OPA Announces Family Planning Research Grants
The Office of Population Affairs awarded five family planning service delivery improvement research grants to bolster the current understanding of family planning service delivery with respect to providing services to underserved populations, and in assessing the extent and impact of increasing costs on service delivery. The overall aim of the family planning service delivery improvement research program is to support studies that can be translated into practices that will improve the outcomes, quality, effectiveness and efficiency of family planning services. Below is a list of the family planning research projects being supported by the Office of Population Affairs.
Enhanced Family Planning in an STD Clinic
Johns Hopkins University, School of Medicine
720 Rutland Avenue
Baltimore, MD 21305
Emily Erbelding, M.D., M.P.H.
Project Period: 9/01 - 9/03
Project Description: This project will evaluate the impact of enhanced STD outreach worker services on the reproductive health outcomes in a cohort of women receiving STD care and contraceptive care in inner city STD clinics. Outcomes will be compared to those of a control cohort of women who are enrolled for a similar range of contraceptive services but do not receive the outreach intervention. The study will measure rates of unintended pregnancy and new STDs among female STD patients in a system with contraceptive public health outreach compared to standard care.
Women Leaving Prison: Two Models of Family Planning Service Delivery
Rhode Island Hospital
593 Eddy StreetProvidence, RI 02903
Jennifer Clarke, M.D.
Project Period: 9/01 - 9/03
Project Description: The researchers will evaluate a current Title X-funded family planning program for incarcerated women in Rhode Island who are soon to be released from prison. Clients will be surveyed to determine factors associated with and barriers to seeking family planning services. The study will compare two modes of delivering family planning services to women being released from prison. The first model will evaluate an innovative program that involves initiating family planning education for incarcerated women and then arranging post release connection to a clinic for family planning services. The second model will examine a model in which education and contraceptive methods are offered to women prior to their release from prison and then arranging a post release connection to a clinic for family planning and reproductive health care. Behavioral and biological outcomes will be assessed when testing both these models.
Improvement in Northern Manhattan to Two Underserved Populations: Males and Recent Immigrants
New York Presbyterian Hospital
60 Haven Avenue, B-3
New York, NY 10032
Roger Vaughan, Ph.D and Lorraine Tiezzi, M.S.
Project Period: 10/01 - 9/03
Project Description: This project will identify and explore the enabling factors for, and barriers to, health care seeking behavior among a recent immigrant Hispanic population and among Hispanic males in New York City. The project will conduct several case-control studies at different health care access points (including reproductive health care) available to recent immigrants and males. Structured interviews will be conducted among a sample of older adolescents, young adults and older adults who have demonstrated health care needs and who accessed health care, and among a control group who did not access health care. Structured interviews will also be conducted with parents, as well as with the health care providers in the school-based clinics and the community-based family planning clinics.
Barriers to Family Planning Services Among Mexican Immigrants in California: Gender, Power and Culture
University of California, San Francisco
Department of Obstetrics, Gynecology and Reproductive Sciences
3333 California Street, #315
San Francisco, CA 94118
Catherine Maternowska, Ph.D., M.P.H.
Project Period: 1/01 - 12/02
Project Description: This project focuses on understanding the complex sociocultural factors that influence reproduction and the use of family planning services in Mexican immigrant communities. The research project has three broad aims:
- to uncover factors that influence the use of family planning services among male and female Mexican immigrants in California;
- to discern if these factors differ among rural (largely migrant) and urban populations; and
- to understand providers' behavior and their perceptions of Mexican immigrants in an effort to determine how services can be made more accessible. A sample of Mexican men and women of childbearing age will be recruited for interviews from two groups - clients in the California Family Planning, Access, Care and Treatment Program (Family PACT) and non-Family PACT clients. Interviews will address respondents' fertility histories, contraceptive knowledge and attitudes, financial, time, and health care resources, access to medical care, as well as social and legal networks. The project will also study family planning provider attitudes regarding the Mexican immigrant population and perceptions of their needs.
Project to Assess the Impact of Increasing Costs on the Delivery of Family Planning and Reproductive Health Services
Cicatelli Associates, Inc.
505 Eighth Avenue, Suite 2001
New York, NY 10018-6505
Project Period: 9/01 - 9/02
Project Description: Cicatelli Associates, Inc. (CAI) will conduct a case study approach to explore the impact of increasing costs and other factors on the delivery of family planning and reproductive health services over a 5-10 year period. The project will work with a sample of Title X family planning grantees and provider agencies to conduct an in-depth review and analysis of purchasing records, clinic operations, and other records to extract information required to determine the effect that changing costs have had on the delivery of family planning services. A relative value cost methodology will be utilized for each participant agency to determine the unit cost of service by CPT codes. CAI will develop cost of service reports providing in-depth information on the impact of changing costs, as well as other contributing factors, affecting the delivery of family planning services.