Estimates of Pregnancies Averted Through California's Family Planning Waiver Program in 2002

Foster, Diana Greene; Biggs, M. Antonia; Amaral, Gorette; Brindis, Claire; Navarro, Sandy; Bradsberry, Mary; Stewart, Felicia H.

doi:10.1111/j.1931-2393.2006.tb00260.x

Cited by 5 publications

(16 citation statements)

References 6 publications

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“…Of the eleven studies reviewed, five were conducted as state-specific analyses [7][8][9][10][11] , four as cross-state comparisons 12-15 and two examined aggregated national-level data 16,17 .…”

Section: Resultsmentioning

confidence: 99%

“…Another study reported on improvements in birth outcomes in response to publicly financed family planning care, citing a reduced number of low-birth weight births, births with late or no prenatal care, infant deaths and neonatal dates 14 . The most commonly reported measure across reviewed studies was unintended pregnancies averted [7][8][9][10]16,17 . When taken together, results from these state and national-level analyses suggest that publicly funded family planning services avert a significant proportion of unintended pregnancies.…”

Section: Study Design and Qualitymentioning

confidence: 99%

“…Of these eleven studies, six relied on within-subject analysis [7][8][9][10]16,17 while five integrated the use of separate exposure and comparison groups [11][12][13][14][15] , capitalising on the staggered implementation of publicly subsidised family planning programmes among states and the natural division of treatment and control groups formed through income-eligibility cut-offs. Of the five multi-group analyses, two employed a time series approach 14,15 and three relied on a cross-sectional, difference-in-difference design [11][12][13] .…”

Section: Study Design and Qualitymentioning

confidence: 99%

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The impact of publicly-financed family planning services on pregnancies, births, and costs: A critical review of the peer-reviewed literature

Gerstein¹,

Markus²

2013

OA Women's Health

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Introduction Low-income women in the United States obtain access to family planning services in large part through publicly subsidised federal, state and local programmes. Public support for publicly funded family planning care is based on the belief that these programmes reduce unintended pregnancy, promote better birth outcomes and save governments money. There is, therefore, a need to assess the results from and quality of existing research in this area. This article discusses the impact of publicly financed family planning services on pregnancies, births and costs. Materials and methodsThis article reviews 11 published evaluations of publicly financed family planning services and its impact on pregnancies, births and costs for the period 1990-2013. Relevant studies were identified through a search of PubMed and SCOPUS databases and the strength of their methodology was assessed using the US Preventive Services Task Force quality rating criteria. Results All reviewed articles received a quality rating of 'fair' but varied on a number of different dimensions, including their methodology, data sources, time frame, outcomes of interest and scope, preventing directThe impact of publicly financed family planning services on pregnancies, births and costs: a critical review of the peer-reviewed literature MT Gerstein*, AR Markus* comparisons across studies. Results from reviewed analysis do, however, suggest that publicly funded family planning services avert a significant proportion of unintended pregnancies, improve birth outcomes and reduce governmental costs. ConclusionThe reviewed literature demonstrates that publicly financed family planning care promotes control over childbearing decisions and improved birth outcomes, while saving local, state and federal governments money. However, this review also identified several important research gaps and flaws in the existing evidence base, particularly in the generalisability of results and narrow set of measures used to estimate impact. We suggest several ways to expand the field of available research by leveraging opportunities afforded through state Medicaid reform legislation and Medicaid expansions under the Affordable Care Act.

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Section: Resultsmentioning

confidence: 99%

Section: Study Design and Qualitymentioning

confidence: 99%

Section: Study Design and Qualitymentioning

confidence: 99%

See 1 more Smart Citation

The impact of publicly-financed family planning services on pregnancies, births, and costs: A critical review of the peer-reviewed literature

Gerstein¹,

Markus²

2013

OA Women's Health

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“…For example, researchers attempted to measure the effects that Family PACT-a large, state-funded effort to increase the number of reproductive health care providers in California and to reduce the cost of reproductive health care services to low-income womenhad on contraceptive use, pregnancies, abortions and births. 24 Because a good comparison group did not exist, the researchers had to make various assumptions about what women would have done had Family PACT not been implemented. These assumptions may have led to overestimates of the program's impact.…”

mentioning

confidence: 99%

The Impact of Programs to Increase Contraceptive Use Among Adult Women: A Review of Experimental and Quasi‐Experimental Studies

Kirby¹

2008

Perspect Sexual Reproductive

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“…In its first full year, Fiscal Year (FY) 1997–1998, 750,000 men and women received services, averting an estimated 108,000 unintended pregnancies and 50,000 births (Foster et al 2004). In 2002, Family PACT served over 1.4 million women and men, averting an estimated 205,000 pregnancies and 94,000 births (Foster et al 2006).…”

mentioning

confidence: 99%

Public Savings from the Prevention of Unintended Pregnancy: A Cost Analysis of Family Planning Services in California

Amaral

Foster

Biggs

et al. 2007

Health Services Research

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Objective. To assess the short-term economic savings associated with the prevention of unintended pregnancies through California's Medicaid family planning demonstration project. Data Sources. Secondary data from health and social service programs available to pregnant or parenting women at or below 200 percent of the federal poverty level in California in 2002 and data on the quantity and type of contraceptives dispensed to clients of California's 1115 Federal Medicaid demonstration project. Study Design. The cost of providing publicly funded family planning services was compared with an estimate of public savings resulting from the prevention of unintended pregnancies. Data Collection. To estimate costs and participation rates in each health and social service program, we examined published program reports, government budgetary data, analyses conducted by federal and state level program managers, and calculations from national datasets. Findings. The unintended pregnancies averted by California's family planning demonstration project in 2002 would have incurred $1.1 billion in public expenditures within 2 years and $2.2 billion within 5 years, significantly more than the $403.8 million spent on the project. Each dollar spent generated savings of $2.76 within 2 years and $5.33 within 5 years. Conclusions. The California 1115 Medicaid family planning demonstration project resulted in significant public cost savings. The cost of the project was substantially less than the public sector health and social service costs which would have occurred in its absence.

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Estimates of Pregnancies Averted Through California's Family Planning Waiver Program in 2002

Cited by 5 publications

References 6 publications

The impact of publicly-financed family planning services on pregnancies, births, and costs: A critical review of the peer-reviewed literature

The impact of publicly-financed family planning services on pregnancies, births, and costs: A critical review of the peer-reviewed literature

The Impact of Programs to Increase Contraceptive Use Among Adult Women: A Review of Experimental and Quasi‐Experimental Studies

Public Savings from the Prevention of Unintended Pregnancy: A Cost Analysis of Family Planning Services in California

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