In 1994, 81.8 percent of Title X funded family planning clinics provided pretest counseling on HIV to their clients, an increase from 66 percent in 1990. HIV testing for clients was provided by 73.5 percent of these clinics, compared with 60 percent in 1990. The year 2000 target is 95 percent for all groups. Medicaid is the largest source of funding for reproductive health services in the U.S., but the working poor, adolescents and families without children are usually excluded from coverage because of eligibility requirements. Private health insurance plans usually do not provide coverage for contraceptive services.
Adolescents account for less than half of the total number of unintended pregnancies.
Since 1991, the rate of first and second births to females aged 15-19 has declined. This trend correlates closely with increased use of contraceptives and delays in initiation of sexual intercourse. One study showed that 64 percent of women switching from one form of contraception to another had an unintended pregnancy during the interval. Ninety-three percent of women at risk of unintended pregnancy use some form of contraception. The remaining 7 percent of women account for 47 percent of all unintended pregnancies.