WASHINGTON and NEW YORKA report released today by the George Washington University School of Public Health and Health Services (SPHHS) and the RCHN Community Health Foundation offers the first-ever in-depth examination of health centers' role in access to family planning. The report finds that virtually all health centers furnish family planning services to some extent but for both financial and non-financial reasons, only 1 in 5 is able to offer access to the full range of contraceptive services.
The report offers a series of recommendations to strengthen performance, including investment in clinical quality improvement and value-based purchasing strategies to incentivize greater preventive service capacity. The report also recommends strengthening partnerships between health centers and Title X family planning programs in order to reach the hardest-to-serve populations. The authors underscore the role played by Title X in assuring access to care in medically underserved communities.
"This report breaks new ground in our understanding of health centers' role in family planning," says Susan F. Wood, PhD, lead study author, associate professor of health policy and executive director of the Jacobs Institute of Women's Health at SPHHS. "Our findings underscore the opportunities and challenges in strengthening access to this vital service."
Sara Rosenbaum, JD, Harold and Jane Hirsh Professor of Health Law and Policy at SPHHS and a study co-author, added "This report confirms health centers' contributions to prevention and draws the link between proven value-based purchasing strategies and key preventive services."
Health centers' role in preventive health can be expected to grow as a result of their expansion under the Affordable Care Act. By 2019, health center patients are expected to double. Over half of all health center patients are women of childbearing age.
Julio Bellber, President and CEO of the RCHN Community Health Foundation, stated, "Community health centers play a key role in delivering primary care, and family planning services always have been a core primary care service. Strengthening capacity and performance is essential."
The nationwide health center survey presented in the analysis finds that 87% of all health centers provide what the analysis defines as a "typical" package of family planning methods, defined by the authors as birth control pills plus one other contraceptive method such as condoms, implants, or IUDs, along with sexually transmitted infection screening and treatment. The study also documents wide variation in scope and quality of care and reports that half of all health centers lack the current ability to dispense birth control pills on-site despite their high effectiveness and low cost. Among the report's other key findings:
To access the report, "Health Centers and Family Planning: Results of a Nationwide Study," click here: http://sphhs.gwu.edu/departments/healthpolicy/publications/Health_Centers_and_Family_Planning.pdf.
|Contact: Kathy Fackelmann|
George Washington University