INVENTORY

OF FAMILY PLANNING SERVICES:

1975 SURVEY RESULTS

Donna L. Morrow, Division of Health Manpo wer and Facilities Statistics

INTRODUCTION

This report presents findings from the 1975

survey of the National Inventory of Family

Planning Sefiices. The National Inventory is a

comprehensive listing of family planning service

sites in the United States and selected territories

excluding private physicians’ offices. 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 Services

will differ from those data obtained through the

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 obtains data on each patient receiving

services at the time the services are 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, is composed primarily of federally funded service sites

and does not necessarily include all independent

sites or those providing services to these special

populations. Because of these differences in

their universes and methods of data collection,

there will be variations in the data reported by

the two programs.

The 1975 survey of the National Inventory

of Family Planning Services is the second of the

periodic surveys to be conducted among providers of family planning services. The first

survey was conducted in 1974. These surveys

have been designed to gather basic, generalpurpose characteristics about providers of family

planning services, sueh as number and distribution of service sites, physical location, operating

responsibility, number of patients served, and

services provided.

A total of 11,340 sites were surveyed in

1975. Of these, 5,898 were presumed to be

medical providers, 4,036 nonmedical providers,

and 1,406 were previously nonproviders of

services whose current status was unknown.

Completion of the survey yielded some changes

in the mailing universe of the National Inventory. A total of 1,386 sites were deleted from

the universe because they were either out of

business, out of scope, duplicates, or postmaster

returns. There were also changes in provider

status—224 nonprovider sites reported that family planning services were now being provided,

156 medical sites reported a change to nonmedical status, and 201 sites changed from nonmedical to medical. The result of these deletions and

additions was a revised provider universe of

8,828 service sites–5,636 medical providers and

1
3,192 nonmedical providers. A total of 7,234

service sites provided data for the 1975 survey

for an overall response rate of 82 percent. These

7,234 responding sites included 4,660 medical

providers and 2,574 nonmedical providers.

In presenting the data collected in the 1975

survey, only data from the 7,234 responding

service sites were utilized. 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.

MEDICAL FAMILY PLANNING

SERVICE SITES

The medical family planning service site was

the main object of interest of the survey.

Medical service sites were requested to complete

questions about a variety of characteristics

including physical location, operating responsibility, primary purpose, number of patients

served, number of visits, medical and ancillary

services provided, contraceptive methods offered, and staffing. -

Geographic Distribution

Table 1 shows the distribution of the responding 4,660 medical service sites by State

and territory. In the previous (1974) survey, a

total of 4,607 sites had responded as providing

medical services, with 4,494 of these constituting the data base for tabulations from that

earlier survey. The percent increase in the

number of responding sites from 4,494 in 1974

to the 4,660 in 1975 is nearly 4 percent. Sixteen

States and one territory in the 1975 survey had

reductions in the number of sites responding,

despite the overall national increase in total

number of responding sites. The 16 States were

Arkansas, Florida, Georgia, Idaho, Kentucky,

Louisiana, Maryland, Michigan, New Mexico,

Ohio, Rhode Island,” South Carolina, Tennessee,

Utah, Virginia, and West Virginia plus Puerto

Rico. For 15 of these States and Puerto Rico,

the average decrease was 6 sites. For Tennessee,

however, the decrease in the number of responding sites was 132. (Rather than an indication of

an actual reduction in the number of sites, this

decrease, in all probability, resulted from problems encountered in collecting data from that

State. See appendix I.)

The geographic and regional distributions of

the medical and nonmedical service sites are

illustrated in table 2. As in the 1974 survey, the

South again had a ratio of medical service sites

of more than 2 to 1 when compared with the

West and a ratio of nearly 3 to 1 when compared

with the Northeast and North Central Regions.

The North Central Region was also the only one

of the four geographic regions that had more

nonmedical than medical service sites. This

occurred in only one of the four geographic

areas; however, when the medical sites were

grouped according to Federal regions, three

showed this tendency—Region V, Region VII,

and Region VIII. (See appendix H.)

Physical Location

As defined for this survey, the location of

the service site is any location where family

planning services are provided on a regularly

scheduled basis. Responses to this item of the

questionnaire are presented in table 3. These

data and their comparison to 1974 National

Inventory data are summarized in table A.

A large majority of the medical sites were

located in health department buildings. As might

Table A. Percent distribution of responding medical family

p!anning service sites, by location: United States and

territories, 1974 and 1975

Year of survey

Location

1975 1974

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

State or local health department building ......

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

School or community building ......................

State or local welfare department building ....

Store .............................................................

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

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

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

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

Percent

distribution

T

100.0 100.0

41.4 46.0

14.2 14.3

12.0 12.8

1.0 1,9

1.2 1.4

3.7 3.2

2.6 3.0

2.6 2.4

21.5 15.6

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

II.

2
be expected, approximately 90 percent of the

medical service sites located in health department buildings were operated by State or local

government agencies. Comparison of location

responses between 1974 and 19,75 shows few

major changes in location of the sites. The main

changes were a 5-percent decrease of sites in

health department buildings and an almost

6-percent increase in the “other” location category.

Operating Responsibility

In table 4, the responding medical service

sites are distributed by State according to their

operating responsibility. Table B shows the

comparison between 1974 and 1975 data as far

as operating responsibility is concerned. As can

be seen by this summary distribution, the largest

proportion of these sites was operated by

government agencies, primarily State and county

governments. Corporations also operated a large

percent of the sites–nearly one-fourth.

The majority of these corporations were

mmpro fit operations and appeared to be primarily affiliates of Planned Parenthood. Though

Table B. Percent distribution of responding medical family

planning service sites, bv oDeratinq res~onsibilitv: United

States and territories, 1974 and 1375 “

Operating responsibility

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

State ..............................................................

County ..........................................................

City or metropolitan area ..............................

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

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

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

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

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

Corporation ...................................................

Individual ......................................................

Partnership ....................................................

Other Federal Government ............................

Other non-Federal Government, ....................

Other nongovernment ...................................

Year of survey

T

Percent

distribution

100.0 I 100.0

1

19.6 17.3

25.8 29.1

5.5 4.8

6.0 5.7

2.5 1.8

4,1 3.8

0.3 0.1

5.4 5.6

22.0 23.5

0.2 0.3

0.4 0.1

6.6 6.8

0.3 0.6

1.4 0.6

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

II.

not stated specifically in these tables, profitmaking organizations accounted for only about 1

percent of the total responding service sites.

No large variations occurred in operating

responsibility between 1974 and 1975. Although the family planning field is subject to

much change, with frequent opening and closing

of individual sites, this observation suggests that

the basic nature of the sites does not change

significantly.

Primary Purpose

As would be expected, the majority of the

service sites reported medical family planning as

their primary purpose (table 5). These data have

been summarized and compared with 1974 data

in table C.

The tendency to have medical family pkmning as the primary purpose spanned all levels of

operating responsibility. Only those agencies or

organizations whose prime health function is the

provision of comprehensive health care, such as

the Indian Health Service and universities,

reported a lower number of sites with medical

family planning as the primary purpose. When

compared with 1974 figures, there were again

only slight changes. The greatest change was the

increase in the “other” category (primarily in

general gynecologic services), from 3 percent of

the respondents in 1974 to 6 percent of the

respondents in 1975.

Table C. Percent distribution of responding medical family

planning service sites, by primary purpose: United States

and territories, 1974 and 1975

I

Year of survey

Primary purpose

1975 1974

Percent

distribution

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

w=

Medical family planning ................................ 69.7 72.0

Comprehensive health care ............................ 21.1 22.9

Other (primarily general GYN services) ......... 6.2 3.2

Post partum and/or prenatal care .................. 2.4 1.4

Venereal disease testing ................................. r3.4 0.3

Sterilization ................................................... (). I 0.2

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

II.

3
.

Patients and Visits

Tables 6 and 7 show the number of patients,

new patients, and visits as reported by the

responding service sites in each State, territory,

and geographic area. While other items of the

questionnaire requested information current as

of the response date, these items requested

annual figures for calendar year 1974. Of the

responding sites, 41 did not begin operation

until 1975 and had no data for 1974. For this

reason, the number of sites represented in these

tables is less than the total number of responding sites given elsewhere in this report.

Table D shows the percent distribution of

service sites by Federal region along with the

corresponding distribution of patients served

and visits reported. The table aptly illustrates

that the percents of patients served and visits

reported for each region compare closely with

the percent of service sites located in each

region. This would tend to indicate that when

the average patient load per clinic within each

region is considered, there are no great variations

among the region averages or between each

region’s average and the national average.

A total of 5.1 million patients were reported

served by these 4,619 service sites; these patients

paid 8.3 million visits. This represents an average

of 1.6 visits for each patient. Table E shows, an

increase of approximately 16 percent in both

the total number of patients served and the” total

Table D. Percent distribution of patients served and visits

reported by responding medical family planning service

sites, by Federal region: United States and territories, 1975

Federal region

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

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

Region II .................................

Region Ill ................................

Region IV..,, ............................

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

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

Region Vll ..............................

Region Vill .............................

Region I X ................................

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

ElzzEz

Percent distribution

100.0

5.2

8.5

11,6

23.3

11.1

14.7

5.8

3.5

12.4

4.0

100.0

1:;

9.7

20.8

11.2

12.4

4.7

3.0

17.2

4.0

100.0

4.3

11.9

10.0

20.2

11.2

14.2

4.3

2.7

17.2

4.1

Table E. Number of patients, visits, and new patients reported

by responding medical femi[y planning service sites, with

percent increases: United States and territories, 1974 and

1975

Item

Total patients .................

Total visits .... ..................

New patients ..................

T

1975 1974

survey survey

(1 974 (1 973

data) data)

Number

=

increase

over

1974

survey

Percent

16.4

15.7

23.7

number of visits reported in 1975 as compared

with those in 1974. This increase is approximately 5 times the increase in the number of

responding sites, 4,619 in 1975 and 4,494 in

1974. This ratio would seem to be too high for

the patient and visit increases to be accounted

Table F. Percent of responding medical family planning service

sites, by medical services provided: United States and territories, 1974 ~nd 1975

Medical service

“Standard” services

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

Taking of blood pressure .................................

Pap smear ..... .....................................o.............

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

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

Breast examination ..........................................

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

Gonorrhea testing .... ........................................

Routine lab tests .............................................

IUD insertion .......... ........................................

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

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

Syphilis testing .............................. ..................

More socialized services

Infertility counseling ..................................c....

Sickle cell screening .........................................

Infertility screening .................c.......................

Other medical service ......................................

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

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

Year of survey

*

Percent of

responding

sites providing service

99.2

99.1

97.8

97.7

97.4

97.0

95.5

94.7

94.3

91.8

90.7

85.3

84.4

52.7

50.0

27.2

24.3

20.8

18.5

95.3

98.8

98.4

98.1

97.4

98.5

96.8

94.8

91.1

87.6

80.8

85.8

82.1

38,5

41.5

22.4

24.7

18.9

14.4

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

II.

4
for strictly by the increase in number of sites responding. It would appear, therefore, that increased patient loads of most sites contributed

greatly to the increase in reported patients and

visits, This assumption is verified to some extent

by the large increase in new patients reported

(nearly 24 percent).

Medical Services Provided

Medical services provided by the responding

service sites are described in tables 8 and 9.

Table F lists the 19 categories of medical

services ranked according to the percent of

clinics providing each service in the 1975 survey.

The services are separated into those commonly

provided by most clinics and those less commonly provided. Corresponding percents from

the 1974 survey are also presented.

As illustrated by table F, the categories of

medical services revealed a wide range of

provision–from 99 pergent for contraceptive

prescription and taking of blood pressure to 18

percent for male sterilization.

A clear division in the type of services

provided can also be seen in table F. Those

1975

medical services that could be considered as

standard services were provided by more than 80

percent of the sites. More specialized or unusual

services were primarily offered by half or even

fewer of tie sites. Figure 1 represents the

comparison of services provided. in 1974 and

1975.

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. Of the 4,660

medical sites responding to the survey, 11

reported that they provided no ancillary services. Tables 8 and 9 show the relationship

between provision of ancillary services and

location and operating responsibility. A comparison of the percent of sites providing each

service in 1975 and 1974 is shown in table G.

Two of the categories included in the 1975

survey are not part of the 1974 survey. Both of

these (contracting or paying others and providing space and so forth) had relatively low

percents of provision in 1975. The bar graph in

MEDICAL SERVICE

Oral contr.wqmw pmwrjptto.

Tak,ng of blood pressure

Pap Wnea,

Medtcal h,srory record

Pew,. exarninat,on

Breast exammatmn

Reprod.cwe h,story record

Gonorrhea test,ng

Rout,”, lab test,

IUo l“sertlon

Pregnancy tewng

Sot,.1 h,story record

Wph!l,s tem,ng

In fert,lw counsehng

Stckle cell screen,ng

in fwt,ltty screemng

Other medncal serwce

Female stenl,zat,on

Male slenl,zat,cm

1974

}

95.3

98.8

;984

98.1

1

97,4

96.5

96,8

94.6

91.1

87.6

S0,8

821

——-

38,5

415

224

%4 7

189

144

Figure 1. Comparison of percents of responding medical family planning service sites providing each type of medical service: United

States and territories, 1974 and 1975

5
Table G. Percent of responding medical family planning service

sites, by ancillary services provided: United States and

territories, 1974 and 1975

Ancillary service

Individual counseling about family planning..

Referral to appropriate agency for social

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

Referral to other site for family planning

or medical servicas not provided at this

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

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

Classroom or group sessions on family

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

Outreach program ...........................................

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

Classroom or group sessions on sex

education .................... ..................................

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

Contract or pay others for provision of

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

Provide space, equipment, etc., to others

who provide family planning servicas ...........

Other ancillary service .....................................

Year of survey

EE

Percent of

responding

sites providing service

97.9

87.5

85.8

85.7

65.3

64.3

42.1

41.3

29.2

15.5

14.6

8.4

98.4

92.2

91.6

87.8

60.7

72.9

39.7

35.4

29.2

. . .

. . .

4.6

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

. .

u.

figure 2 illustrates the comparison of percents

depicted in the previous table.

Contraceptive Methods Provided

Findings concerning the number of clinics

that provided each of the various contraceptive

methods are presented in tables 8 and 9. A

comparison of the 11 methods used by the

clinics is shown in table H for 1974 and 1975.

Comparisons between 1974 and 1975 show

substantial decreases in the number of sites

providing sterilization and increases in the number of sites offering condoms and diaphragms. A

major increase can also be seen in the number of

sites offering natural family planning, with the

Table H. Percent of responding medical family planning service

sites, by contraceptive methods provided: United States

and territorial, 1974 and 1975

Year of survey

Contraceptive mathod

Most commonly used

Oral contraceptive ........................... ................

Foam contraceptive .........................................

lUD .................................................................

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

Diaphragm and jelly ........................................

Less commonlv used

Natural family planning ...................................

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

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

Other contraceptive method ............................

Postcoital pill ................................. .................

injection ..........................................................

1975 I 1974

Percant of

responding

sites providing

method

99.2

92.8

91.8

88.0

82.6

59.6

20.8

18.5

10.5

7.3

5.6

99.6

90.1

94.2

75.7

64.3

24.0

34.4

23.7

15.8

4.7

3.8

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

11.

1975

97

a“4FE%

ANCILLARY SERVICE

Indwdual counseling about famthi Pknmn9

Referral m appropriate agency for socml sewIces

Referral to other size for family plaryng or

medical services not prowded at thw site

Followup pKJgHll

Classroom or group sessions on fam,ly planmng

Outreach program

Transportation to servm? me

Classroom or group sewons on sex education

Babysitting

Contract or ay others for provismn of

faml ry planning serwces

Provide space. equrpment, etc, to otlwrs who

provide famdy planmng serwces

Other anc,l!arv sew,ce

1974

1 46

u

Figure 2. Comparison of percents of responding medical family planning service sites providing each type of ancillary service: United

States and territories, 1974 and 1975

6
1975 1974

ti

,.J qfi

56 “$:

CONTRACEPTIVE METHOD

Oral contmqatwe

Foam contmceptiw

IUD

Condom

D,aphragm a“d jelly

Natural fwn,ly FJlann,ng

Female steci!izanon

Male sterihzatnon

Other contraceptwe method

Pomxl,ml pill

InjectIon

.. . . .

,.

,.

.. .. .

w

r

47

. . 3.8

Figure 3. Comparison of percents of responding medical family planning service sites offering each type of contraceptive method:

United States and territories, 1974 and 1975

percent of sites more than doubling in a year’s

time.

Although most sites usually offered the

more effective means of nonpermanent contraception, in recent years there has been increased

consumer concern about the physical side effects of both oral contraceptives and IUD’S.

These concerns were reflected in the increase in

offerings of methods without these adverse side

effects.

The substantial changes in the percent of

service sites offering each of the contraceptwe

methods can be easily seen when a bar chart is

developed as in figure 3.

Table J. Number of staff members reported by responding

medical family planning service sites, by type of personnel:

United States and territories, 1974 and 1975

Parsonnel on staff Number

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

Medical personnel:

Physician ...........................................................

Physician’s assistant ... .......................................

Registered nurse .................................................

Nurse midwife/nurse practitioner .......................

Licensad practical nurse ......................................

Service support personnel:

Clinic aide ...........................................................

Nutritionist .........................................................

Health educator .................................................

Social worker .......... .... ........................................

Outreach worker .................................................

All other professional and support personnel ...........

43,674

8,432

1,006

8,548

1,851

2,212

5,227

567

950

1,784

2,959

10,138

Staffing

Of the 4,660 responding medicaI family

planning service sites, 4,302 answered the question about the staff employed at the sites. A

total of 43,674 paid and volunteer workers were

reported. Table J categorizes these workers.

NONMEDICAL FAMILY PLANNING

SERVICE 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

services the site provided.

Geographic Distribution

types of no~medic~

Tables 1 and 2 show the distribution of

nonmedical service sites by State, territory,

geographic area, and Federal region. As indicated in the section on distribution of medical

sites, the North Central Region contained more

nonmedical sites than medic-al sites, the only

geographic region in which this occurred.

Physical Location and Operating Responsibility

Tables 10 and 11 present data about the

location and operating responsibility of the

nonmedical sites. Nearly half of the nonmedical

sites were operated by State governments and

7
more than 85 percent were operated by either another site for medical family planning services.

the State or county government. A majority (62 About 97 percent of all responding nonmedical

percent) of the nonmedical sites were located in sites performed this service. To a lesser degree,

State or local welfare department buildings. . contracting with or paying others to provide

family planning services (about 36 percent) and

Services Provided providing space, equipment, and so forth to

others who performed family planning services

The most frequently provided service as (about 8 percent) were also services performed

illustrated in tables 12 and 13 was referral to at nonmedical sites.

000
LIST OF DETAILED TABLES

1. Number and percent distribution of responding medical and nonmedical family planning service sites, by State and territory:

United States and territories, 1975 ........................................................................................................................................C..O 10

2. Number and percent distribution of responding medical and nonmedical family planning service sites, by geographic area:

United States and territories, 1975 ............................................................................................................................................ 11

3. Numbar of responding medical family planning service sites, by operating responsibility and location of sita: United States

and territories, 1975 ................................................................................................................................ ................ .................. 12

4. Numbar of responding medical family planning service sites, by operating responsibility, State, and territory: United States

and territories, 1975 ................................................................................................................................ ................................ .. 13

5. Number of responding medical family planning service sites, by operating responsibility and Primaw purpose: United States

and territories, 1975 ............................................................................................................................................ ...................... 44

6. Number of patients, visits, and new patients reported by responding medical family planning service sites, by State and

territory: United States and territorial, 1975 ..........................................................................................................O..O...O.O......... 15

7. Number of patients, visits, and new patients reported by responding medical family planning service sites, by geographic

area: United States and territories, 1975 .................................................................................................................................... 16

8. Number of responding medical family planning service sites, by location and services and contraceptive methods provided:

United States and territories, 1975 ............................................................................................................................................ 17

9. Numbar of responding medical family planning service sites, by operating responsibility and services and contraceptive

methods provided: United States and territories, 1975 .............................................................................................................. 18

10. Number of responding nonmedical family planning service sites, by operating responsibility, State, and territory: Unitad

States and territories, 1975 ........................................................................................................................................................ 19

11. Number of responding nonmedical family planning service sites, by operating responsibility and location: United States and

territories, 1975 .............................................................................................................................. .............. .............. ............... 20

..............................................................................................................................................un 12. Number of responding nonmed[cal famdy plannlng servrce sites, by serwces prowded and operating responsibll!ty.

States and territories, 1975 20

13, Number of responding nonmedical family planning service sitas, by service provided and location: United States and territories, 1975 ............................................................................................................................................ ............................ ....... 21

9
Table 1. Number and percent distribution of responding medical and nonmedical family planning sewlce sites, by Sti

State and territory

; and territory: United S

II

Medl. Nonmedl.

cal

Total serv. ~~~.

ice Ice

sines sstes

7,234

202

30

108

138

510

136

50

17

42

262

369

36

33

182

168

175

160

138

176

43

137

170

224

180

175

231

73

74

24

2s

123

93

306

200

77

245

223

99

219

24

139

58

138

267

24

23

102

74

119

27

5

2

1

79

4,660

140

28

98

96

424

76

46

16

40

214

241

33

22

90

64

42

-72

99

114

39

116

104

121

51

105

130

31

27

20

19

91

64

230

118

21

162

152

67

151

18

107

14

61

257

12

15

168

68

:;

7

5

2

1

75

2,574

62

2

12

42

86

60

4

1

2

48

128

3

11

92

104

133

88

39

62

4

21

66

103

129

70

101

42

47

4

9

32

29

76

82

56

83

71

32

68

6

32

44

77

30

12

8

88

34

23

92

20

4

!s and terrltone$, 1975

II

Meal,. Non.

reed,.

cal

Total serv. ~~~

Ice

snes ‘Ce sites

Percent d,c,tr,butmn

100.0

2,8

0.4

1.5

1.9

7.1

1.8

0.7

0.2

0.6

3.6

5.1

0.5

0.5

2.5

2.3

2.4

2.2

1.9

2.4

0.6

1.9

2.4

3.1

2.5

2.4

3.2

1.0

1.0

0.3

0,4

1.7

1.3

4.2

2.8

1.1

3.4

3.1

1.4

3.0

0.3

1.9

0.8

1.9

4.0

0.3

0.3

3.5

1.4

1.0

1.7

0.4

0.1

0.0

0.0

1.1

1000

30

06

21

2.1

9.1

1,6

10

03

09

46

52

0.7

0.5

1,9

14

0.9

15

21

2.4

0.8

2.5

2.2

26

11

2.3

28

07

06

0.4

0.4

20

14

4.9

25

0.5

3.5

3.3

1.4

3.2

0.4

23

03

1,3

55

0.3

0.3

36

1.5

11

06

0.2

0.1

00

00

16

100.0

2.4

0.1

0.5

1.6

3.3

2,3

02

0.0

0,1

19

50

0.1

0.4

3.6

4.0

52

3.4

15

2,4

0,2

0.8

2.6

4,0

50

2,7

39

16

1.8

02

04

12

1,1

30

32

2,2

3.2

28

1.2

26

02

1.2

17

30

1,2

0,5

03

34

13

09

36

08

0.2
Table 2. Number and parcent distribution of responding medical and nonmedical family planning service sites, by geographic area:

United States and territories,

Geographic area]

United States and territories2 ........................... ........ ...........................

Geographic regions3:

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

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

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

Geographic divisons3:

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

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

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

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

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

East South Central .................................................................................... ......

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

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

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

Standard Federal Administrative Regions2:

Region l ........ ..................................................................................................

Region II ........................................................................................................

Region Ill .......... .................... .........................................................................

Region lV .......................................................................................................

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

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

Region Vll ................................................... ...................... ...... .......................

Region VIII ....................................................................................................

Region lX .................................................................. .....................................

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

)75

III

MediNonmedical

Total

cal

serv- seNice ice

sites sites

Number

7,234

986

1,893

2,973

1,295

338

648

938

955

1,496

653

824

518

777

338

510

74!5

1,623

1,118

917

640

395

684

264

4,660

713

821

2,095

948

241

472

464

357

1,071

405

619

328

620

241

398

542

1,085

515

683

271

161

579

185

2,574

273

1,072

878

347

97

176

474

598

425

248

205

190

157

97

112

203

538

603

234

369

234

105

79

n

MediNonmedical

Total

cal

servservice ica

sites sites

Percent distribution

100.0

13.6

26.2

41.1

17.9

4.7

9.0

13.0

13.2

20.7

9.0

11.4

7.2

10.7

4.7

7.1

10.3

22.4

15.5

12.7

8.8

5.5

9.5

3.6

100.0

15.3

17.6

45.0

20.3

5.2

10.1

10.0

7.7

23.0

8.7

13.3

7.0

13.3

5.2

8.5

11.6

23.3

11.1

14.7

5.8

3.5

12.4

4.0

100.0

10.6

41.6

34.1

13.5

3.8

6.8

18.4

23.2

16.5

9.6

8.o

7.4

6.1

3.8

4.4

7.9

20.9

23.4

9.1

14.3

9.1

4.1

3.1

lFor components of regions and divisions, see appendix II.

21ncl~des respondents from American Samoa, Canal Zone, Guam, Puerto Rico, and Virgin Islands.

3Excludes ~e~Pondents from American Samoa, Canal Zone, Guam, puerto Rico. and Virgin Islands.

11
Table 3. Number of responding medical family planmng serwe sutes,by operating re$ponsibdw and location of sne: United States and ternmnes. 1975

Health

dlstnct

Indian

Health

Serwce

Operating responsubdw

Total

responding medical sites

—

;tate

—

Jnnversity

—

189

.

22

26

84

1

3

4

1

1

47

.

Other

non.

Federal

Govern.

ment

14

city or

metropolitan

area

Other

Federal

Govern.

ment

Other

non.

govern.

ment

65

Locatmn Partner.

shtP

COrpOrationlnd#-

vidUal

Hospital County Church

All respo”dmg m.?dical s,tes .................

State or local health depart.

ment building ........................

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

School or community building......... ...............................

State or local welfare

department building.., ..........

Stare ......................................

Physic!an’s off ice .....................

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

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

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

4,660 914

.

564

59

82

18

9

17

8

2

155

1,200 256 281 118 13 251 18

.

8

202

18

1

4

3

1

16

1,023 11 307

_ _ . _

1,928

660

557

48

55

171

120

119

1,002

855

53

106

11

4

15

27

38

91

121

24

42

2

4

3

8

12

40

194

5

19

3

1

12

2

30

16

10

41

11

1

2

3

60

109

131

138

11

27

75

52

19

461

32

106

36

2

2

15

7

13

94

6

3

3

2

7

4

15

2

2

6

29

3

4

6

1

1

9

3

13

2

NOTE: For definition of %ther’, categories, see appendix 11.

12
Table 4. Numbel .-.—--.. —-.....——.,.,—-—.——– ——..–—...–., –.– . .,.,.- . ..,, ,.. - . ..a-- mqmn.at

Total

responding medi.

cal sites

4,660

nem.at ramuy pm.. mg wtwce sues, Dy operarmg responsmnlmf, stale ana Ierrmow: unneo wares ana Ierntones, 1s m

Operating responsibility —

Un*

versity

—

189

=

19

3

3

5

7

1

4

2

4

3

4

5

1

7

6

7

2

1

2

1

1

4

6

4

12

5

1

8

2

11

1

15

2

2

3

5

3

17

—

Other

nonfederal

GovernCity 01

metro

politar

area

Other

Federal

;overn.

ment

Other

nOngovern.

ment

Indian

Health

Sewice

116

cOr- Indi.

vidUal

Part. Health

district

Hos.

oital

State County Church

tion ship

All responding medical sites ................. 914 1.200 25f 281 13 251

.

1

3

1

10

1

16

2

4

2

3

9

1

3

2

3

3

6

24

7

3

1

6

17

46

4

15

42

2

2

7

4

1

1,02:

1

[

10!

24

2[

c

1!

E

Ic

1:

If

35

2E

e

2C

1

27

c

44

3C

16

1

53

4

9

5

13

45

16

68

4

4

98

3

7

64

10

5

9:

2

13

5

21

11

14

3

11

1

2

2

1

2

1

1

1

16

6

1

1

1

1

1

3

1

1

1

1

307

_

20

6

4

3

46

5

2

1

3

14

4

5

2

13

4

4

5

3

2

9

6

9

5

14

1

6

3

4

10

10

6

1

5

7

2

10

3

3

2;

1

7

5

1

2

2

1

14 65

140

2a

96

96

424

76

46

16

40

214

241

33

22

90

64

42

72

99

114

39

116

104

121

51

105

130

31

27

20

18

91

64

230

118

21

162

152

67

151

18

107

14

2:;

12

15

168

66

51

27

7

5

2

1

75

45

6

2

82

27

5

1

10

61

16

10

1

6

1

1

15

15

108

10

6

8

2

49

12

5

6

9

5

20

14

22

2

3

7

6

19

1

56

3

9

36

1

“ 98

6

21

2

4

1

56

32

55

188

24

92

176

12

17

3

28

27

1

67

33

9

37

31

7

1

8

7

37

57

1

8;

37

1

1

20

35

5

2;

10

19

7

1

1

1

1

4

11

4

12

21

1

,~

1

1

:

1

13

14

7

11

11

3

1

32

4

14

2

1

1

2

20

23

3

40

1

1

4

2

4

30

17

4

1

1

11

21

6

1

1

2

19

6

9

41

2

10

1

26

20

13

27

3

5

1

2

3

4

10

4

27

11

8

1

1

1

5

2

3

1

1

2

5

1

1

1

1

1

9

1

1

1

7

2

2

2

4

1

1

2

2

8

4

12

2

3

1

New Jersey .........................

New klexlco .......................

New York.., ........................

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

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

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

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

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

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

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

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

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

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

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

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

Territories,

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

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

Guam ...................... ...... ...

Puerto Rice,...,.., ................

Vlrgln Islands ..... ..............

NOTF: For definition of ‘-other” categories, see appendix 11

13
Table 5. Number of mspondmg med!cal famdy plannlng serv,ce s,tes, by operating responslbd#ty and pr,mary purpose Umted States and terrrtorres, 1975

Operating responszbdtty

Total

Pr,mary purpose

respond- Clty or

Other

Indmn Other

mg medi- Un,- COr- lndi- Part. O1her

State County metro. Health Health ver.

Hoscal snes

Church Federal ‘0’” .0”.

poll tan dostr)ct pora- v,d- ner- Federal

Serwce S1ty pttal

area

taon ual Govern. ship govwn- Govern. ~en,

ment ment

All responding med&-

cal sttes ................. 4,660 914 1,200 256 281 118 189 13 251 1,023 11 18 307 14 65

Medical famjly planning .......... 3,248 641 960 150 227 8 72 9 115 863

Sterd,zauon .............................

6 2 142 7

6 - 2

46

. . 3 - -

Venereal duseasete$tmg ...........

1

18 2 5 4 2 1 1

Post partum andlor prenatal

1 - - - 2

care ....................................... 113 8 22 18 4 7 4 1 33

Comprehenswe health care ......

-1 - 2 6

985 142

1

161 76 40 95 98 2 80

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

129 5

290 121

13 129 3

50 8

12

8 7 14 1 22 21 - 1 27 4 6

NOT1-.: I.or definition of “other’” categories, see appendix 11.

14
Tablr 6. Number of patients, vmts, and new patients reported by resprxdmg medical family plwm,ng serwce sates, b.f State and territory. Umted States and terntwies, 1975

State and terrimrv

Total

responding medl

cal sates

4,61S

139

Ze

95

95

422

75

45

16

40

213

241

33

22

89

62

40

70

98

113

39

116

101

120

50

105

127

31

27

20

19

91

63

229

117

21

160

151

65

150

18

107

14

61

252

12

15

168

67

51

26

7

5

2

1

75

Patients

served

5,112,600

114,874

30,449

73,492

60,077

708,208

56,105

43,124

13,690

83,355

154,219

123,158

76,895

l~,zlo

146,724

51,248

38,273

68,622

110,454

116,164

17,182

107,993

131,257

126,969

72,481

199,963

92,930

48,116

40,165

16,750

11,929

107,394

38,784

431,552

172,796

13,457

158,454

90,010

64,875

178,863

29,770

100,854

12,416

87,725

329,978

20,228

11,030

85,725

98,624

28,352

19,090

3.001

1,722

628

2,317

78,077

Visits

reported

6,282,11 E

238,59E

41,18$

173,994

103,084

1,119,264

88,817

56,531

25,677

128,791

271,027

?97,714

99,714

16,515

217,07e

75.83C

46,593

98,92C

193,568

325,583

23,158

208,679

194,399

241,889

112,576

247,167

164,004

68,425

48,713

23,520

17,560

157,428

64,085

690,695

277,740

18,705

254,675

147,836

104,737

298,777

46,679

125,917

15,427

117,180

539,349

26,408

15,267

117,339

173,509

45,562

27,776

3,724

6,940

1,090

3,057

134,441

New

pattents

reported

2,159,711

49,006

13,274

33,160

16,772

336,287

29,117

20,600

4,972

36,637

67,336

73,309

13,959

5,527

60,419

22,996

14,515

28,407

42,544

27,706

7,400

37,786

51,719

54,338

30,109

84,723

42,374

10,832

13,782

7,992

5,490

37,958

18,116

172,087

73,836

5,911

73,511

34,896

33,505

74,683

11,576

34,644

4,997

45,734

145,681

9,449

5,760

35,439

46,989

8,430

10,113

1,467

951

196

720

29,972

NC)Tt: Data in this table we figures for calendar year 1974 collected dun”g the 197s WWW,

15
Table 7. Number of patients. visits, and new patients reported by responding medical family planning service sites, by geographic area:

United States and territories, 1975

Geographic areal

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

Geographic regions3:

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

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

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

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

Geographic divisions:

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

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

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

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

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

East South Central ...............................................................................................

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

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

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

Standard Federal Administrative Regions*:

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

Region II ...... .................................................................................................... ...

Region Ill

Region lVI:I:jl;lJIl:l; :u::::l:llI:jj: Rljn;lluIIljjII; lI:jljll::l:j:: nR::~lHIII::l:;H:llIjR:uI:jllJjIjljjIJ;jIJ:I;jJ

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

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

Region Vll .................................................... .......................................................

Region Vlll .........................................................................................................

Region lX ............................................................................................................

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

1 For components of regions and divisions, see appendix Ii.

Total

responding medical sites

4,619

707

806

2,083

940

237

470

457

349

1,069

403

611

325

615

237

397

541

1,081

507

674

264

160

576

182

Patients

served

5,112,800

962,101

840,829

1,979,389

1,247,737

244,292

717,809

502,485

338,344

870,144

513,016

596,229

268,686

979,051

244,292

617,651

497,978

1,064,045

574,966

635,013

239,990

‘153,323

879,384

206,158

‘Includes respondents from American Samoa, C-a-nalZone, Guam, Puerto Rico, and Virgin Islands.

3Exc1udes respondents from American Samoa, Canal Zone, Gusm, Puerto Rico, and virgin Islands.

Visits

reported

8,282,118

1,500,694

1,321,186

3,310,809

2,003,901

353,794

1,146,900

817,248

503,938

1,398,446

796,511

1,115,852

465,488

1,538,413

353,794

983,654

824,825

1,668,909

929,824

1,179,937

357,230

221,506

1,426,489

335,950

New

patients

reported

2,159,711

387,275

361,472

819,451

559,674

102,547

284,728

221,377

140,096

372,389

222,007

225,055

115,660

444,014

102,547

240,213

197,947

471,132

251,486

243,171

99,078

61,773

393,069

99,295

NOTE: Data in this table are figures for calendar year 1974 coI1ected during the 1975 survey.

16
Table 8. Number of responding medical family planning service sites, by location and services and contraceptive methods provided: United States and territories, 1975

Location

State

or

local

health

iepart

ment

building

State

or

local

wel far{

depart.

ment

building

48

Total

respond.

ing medical sites

School

or tom.

munity

build.

ing

557

_

534

506

466

540

527

525

554

549

473

500

451

514

231

488

124

229

56

57

111

656

547

460

503

474

215

169

60

53

313

339

221

46

557

_

549

473

449

482

464

313

56

57

:

50

Services and contraceptive methods provided Physi

cian’

Offic!

17’

Hos. Mobilf

unit Store

55

Churct Other pital

Medical services

All responding medical sites .................................................... 4,660 1,92[ 660 12C

_

120

118

113

117

117

117

120

120

109

112

96

115

49

110

25

63

7

7

20

120

118

113

112

116

58

40

15

9

84

89

56

9

120

119

_

119

118

105

117

118

117

119

118

116

119

114

119

59

106

17

64

15

12

15

119

1,002

.

4,554

4,449

3,974

4,559

4,537

4,518

4,619

4,623

4,276

4,396

3,931

4,415

2,330

4,226

1,291

2,454

970

860

1,132

4,649

1,864

1,86;

1,63!

1,90f

1,881

1,87C

1,916

1,923

1,832

1,841

1,712

1,834

1,150

1,748

474

1,035

364

344

521

1,927

643

636

676

649

652

648

653

849

628

629

571

629

354

609

326

427

348

210

142

658

44

45

44

44

43

42

43

43

42

42

39

42

20

41

14

17

3

3

8

48

56

54

51

55

55

55

55

55

51

52

44

55

29

53

16

27

6

5

16

54

_

53

49

48

51

28

19

7

8

39

33

25

7

55

17’

16,

15(

16$

17(

17(

16$

17(

154

164

13C

16C

53

148

48

84

47

5a

28

171

164

136

141

146

80

51

26

35

95

85

55

8

171

984

941

830

962

974

974

990

996

871

937

774

947

385

923

247

508

124

164

271

996

individual counseling about family planning ...........................................

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

Referral to other site for family planning or medical services not

provided at this site ..............................................................................

Referral to appropriate agency for social sewices ....................................

Transportation to service sito ..................................................................

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

Prbvide space, equipment, etc., to others who provide family

planning sewices ...................................................................................

Contract or pay others for provision of family planning servlce$ .............

Outreach program ...................................................................................

Classroom or group sessions on family pkm”ing. . ....................................

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

Other ancillary service .............................................................................

4,551

3,986

3,987

4,066

1,956

1,356

680

719

2,989

3,034

1,919

390

4,660

4,623

4,276

4,326

4,100

3,847

2,777

970

860

260

341

491

1,91:

1,792

1,63{

1,714

82?

56c

291

39E

1,416

1,362

811

146

1.928

629

494

501

542

235

165

113

60

275

359

203

53

660

47

35

42

40

20

14

5

11

26

23

11

2

48

113

111

104

108

70

25

5

5

100

70

47

6

119

968

795

901

875

427

313

158

140

641

674

490

113

1,002

996

871

889

833

815

580

124

164

34

77

90

Contraceptive methods

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

Oral cOntraceptlve ...................................................................................

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

Foam contraceptive .................................................................................

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

Diaphragm and jelly ................................................................................

Natural family planning ...........................................................................

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

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

lnject.On ..................................................................................................

POwcoitd pill ....................................................................................., ..,,

Other contraceptive method ....................................................................

lExcludes 11 sites having no ancillary services.

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

1,923

1,832

1,873

1,801

1,544

1,115

364

344

87

44

286

649

628

584

526

586

431

348

210

84

123

31

43

42

39

37

31

24

:

1

1

6

55

51

55

53

49

34

6

5

2

4

5

170

154

161

143

146

114

47

58

14

20

7

—

120

109

119

115

110

82

7

7

;

11

118

116

117

110

102

84

15

12

17

5

5

17
Table 9. Number of responding medical farr )Ianning setvice sites, by operating responsibility and sewlces and contraceptive methods provided: United States and territories, 1975

Indian

Health

Service

118

—

;tate

—

University

—

189

Total

responding medical sites

4,660

—

4,554

4,449

3,974

4,559

4,537

4,516

4,619

4,623

4,276

4,396

3,931

48415

2,330

4,226

1,291

2,4Ed

970

860

1,132

4,649

—

4,551

3,986

3,987

4,066

1,956

1,356

680

719

2,989

3,034

1,919

390

4,660

—

4,623

4,276

4,326

4,100

3,847

2,777

970

860

260

341

491

Other

nonfederal

Govern.

ment

Othnr

nOnSewices and contraceptive methods PrOvided

Other

Federal

Govern.

ment

CItV or

metropolitan

area

COrpora.

ticm

1,023

_

1,018

1,006

932

1,003

1,008

1,004

1,018

1,016

973

976

767

992

329

956

243

556

166

209

233

1,022

_

1,008

877

931

964

555

425

155

146

758

769

555

111

1,023

_

1,o16

973

972

947

959

660

156

209

32

49

99

lndividUal

Partner.

Ship

—

18

Hospital County Church district

merit

Medical services

A(I respcmtihw medical sites ................. 65

-

65

63

60

61

63

63

63

65

66

68

48

57

27

56

12

21

:

18

65

256 11 14

_

244

242

211

252

253

253

255

256

244

245

243

242

160

208

81

116

29

16

55

255

281 13 251

-

248

245

228

247

249 \

246

249

245

237

235

233

239

161

235

142

148

155

71

69

251

.

235

196

195

218

79

55

47

17

82

132

70

27

251

-

245

237

212

192

224

144

155

71

38

45

16

914 1,200

-

292

273

231

297

296

300

301

306

269

287

276

290

181

289

133

15e

llC

99

52

305

14

13

10

14

14

14

14

14

14

13

12

14

7

14

5

8

6

5

3

14

188

165

154

183

188

185

186

169

129

171

154

772

75

164

51

69

21

6

71

188

13

13

12

13

13

13

13

11

10

12

12

12

10

13

8

10

8

7

13

11

10

9

11

11

11

11

11

9

9

8

8

1

9

4

5

3

4

11

18

18

16

16

18

16

16

18

17

17

17

17

6

18

11

10

11

10

3

18

867

838

714

887

850

850

900

906

814

840

732

838

506

826

196

484

166

164

170

912

-

901

843

767

809

354

174

86

153

612

604

309

33

914

1,186

1,176

1,071

1,179

1,176

1,170

1,193

1,188

1.119

1,145

1,068

1,151

694

1,079

296

656

216

203

389

1,200

_

1,185

1,066

1,033

1,043

449

347

186

252

853

806

500

115

1,200

_

1,188

1,119

1,157

1,110

964

703

218

203

82

44

174

278

279

234

279

279

278

279

280

276

277

252

273

159

260

73

163

33

33

62

281

110

106

92

115

117

113

117

118

107

111

110

110

14

99

36

48

25

26

17

116

Medical historv record .............

Reproductive history record ....

3@d histotv record ................

Pap smear.., .............................

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

6reast examination ..................

Taking of blood pressure ...7..

Oral contraceptive prescriv

tion ......................................

IUO insertion ...........................

Rc.utine lab tests......................

Syphilis testing ........................

Gonorrhea testing ....................

Sickle cell screemng. ................

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

Irifertility screening .................

Infertility c0unselin9 ...............

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

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

Other medical service...............

Ancillary services

All responding medical sitesl ...............

Individual counseling about

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

FO!IOWUPprogram ...................

Referral to other site for family planmng for medical sewices not prowded at this site..

Referral to appropriate agency

for social services..................

Transportation to service site...

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

Provide space, equipment, etc.

to others who provide family

planning services ...................

Contract or pay others for

provision of family planning

sewices .................................

Outreach program ....................

Classroom or group sessions

on family planning ................

Classroom or group sessions

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

Other ancillary service .............

65

50

59

z

32

11

6

41

44

31

11

65

-

65

68

69

68

66

31

7

8

:

7

10

7

11

7

1

1

1

3

3

11

.

11

9

9

8

s

9

3

4

1

2

17

12

12

13

4

1

1

2

3

3

2

1

18

2s0

207

242

239

100

102

52

25

132

135

67

lg

307

14

13

10

12

3

6

1

2

7

8

8

3

14

252

232

221

225

87

83

36

36

154

155

99

29

256

_

256

244

241

2;7

229

153

29

16

17

13

11

279

255

257

262

167

75

44

47

219

212

127

29

261

112

87

105

87

63

19

33

22

53

50

43

2

118

180

129

138

120

45

21

23

9

62

102

100

9

,69

13

12

6

13

7

5

2

2

10

11

8

1

13

Contraceptive methods

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

14

14

14

14

14

8

5

5

1

5

11

10

11

9

11

13

8

7

1

18

17

13

10

13

11

11

10

2

3

306

269

257

209

240

172

110

99

23

32

8

905

814

863

841

719

584

18B

164

39

51

115

280

276

276

265

217

142

33

33

4

9

34

118

107

99

83

53

58

25

25

4

12

2

189

129

143

137

140

79

21

6

16

69

25

—

Oral contraceptive ...................

Iuo .........................................

Foam contraceptive .................

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

Olaphragm and jelly ................

Natural family planning ...........

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

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

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

Postcoital pill ...........................

Other contracemive method ....

‘Excludes 11 sites having no ancillary services.

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

18
Table 10. Number of rending non medical family planning service sines, by Operating responsibdity, State, and territory: United States and territories, 1975

Operating responslbllnv

Total

respmlding nOnmed!cal

sites

—

Jni.

ler-

;Ity

—

29

1

4

4

4

1

1

1

3

1

1

2

2

1

2

1

—

Other

non.

Federal

30vernrnent

Other

Federal

Govern

ment

City or Other

metropolitan

area

State and territory Indian

Health

Service

COrpOrandiwd.

ual

‘art- Health

ilstrlct

nOnIovern.

ment

jtate Countv Church

12

-

1

1

2

1

1

1

1

1

1

1

1

ship

All respandmg n.anmedical sates.........

states :

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

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

Armona .............................

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

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

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

Cnnnectlcut ......................

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

Dmrlct of Columbia, .........

Flcmda ..............................

Gaargla ..............................

HawalI ...............................

Idaho,.,,.,, ..........................

Ill,noks .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Kansas,, .................... ........

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

Loumana. ..........................

M.wm ................................

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

Miimachusetts. ...................

Mwhlgan ............................

Mktnesota ..........................

MISSISSIPPI.........................

Miwou,i ............................

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

N@hraska.. ....... ...............

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

Nfiw Hampshire .................

NPW Jersey .......................

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

NPW Yak . .........................

North Caroljna ..................

North Dakot a...................

Ohln ..................................

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

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

Permsvlvan, a......................

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

South Caroltna ... ......... ....

South Oakma ....................

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

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

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

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

Virglnta .............................

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

WP5t Vlrgmla.. ............. ....

Wmconsm .... ..... . ... . .

Wyammg ...........................

Temtorles:

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

Canal Zone .................<......

Guam ................................

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

Vtrgm Islands ....................

2,574 I,206 1,000 26 44 8 2 8 31

-

1

2

1

1

1

1

1

29 121

.

—

62

2

12

42

86

60

4

:

48

128

3

11

92

104

133

88

39

62

4

21

66

103

129

70

101

42

47

4

9

32

29

:

:

71

32

66

6

32

44

77

30

12

8

88

34

23

92

20

4

57

1

4

29

6

8

1

26

101

5

44

16

73

59

35

49

1

17

54

62

4

39

72

13

8

4

7

2

23

:

6

5

68

25

43

4

23

30

69

4

10

6

22

25

18

3

12

4

2

7

50

49

16

20

26

69

43

23

3

11

1

23

115

24

17

24

35

17

4

66

65

41

60

3

3

s

8

10

2

13

5s

5

77

8

1

1

1

4

2

4

1

1

12

2

1

1

1

3

6

1

2

1

1

1

1

1

2

1

1

1

1

5

1

1

1

1

1

2

1

1

2

;

1

1

1

1

1

1

4

2

1

1

1

2

1

1

3

1

1

1

2

2

2

1

2

2

1

1

5

1

1

1

1

2

1

4

10

1

1

3

3

3

1

2

2

;

2

2

4

2

1

1

1

1

1

1

1

1

1

2

1

2

2

1

1

4

1

2

1

1

1

1

1

—

3

3

9

1

1

2

2

2

3

7

4

12

1

1

i

4

1

1

1

4

2

7

1

6

2

3

1

s

3

1

7

1

:

2

9

NOTE: [:or definition of “otker” categories, see appendix 11

19
Table 11. Numb of responding nonmedical family planning service sntes,by operating responslbdity and location: Un!ted States and territories, 1975

Total

respond-

~

ing non.

medical State

sites

2,574 1,206

257 64

71 5

187 48

1,596 981

10 2

23 5

6 1

3 -

421 100

Operating responsibilttv

+=

‘art- Other

Federal

ner. Govern- ship

ment

2 58

Other

nonfederal

Govern.

ment d- 8

Cltyor

metrO-

:ounty polttan

area

Other

non.

government

Indian

Health

Service

8

Unb

verSltv

COrpOration

121

lndividual

Health

dlstrnct

iOs3ital Church

All responding mm.

medncal sins. ........

State or local health department build .. . .......................

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

School or community build.

31

—

1

2

7

3

1,000 I 26 44 29 12 29

L

149 10

19 3

68 4

582 4

2-

13

4

2

161 5

28

1

5

6

4

3

6

22

8

4

2

76

2

1

3

2

1

2

5

2

22

5

2

4

6 1

5

3

9

1

2

1

1

2 36

25

1

1

1

1

Sta~ or local welfare department build .. . .......................

Store .......................................

Physician’s off ice., ..................

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

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

Other ...................................... 16

I

I

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

Table 12. Number of responding nonmedical family planning service sites, by services provided and operating responsibility: United

States and territories, 1975

Services provided

Provide

space,

etc., to

others

Contract

or

pay

others

for

services

Refer

patients

for family planning or

medical

services

Total

responding nonmedicel

sites

Operating responsibility

All responding nonmedical sites ........................................................................ ... 2,574 2,495 218

73

77

3

2

1

4

1

9

29

10

1

8

916

State ....................................................................................................................................

Coun~ .................................................................................................................................

City or metropolitan area .............................................................................. .. ....................

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

Indian Health Sewice ...........................................................................................................

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

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

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

Corporation .................................................. ................................. .....................................<

individual ........................................................................ .......................... .......... ................

Partnership .............................. ............................................................................................

Other Federal Government ........................... .................................. .............. ......................

Other non-Federal Government ................. .............. ...........................................................

Other nongovernment .................................................................... ...... ................................

1,206

1,000

26

44

8

29

12

29

121

2

58

8

31

1,185

972

26

41

6

27

11

23

112

2

53

8

29

498

332

5

18

2

3

35

15

4

6

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

20
.

Table 13. Number of responding nonmedical family planning service sites, by services provided and location: United States and territories,

1975

Location

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

State or local health department building ............... ................................................ .. ...........

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

School or community building .............................................................................................

State or local welfare department building ...........................................................................

Store ......................................................................... .................................... ...... .................

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

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

Mobile unit ..................................................................................... .... ..$......... .... .................

Other ...........................................................................................................$.............4....+....

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

II Services provided

Total Refer

respond- patients

ing non- for fammedical ily plansites ning or

medical

services

2,574 2,495

257 247

71 56

187 178

1,596 1,573

10 9

23 23

6 5

3 3

Provide

space,

etc., to

others

218

36

19

17

91

2

4

1

48

Contract

or

pay

others

for

seNices

916

58

8

43

685

1

9

2

110

21
APPENDIXES

CONTENTS

I. Methodology ......................................................................... .......................................................... 23

II. Definitions and Geographic Areas ................................................................................................... 25

Fatiy Plmning Definitions ....................................................................................................... 25

Composition of “Other” Categories ................................................... ........................................ 25

Geographic Areas ....................................................................................................................... 26

III. National Inventory of Family Planning Services 1975 Annual Survey Questionnaire ............... ....... 28

22
APPENDIX i

METHODOLOGY

The 1975 survey of the National Inventory

of Family Planning Services is the second survey

of family planning service providers to be

conducted as part of this program. 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, Guam, and

the Canal Zone.

The data collection effort began in late June

1975 and consisted of a mail survey to a total of

11,340 known and potential providers of family

planning services. These 11,340 facilities were

divided into three groups-5,898 medical service

providers, 4,036 nonmedical service providers,

and 1,406 potential providers (nonproviders)

whose status was unknown.

An initial mailing and two followup mailings

were conducted on the universe. For the mailing

phase of the data collection, each State was

queried as to whether the questionnaires for that

State should be mailed through a State agency.

Fifteen of the States requested that this be

done. The remaining States were surveyed by

mailing questionnaires directly to the field. Of

the 15 States requiring special handling, a

unique situation arose with the State of Tennessee. Although this State previously indicated

that the questionnaires would be completed by

the State agency or forwarded to the service

sites for completion, the State ultimately refused to do so. This created a large void in the

responses from Tennessee as can be seen in the

tables containing individual State data. Data

reported for the State of Tennessee are the

result of telephone and personal followup.

Telephone followup after the three mailings

were completed was conducted with some of the

nonresponding facilities. In addition, person~

contact by U.S. Bureau of the Census interviewers was conducted with a sample of nonresponding facilities. The actual data collection

phase of the survey was completed in October

1975.

Responses to the survey resulted in 1,386

deletions from the original universe as being out

of business, out of scope, duplicates, and postmaster returns. Additionally, changes in provider

status occurred as follows:

201 nonmedical sites changed to medical

sites.

156 medical sites changed to nonmedical

sites.

127 nonprovider sites changed to medical

sites.

97 nonprovider sites changed to nonmedical

sites.

The combined effect of these deletions and

changes in status produced a revised provider

universe of 8,828 service sites—5,636 medical

service providers and 3,192 nonmedical service

providers.

Of the 5,636 medical service providers,

4,660 sites (83 percent) responded to the survey

and provided data. Of the 3,192 nonmedical

service providers, 2,574 (81 percent) responded

to the survey. Medical service providers were

asked to complete all 18 items on the questionnaire, while nonmedical service providers were

asked to answer only items 1-10.

The total of 7,234 sites responding to the

survey represent an overall re.monse rate of 82

percent ~f

The 7,234

the revised univers; of 8,828 sites.

responding sites form the data base

23
for this report. No attempt has been made to

inflate the figures statistically in order to compensate for the total nonresponse by a site and

thus agree with the universe of 8,828 sites.

Although no inflation of the data to represent the total universe was performed, a statistical adjustment or imputation was made for

nonresponse to specific items on the questionnaire. Those items that were imputed if blank

were:

Physical location.

Operating responsibility.

Primary purpose.

Total patients served, new patients, total

visits.

Medical services provided.

Ancillary services provided.

Contraceptive methods provided.

For any questionnaire that contained a blank in

one or more of the above items, the data file

from the previous survey of that service site was

accessed. The required data were then extracted

and entered into the blank items.

For a small number of sites, data from the

previous survey were not available. In those

instances, data were entered into the blank items

according to the following procedures:

Physical location–telephone contact with

the service site.

Operating responsibility-telephone contact

with the service site.

Primary purpose-no additional imputation

required.

Total patients served, new patients, total

visits-if at least one of these three items was

present, the missing item(s) was obtained by

using ratios based on the national figures

from the previous survey. To obtain approximations when all three items were blank, the

average figure for each item was determined

by State from the previous survey. These

figures were then entered into the blank

items on the basis of the State of location of

that service site.

Medical services provided.

Ancillary services provided.

Contraceptive methods provided.

For each category within the latter three

items, the average number of service sites

providing that service or method was determined from the previous survey. Any service

or method provided by more than 75 percent of the service sites was used as an approximation.

Wuu

24
APPENDIX II

DEFINITIONS AND GEOGRAPHIC AREAS

Family Planning Definitions

Some of these definitions appear on the

survey form.

Family planning services. –Family planning

services provide the means that enable individ.

L& to meet their family planning objectives.

These services are medical, social, and educational.

Medical family planning services refer to any

of the following services provided by a

physician, nurse-midwife, registered nurse,

or other authorized personnel: medical history; physical examination; laboratory testing; testing, consultation, and treatment

including continuing medical supervision;

issuance of drugs and contraceptive supplies;

and appropriate medical referral when indicated.

Nonmedical family planning services are those

social and educational services such as provision of information and counseling about

family planning; followup program; 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.

Scwice site, –A clinic or service site is a place

or ticility at which any family planning services

are provided on a regularly scheduled basis. It

may be a hospital, health center, mobile unit,

freestanding site, church, or storefront. For

mobile units each stop is considered a clinic

location; therefore, a separate questionnaire

should be completed for each stop or location.

Physicians’ offices should be considered as clinic

locations only when there is a formal relationship with some project or agency which is

responsible for providing family planning services. Physicians, nurses, volunteers, etc., who

make home visits for the purpose of delivering a

family planning service should count their home

base of operations as the clinic location.

Family planning patient. –A family planning

patient is a client who meets one of the

following conditions during her/his visit:

(1)

(2)

The client receives a contraceptive method or continues a method of contraception.

The client receives counseling regarding

sterilization, infertilityy, or contraception in conjunction with related medical

services. (Pregnancy testing or venereal

disease testing alone is not accepted as

a medical service. )

Composition of “Other” Categories

Terms relating to “other” categories include:

Other physical location. –State, county, or

local welfare department or government building

including courthouse, city hall; military base or

dispensary; freestanding clinic; dwelling including house, apartment housing project, semiattached house; office building including bank

building, rented office; privately owned, leased,

or rented building; miscellaneous sites including

visiting nurse association, adoption agency,

Indian health office, medical center, maternity

home, remodeled furniture store, bus station,

health maintenance organization, YWCA, youth

crisis center, rehabilitation center, model family

practice unit, model cities facility, and Salvation

Army home for girls.

25
@2erating resp onsibility—o ther Federal

Government. –Department of Defense (Army,

Navy, Air Force, etc.), Veterans Administration,

Public Health Service (not Indian Health Service), Urban League, National Institute of Menial

Health, Agricultural Works Health Project, and

Family Planning Council.

Operating responsibility–o ther non-Federal

Government. –County hospital board.

Operating responsibility–other nongouernment. —Private mental health agency, nonprofit

educational corporation, and students.

Other primary service or purpose. –General

gynecologic services, abortion, thermorhythm

clinic, mental retardation care, and child comprehensive health.

Other medical services provided. –Nutritional

counseling; abortions; genetic counseling; sterilization counseling; prenatal care; treatment of

vaginal infection; diagnosis and treatment of low

hematocrit; physical examination; purified protein derivative testing; rubella treatment;

immunizations; chest X-ray; Mantoux test; nonroutine laboratory tests; weight or diet counseling; tuberculosis screening; cautery; treatment of

infections; white blood cell count; hypertension

and diabetes screening; mental health care;

radiological, heart and lung examination; endometrial biopsy; menstrual induction; colposcopy; electrocardiogram; treatment of

cervicitis; and rubella testing.

Other ancillary services. –Dental care or referral, education on breast and cervical cancer,

prenatal classes, “rap” sessions, films and visual

aids, translation for Spanish- and Italianspeaking patients, recreation and social services

programs, consumers’ advisory board, and training of medical students.

Other contraceptive methods. –Withdrawal,

suppositories.

Geographic Areas

Geographic region and division States included (excludes territories,)

Northeast

New England .................................................... Connecticut, Massachusetts, Maine, New Hampshire, Rhode Island, Vermont

Middle Atlantic ................................................ New Jersey, New York, Pennsylvania

North Central

East North Central ........................................... Ohio, Indiana, J.llinoi% Michigan, Wisconsin

West North Central ........................................... Minnesota, Iowa, Missouri, North Dakota, South

Dakota, Nebraska, Kansas

South

South Atlantic .................................................. Delaware, Maryland, District of Columbia, Virginia, West Virginia, North Carolina, South

Carolina, Georgia, Florida

East South Central ........................................... Kentucky, Tennessee, Alabama, Mississippi

West South Central ........................................... Arkansas, Louisiana, Oklahoma, Texas

West

Mountain .......................................................... Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada

Pacific .............................................................. Washington, Oregon, Alaska, California, Hawaii

26
Standard Federal Administrative Region

Region

Region

Region

Region

Region

Region

Region

Region

Region

Region

(with headquarters city) -

I (Boston) .................................................

II (New York City) ...................................

III (Philadelphia) ......................................

IV (Atlanta) .............................................

V (Chicago) ..............................................

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

VII (Kansas City) .....................................

VIII (Denver) ...........................................

IX (San Francisco) ...................................

X (Seattle) ................................................

States and tem”tories included

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

New York, New Jersey, Puerto Rico, Virgin

Islands, Canal Zone

Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia

Alabama, Florida, Georgia, Kentucky, Mississippi,

North Carolina, South Carolina, Tennessee

Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin

Arkansas, Louisiana, New Mexico, Oklahoma,

Texas

Iowa, Kansas, Missouri, Nebraska

Colorado, Montana, North Dakota, South

Dakota, Utah, Wyoming

Arizona, California, Hawaii, Nevada, Guam,

American Samoa

Alaska, Idaho, Oregon, Washington

000

27
APPENDIX Ill

NATIONAL INVENTORY OF FAMILY PLANNING SERVICES

1975 ANNUAL SURVEY

QUESTIONNAIRE

HRA-106

(5-7s) OMB Cr.mrance NC.. 68 R.13S3

Amrowl ExPires 32.31 .7s

U.S. DEPARTMENT OF

HEALTH, EDUCATION, AND WELFARE

Public Health Service

Health Resources Administration

National Center for Health Statistics

NATIONAL INVENTORY OF FAMILY

P13.NNING SERVICES

NOTE: Clinic name and

1975 address goes here

ANNUAL SURVEY

Dem Director:

The rapid cxparrsion of family planning services in the United St,ucs since the mid-sixties has Imn(:qht

to the forefront the need for accurate and current information on the cxtcrrt to which these srrviccs

arc available nationally. Therefore, the h~ati onal Center for Hcalrh Statistics (N’CIIS) conducts twn

complementary data cullcctirm programs in this arcw. On J~nuary 1, 1972, the first 01’these prqgr.lrns

was implemented (the Natiorraf Reporting Systcm for Family Phrning Semiccs) t(} collect mtmthly

data cm family planning patients seen in public facilities and the scwiccs they receive. U’itlr the

irritiatirm of the National Irrven tow of Family Planning Services in 1974, the sccmrd progr~rn JY.+S

established, which is a comprehensive inventoiy of all jacilitfw providing family planning scrvicm in

the United States. The Division of Health Nlanpnwer and Facilities Statistics of NCIIS is nfw cfmducting this second annual survey of the National Invento~ to update the information rcccivcd in

1974 about each family planning clinic or service site such as name, Ioratitm, casel(md, srmicts

offered, and staff size.

If you participated in the 1974 survey, let me express our appreciation for your assistance and

cooperation, which was largely responsible for the successful completion of the first annuaf survey. WC

look forward to your continued participation in this annual series of surveys, which are the only

national source of information on all family pkmrring service sites in the Unik?d States.

The information from this suwey will be used by the National Center for IIealrJ Statistics f[,r

statistical reports on the characteristics of facilities providing family planning scn’ices. In tidditi{m. thl:

data will be made available tcr other agencies to compile directories nf available clinics nr scwicc si tcs,

to plan for needed “additional facilities, and to plan for future manpower needs.

This questionnaire is to be completed with the requested in fcrrmtition for only the clinic m sem’icc sit,?

identified by the label above. Please do not enter information for any other clinic w scrvicc site (m

this form. Before completing the questionnaire, please read and familiarke ynurscl f with the dc finitions on page 2. Return the questionnaire to us unless instructed by your central a~cncy, project [jr

pro,gram tcr forward the questimrnaire to it for collection and return to us. Please have the qucstiwrnairc returned to the following address within one month:

National Center for Health Statistics–SRB

5600 Fishers Lane

Rockvillc, hla~land 20852

Sincerely yours,

. .

/ J-1 ;“<--

.- -.:.A, .c._ , , ,

Edward B. Perrin, Ph.D.

Director

Naticmef Center for Health Statistics

28
DEFINITIONS TO BE USED

FAMILY PLANNING SERVICES

Family planning services provide the means which enable

indivitluds to meet their family planning objectives. These

scrviccs ore medical, sociaf, and educational

,Mcdicol famdy planning services refer to any of the

fnlluwing services provided by a physician, nursemidwife, rcgistcrcd nurse, or other authorized

pcrstmncl: medical history; physical exzamnaticm; laboratory testing: testing-, consul tation, and treatment including con tinuing medical supervision; issuance of

drugs and contraceptive supplies: and appropriate medic.d referral when imticatcd.

Socml and educational family planning services are such

services as provision of information and counseling

about family planning; follow-up program: contracept ivc educmiun; outreach; or the prov!sion of transportation and babysitting, both of which are provided to

enable a person to attend a famity planning clinic or to

otherwise obtain medicd fzmdy planning services.

CLINIC OR SERVICE SITE

A clinic or service site is a place or facility at which any

family planning services arc provided on a regularly scbed.

uled ba.ws. 1t may be a hospi tat, heatth center, mobile unit,

free-standing s!te, church, or store front. For mobile units

each stop is considered a clinic location; ther.- fore, a sepa.

rate questionnaire should be completed for e.mb stop or

location. Physicians’ offices should be considered as clinic

locations only when the.. ,s a formal relationship with

some project or agency which is responsibtc for providing

family platmmg services. Physicians, mmses.. volunteers, etc.,

who make home visits for the purpose of delivering a family

planning scrwce should count their bomc base of operations

as the clinic location.

FAMILY PLANNING PATlENT

A family planning patient IS a client w,ho meets one of the

following cra”ditlcms d“n”g her/his vimt:

(1) The chent rccewes a contraceptive method or con.

tinues a method of contraception

(2) The client receives counseling regarding sterilization,

infertility. or ccmtraceptlon i“ conj”nctim with related medical services. (Pregnancy testing or vencreaf

disease testing alone is not accepted as a medical

servic e.)

r I

I

IF DATA IS NOT AVAILABLE, INSERT N/A INTO THE RESPONSE BLOCK.

INSERT ZEROS WHERE APPLICABLE. I

CARD 1 1. What is your area code and telephone number? arm .mdc nwnixr

CL* . . I

cc 10 cc 13

2a. Is (name on [abel) the correct n~ for your clinic or service site?

I--J Yes

❑ No—b. What is the correct name?

3a. Is (address on label) the correct location for your clinic or service site?

I_J Yes

~a No

b. What is the entire correct location? Count y

ZIP Code

4. Is this clinic or service site located in a: (Mark (X) one box only)

20.] ❑ State or local heaftb .s ❑ Store .8 ❑ Mobde unit

department buifding & Wlat ,, the mad,nx address?

-2 ❑ Hospital .6 ❑ Physician’s off]cc

.3 ❑ School or community .7 ❑ Church

building

.4 IJ State or local welfare 21. ❑ Other (specfy)

department building

HRA.106

(s.1s)

29
5a. Please check the box which best indicates the type of organization which has operating responsibility

(e.g., that provides most, ~not all, of the staff, supplies, and space) for this clinic or service site.

(DO~T INCLUDE oRGANIzATIONS INt’OL VED ONL Y WITH FUNDING. )

GOVERNMENTAL NONGOVERNMENTAL

22.1 ❑ state 2’+1 ❑ University

2s- 1❑ County 3@ I ❑ Church

{

.1 Q profit

24-1 ❑ City or metropolitan 2rca 31. ❑ Hospital -2 ❑ nonprofit

2s-1 ❑ Health djstrict

32. ❑ Corporation

{

.1 Q profit

26-1 ❑ Indian Health .%mice -2 ❑ nonprofit

27- ❑ Oth;ec:;;cml government 33.1 ❑ Individual, profit

34-1 ❑ Partnership, profit

2% ❑ Other man federd government

(specifi) 3$ ❑ Other nomgovernment (specify)

b. Is this clinic or service site affiliated with Planned Parenthood—World Population?

36-2 ❑ No

-1 ❑ Yes —(1 )affiliate name

cc 37.40

6a. Does any other agency or organization also provide family planning services at this site?

49 -2 ❑ No (Skip to Questian 7)

b. What is their name?

7. Are MEDICAL family planning services (as defined at the top of page 2) provided at this clinic or

service site for which you are reporting? IMPORTANT-This question does not pertain to the agency or

mganization named in question 6, but to your own agency or organization.

42-1 IJ Yes

~

.2 ❑ No -

a. What ISyour primary service or purpose? b=o YOU:

43-1 ❑ Medical family plsnning

-2 •l Sterilization

-3 •l Venereal disease testing

:4 ❑ Postpartum and/or prenatal cam

.S ❑ Comprchcnsivc health care

❑ Other (specVy)

(1) Refer patients to any other site for medical

family plsnning 3cwices?

44.2 ~ No -1 ❑ Ycs+lal What is their nsme

and sddress?

(2) Provide space, equipment, contraceptive supplies,

and/or staff to others who provide medical family

planning scrviccs?

43-2 ❑ No -1 ❑ Yes-t(a) What is their name

and address?

30

(3) Contract or pay others for the provision of

medicsl family planning?

46-2 ❑ No .1 ❑ Yes+(a) Wbt is their mm

and address?

HRA-106

(s.751
8a. Are you enrolled in the NCHS National Reporting System for Family Planning Services?

47.2 ❑ ii”

b. (1)

(2)

(3)

If medicalfamily planning

servicesare xx provided,

sk,p to Question 9.

If rnedmalfamily planmng

servicesare provided,

continue w,th part b telow.

How do you collect patieni

data?

- I ❑ Patient Medical Histow

or Record

.2 ❑ patient Visit Record

-3 ❑ Don’t know

How do you process

patient data?

-1 ❑ Manual

-Z ❑ Automated

.3 ❑ Don’t know

If automated data pro.

cessing is used, please

enter the name and address of the processor.

-, ❑ Yes

c. (1) What is ycwr NCHS clinic number(s)?

cc 4&S2 cc 53.57

(2) Do you use the NCHS Clinic Visit Record (CVR)?

-1 c1 Yes .2 ❑ (No

(3)

(4)

(5)

(6)

HOW is the data submitted to NCHS? -I ❑ CVR’,

.2 ❑ Keypunch cards

-3 ❑ Computer tapes

.4 ❑ Don’t know

If “computer tapes” is checked in (3) above, complete

4(a) and (b) below. Otherwise, skip to (5) below.

(a)

(b)

Does the processor submit on a

regular monthly basis? .10 Yes

-2❑ No

-3❑ Don’t know

What is the name and address of the processor?

Who is the clinic person to contact concerning the National Reporting Systam?

Tit k

Telephone

(area code)’

What is the mailing address of this clinic

for the National Raporting System?

—.—. —

9. Please enter below the name of each cohnty served by this clinic or service site and the percentage

Of your iOta! patientS frOM each COUfIty. (11(! COU1l/.: ;S llOt in 1/1{>smlc .~tf7t1,ill 7L’/1rc/lfhlS

clinic or scfvicc sit{,is located, pk,asc ilzrticatc titc St fltc.)

a. Name of county b. State c. Y. of patients

— ,—

cc 58 CC61 CC 63

cc 66 cc 69 cc 71

cc 74 cc 77 cc 79

a. Name of county b. State c. Y. of patients

——

cc 82 cc as cc a7

cc 90 cc 93 cc 95

cc 9a cc 101 cc 103

HRA.lo6

(s.75)

31
CAR0 2 loa’ 

Please indicate the percentage of your budget for family planning services received from the 

9-2 following sources in Fiscal Year 1975 (July 7, 7974 - June 30, 7975). If the percentages are not 

reported for Fiscal Year 1975, please specify the period covered. 

from / 

month .vear 

cc 10 cc 12 

month 

cc 14 

/ 

I’ (‘0 T 

cc 16 

(1) 

(2) 

(3) 

(4) 

(5) 

(6) 

(7) 

(8) 

(9) 

(10) 

Department of IIealth, Education, and k’elfare 

Title IV-A (AFDC) 

Title V (nlCHS) 

Title X (BCIIS/OFP) 

Title XIX (Medicaid) 

Other DHEM’ (spccif>l) 

% cc 22 

% cc 25 

~---- ‘:h cc 2 8 

% cc 31 

18- 70 cc 34 

Other Federal agencies (st)ecijy) % cc 37 ~___ --- -._______ 19- 

State government ‘.% cc 40 

County government YJ cc 43 

City government ‘s cc 46 

Planned Parenthood % cc 49 

Special research grant % cc 52 

Donations 7% cc 55 

Fees 70 cc 58 

Other source(s) than above (specie”?‘) 20- % cc 6 J 

21- cc 64 

Total of (1) - (10) 100 %J 

b. Please indicate your total operating budget for family planning services in dollars for: 

(1) Fiscal year 1974 (July 1, 1973 - June 30, 1974) $ ~ cc67 

(2) Fiscal y ear 1975 (July 1, 1974 -June 30, 1975) $ cc 73 

c. Please indicate the percentage of your Fiscal Year 1975 total operating budget for family 

planning services spent on the following items: 

(1) Operating expenses y. cc 79 

(2) Medical staff -- yo cc 82 

(3) Non-medical staff % cc 85 

(4) Medical supplies ~- % cc88 

(5) Data processing % cc91 

IF “YES” WAS MARKED IN 7 AND 7a WAS ANSWERED, CONTINUE BELOW WITH 

QUESTION 11. IF “NO” WAS MARKED IN 7 AND 7b (l)-(3) ANSWERED, SKIP TO 

THE LAST ITEM ON THIS FORM; COMPLETE AND RETURN FORM. 

11. When c!id this clinic or service site first begin a program offering medical family planning 

services? 

/ 

month Yea 

cc 94 cc 96 

HRA-I 06 

(5-75) 

32 
CARD3

S-3

12. We would like some information on your family planning clinic sessions. These are regularly scheduled

periods of time during which medical family planning services are provided at this site.

In column (1), check the box to indicate the days of the

week during which medical family planning services are provided.

In column (2), enter the time period during which medical

family planning scxviccs are provided (e.g., 9-11 a.m.; 3.5

p.m.). If a split session is operated on any day, enter both

time periods in the same box for that day. If this site is

operated on a “by appointment only” basis, or your hours

are varied each day by patient requirement, check the box

under “NO Regular Hours”. If this is a comprehensive

health center or HhfO wbcre family planning is provided

only cm an % need.d’ basis, check the “as needed” box i“

column (2).

In column (3), chcc k the box which best describes the type

of clinic session being held. For the purposes of this study,

a clinic session may be specialized (where only services related to medical family planning arc provided) or combined

(where family planning scrviccs are offered in conjucticm

with other health scmices mch as maternity, post-pmtum,

maternal a“d child health, obstetrics and gynecology, corn.

prehensive or other hcaftb cam.)

In column (4), check the box which describes the frequency of these smsions-weekly, twice/month (e.g., every

other week), monthly, or other.

1

I DONOTF1ILL IN - FOR AGENCY USE ONLY

CClo

cc 21 I I I

CC 32

cc 43

cc 54

CC 6S

(1) I

(21

DAYS OF WEK TIME PERIOD

I

I No reg.lm I Ill ITwice/

(3) (41

TYPE OF FREQUSNCY OF SESSIONS

MEDICAL FAMILY CLINIC SESSION I

PLANNING

PR~VIOED From To I

hours I

As needed [ Specialized [Combined I weekly I mo.tjI Monthly other

,, . . . . .. n I I I

Tuesday ❑1

.- I I I I I I I I I I

wmmesa.y u

Tlmmday •1

Friday ❑

Saturday c

Sunday ❑ A

13a. Was this clinic or sewice site closed at least one month (four cortsecutiw WAS) during any part of 1974?

76-2 ❑ No -1 •1 Ycs— b. Closed from:

.= ,7 Month — Day _ to Month_ Day —

,C as Month — Day — to Month _ Day —

.= 93 Month _ Day _ to Month _ Day _

cc 101 MOnlh — Day’ _ to Month_ Day _

CARO 4

9’4

14a. How many patients received medical family planning services at this site from January 1, 1974,

throusth December31, 1974? (Do not include LWimts who recerireti sut.@lies . . onlv ).

“ ‘ Total patients ,C1O

b. (1) Do you have provider status for Title XIX (Medicaid)? IS- I H Yes .2 ❑ No

(2) Do you have a Title IV-A (AFDC) contract with your State? 16.1 ❑ YCS -2 ❑ NO

c. For how many of the total patients in 14a were you reimbursed or did you receive payment for family

planning services in 1974 under:

(1)

(2)

(3)

(4)

(5)

Number of paoents

Title IV-A (,4FDC)? cc t7

Title XIX (Medicaid)? cc 22

Other third party? CC 27

Fcc for services? CC 32

No reimbursement? cc 37

Amount m dollars

$

$

$

$

$

CC42

cc 48

cc 54

cc 60

cc 66

HRA-106

(s-7s)

33
d.

e.

f.

(1) How many of these total patients in 1974 were on welfare?

CC 72

(2) How many of these total patients in 1974 were eligible for Medicaid but were not subsidized? ~

How many of these total patients were new patients (c.,q. lhosc who re$i.~!crcd and rt>cciucd _...

medfcd frnnily />lawsing scrviccs at this ntc for thejmst [imc) f mm January 1, 1974 through

December 31, 1974?---- _-. _--_ -------------- .-------- .- Ne,, p~s,ent, cc82

How many medical family planning visits were recorded at this site from January 1, 1974

through December 31, 1974? (Du ~%cht dcs uisit.%or maili?q+e WIIcrrby a />recicst@v rr.cistrrcf[

/Mticnt rccciued stt[~p[ies only. )------- - ----------- -- ---------- .-Total v,slts - cc 87

15a. Which of the following services or functions are 15b. What percentage of your patients received

provided at this site for family planning patients? these services in 1974 on their_ visit

(Check all that apply) for medical family planning services?

,,., (1) ❑

93-1 (2) o

w-l (3) •1

95.1 (4) ❑

96-1 (5) ❑

97-1 (6) ❑

9s1 (7) I-J

99-1 (8) ❑

100.1 (9) I-J

10.3-1(10) ❑

102.1(11) ❑

]03-1 (12) ❑

104.1(13) ❑

10s-l(14) •1

106.1(15) ❑

107-1(16) ❑

10&1(17) D

109-1(18) ❑

(19) ❑

Rcmrd of pertinent medical history (1) —%..10

Record of reproductive history (2) —%..13

CARD 5

9-5

Record of pertinent aociaf history (3) —%CC 16

Pap smear (4) —%CC 19

Pelvic examination (5) —% CC22

Brca!t examination (6) —%CC 25

Taking of blood pressure (7) —%cc2a

Oral contraceptive prescription (8) —%..31

Insertion of IUD (9) —9’0cc34

Routine lab tests [hcm.tocnt, urine for mgar and albumin) (1 o) _%cc 37

Testing for syphilis (11) _%cc40

Testing for gonorrhea (12) —% cc 43

Sickle cell s.crccning (13) — % CC46

Pregnancy testing (14) —%CC 49

Infertility screening (1 s) —’% cc 52

Infertility counseling (16) _%cc 5s

Female sterilization ’17) _.._%cc sa

Male sterilization

Other medical service (specfy)

‘;=;CC6’EEEHEH

●AI initial visit for medical fandty planning services is defined as a visit at which a patient

is registered for and receives me<tcal family planning sewices for the “first time” at this site.

16a. Which of the followins! other ancillary sewices 16b. Please indicate for each checked reor functions are provi~ed at this site? sponse the percentage of your patients

(Check all that apfsly) wlio received that service in 1974.

(Enter NIA if data is not auailablel

Individual counseling abcmt family planning --------------------- (1) % ~. 89

FoIIo w-up Program (Foil. uwp .ctiuities incl.dc cent..tin~ persons

whohaz,c missed appoi"tments.)--------------------------- (2) % c, 9’3

Referral to other clinic for family planning or medical services

. .

notprov,ded atth,ss,te -- ______________ ------------- (3) % cc 9s

Referral to appropriate agency for sxial Smiccs----_------_------_ (4) % cc 98

Tmnsportatiotr to the clinic or service site (pnwriied or wbsidixd)--------- (5) _% cc 101

Babysitting (whilcpatient is at clinic ors.mice oteJ_--_--------------_ (6) —% CC 104

76-1 (1) ❑

,,., (2) ❑

7a-, (3) ❑

79.1 (4) g

aa.1 (5) U

81.} (6) ❑

a2-1 (7) ❑ PrOvide space, equipment, contraceptive supplies and/or staff to

others who provide medical family planning services

a3. 1 (8) ❑ COntract or pay other3 for the pr0vi3i0n of mcdlcal family planning

84. I (9) ❑ Outreach Program (fitw.h activities are those wkich inform prospectiw

p.timfs of family pl.mnnngsmuices and .m’st them m .zuili.g themsclt,cs of

the saz,ice.)

8S. 1 (1 O) ❑ Classroom or group sessions about family planning

a.$1 (11) ❑ ClaSsrOOm Or group sessions on sex education (in uddition to fam”ly

planning and co. fr.cepti.e education)

87. (] 2) ❑ Other (specify)

8e-1 (13) ❑ None

HRA V6

(5.75)

34
CARD 6 17a. Which of the following methods of

9.8 contraception are provided at this

site?

10.1 (I)

11.1 (2)

12.1 (3)

13.1 (4)

14-1 (5)

Is-l: (6)

16-1 (7)

17-1 (8)

18.1 (9)

19-1 (10)

2G1 (11)

21.1 (12)

22- (13)

(14)

❑ Oral (Pilf)

❑ IUD

❑ Foam

❑ Condom

❑ Diaphragm/jelly

❑ Natural”f.zrnily plan”i”g(e.s, basal

temper.ture and ccnn’c.l mucous rhythm)

❑ Sterilization L&-mule)

❑ Sterilization (m.k)

❑ Injection

•l POst-coital pill

❑ Method not selected or refused

❑ Infertility counxling only

❑ No method offered

❑ Other (spetify)

17b. What percentage of all your

patients used or received each

method in 1974?

(1) —%cc23

(2) —%c.26

(3) —%..29

(4) —%..32

(s) —%..35

(6) —9acc3a

(7) _%cc41

(8) —% CC44

18. Please indicate below the number of staff usually involved in the delivery of medical family planning

services at this clinic or service site during a typical week. Include volunteers, contract, and paid CARD,

employees. Count each person only once, in the occupation at which he/she spends most time. 9-7

Total staff Total staff

Staff TYPC delivering fanuly hours usually worked

pLmming services per week

Administrator/Director ,x 74 CC1O

Physicun

.x 76 cc 13

Physician’s Assistant

cc 78 cc 16

Registered Nurse

cc ao cc 19

Nurse Midwife/ Nurse Practitioner cc 82 cc 22

Licensed Practical Nurse CC84 cc 2s

Clinic Aide cc 86 CC28

Nutritionist

cc 68 CC31

Health Educator CC90 cc 34

Social Worker cc 92 cc 37

Clerk/SecretFq cc 94 cc 40

Outreach Work cc 96 cc 43

Other (@.ciJ%)

Name of person completing this form: (Plco.re Prin t)

Job Titl.S:

Telephone Number:

HRA.106

(5.7$)

cc 46

00 NOT FILL IN -

cc 52

FOR AGENCY cc 5a

USE ONLY

CC64

000

* U. & GOVERNMENT PFONTSNG OFFICE :1978 240-937/7 _

35
VITAL AND HEALTH STATISTICS PUBLICATIONS SERIES

Formerly Public Health Service Publication No. 1000

Series 1. Programs and Collection Procedures. –Reports which describe the general programs of the National

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, and

other material necessaq for understanding the data.

Scrt”cs 2. Data Evaluation and Methods Research. –Studies of new statistical methodology including experimental

tests of new survey methods, studies of vital statistics collection methods, new analytical techniques,

objective evaluations of reliability of collected data, contributions to statistical theory.

Sffics 3. Analytical Studies. –Reports presenting analytical or interpretive studies based on vital and health

statistics, carrying the analysis further than the expository types of reports in the other series.

Series 4. Documents and Committee Reports. –Final reports of major committees concerned with vital and

health statistics, and documents such as recommended model vital registration laws snd revised birth

and death certificates.

Series 10. Data j%om the Health Interview Survey. –Statistics on illness; accidental injuries; disability; use of

hospital, medical, dental, and other services; and other health-related topics, based on data collected in

a continuing national household interview survey.

Srrics 11. Data from the Health Examination Survey. –Data from direct examination, testing, and measurement

of national samples of the civilian, noninstitutionalized population provide the basis for two types of

reports: (1) estimates of the medically defined prevalence of .ipecific 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.

Serif’s 12. Data j+om the Institu tz”onalized Population Surveys. —Discontinued effective 1975. Future reports from

these surveys will be in Series 13.

Scric.s 13. Data on Health Resources Utilization. —Statistics on the utilization of health manpower and facilities

providing long-term care, ambulatory care, hospital care, and family planning services.

Smit,s 14. Data on Health Resources: hfanpo wer and Facilities. —Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health occupations, hospitals, nursing homes, and outpatient facilities.

Swim 20. Data on Afortality. —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 .ancdyses; and statistics on characteristics of deaths not available from the vital records, based on

sample surveys of those records.

Series 21. Data on Natality, Mamiage, 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.

Scrks 22. Data from the National Mortality and Natality Surveys. —Discontinued effective 1975. Future reports

from these sample surveys based on vital records will be included in Series 20 and ’21, respectively.

Scrhs 23. Datu from the National Survey of Family Growth. –Statistics on fertility, family formation and dissolution, family pkanning, and related maternal and infant health topics derived from a biennial survey of

a nationwide probability sample of ever-mamied women 1544 years of age.

For a list of titles of reports pub~ished in these series, write to: Scientific and Technical Information Branch

National Center for Health Statistics

Public Health Service

Hyatts~ille, Md. 207S2