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FY 2009 - Family Planning Research Cooperative Agreements

Meeting 21st Century Family Planning Challenges with an Evidence-Based Approach, 2009-2014

The 2009 Family Planning Research Cooperative agreements were awarded to the following:

Grantee Organization:
The Guttmacher Institute
125 Maiden Lane
New York, NY 10038
Principal Investigator:
Jennifer Frost, DrPH
Project Period: 9/01/2009 – 8/31/2014

This project will use existing data to:

  1. provide updated estimates of the number of women in need of subsidized family planning services at the national, state and county levels;
  2. describe the extent to which the need for publicly funded family planning services is being met by providing national, state- and county-level data on availability of clinic services and utilization of these services;
  3. monitor changes in public-sector financing for family planning services at the national and state levels, including assessment of changing funding streams, and the implications of these shifts for publicly funded services, for Title X family planning clinics and for clients in need of these services;
  4. examine the costs and benefits of prevention of unintended pregnancy as well as prevention and treatment of STDs;
  5. track changes in the demand for clinical services;
  6. investigate the use and nonuse of publicly funded services among eligible women in need by analyzing factors that contribute to nonuse of methods and services when at risk of unintended pregnancy; and
  7. examine the challenges faced by publicly funded family planning service delivery due to (among other things) rising costs of health care, increasingly difficult to reach clientele, and the changes in service delivery and financing as a result of health care reform.

Child Trends Family Planning Research Cooperative Agreement

Grantee Organization:
Child Trends
4301 Connecticut Ave., N.W., Suite 350
Washington, DC 20008
Principal Investigator:
Jennifer Manlove, Ph.D
Project Period: 9/01/2009 – 8/31/2014

The project is organized into three stages: In Stage 1, the prevalence, trends, and sub-population differences in populations at risk of unintended pregnancy and STIs will be addressed and sexual activity and contraceptive behaviors that affect the risk of unintended childbearing and STIs will be examined. In Stage 2, family, individual, peer, partner, school and community factors associated with reproductive health outcomes from Stage 1 will be examined. In Stage 3, the program will address 5 cross-cutting themes for populations in need of family planning, including:

  1. male involvement in reproductive health, using NSFG, NLSY97 and Add Health couples' data;
  2. contraceptive method choice and the overlap between pregnancy and STI prevention;
  3. family planning service receipt and its association with method choice and consistency;
  4. characteristics of parent-teen discussions and the role of parental involvement into young adulthood; and
  5. reproductive health among vulnerable populations, including runaway and homeless youth, as well as those in foster care or connected to juvenile justice. All three stages will examine subpopulation differences by gender, race/ethnicity, poverty status, age, marriage/cohabitation status and presence of previous children.

Innovative Evaluation of Title X and 1115 Waiver Family Planning Programs

Grantee Organization:
The Regents of the University of California
3333 California Street Suite 315
San Francisco, CA 94118
Principal Investigator:
Phil Darney, MD
Project Period: 9/01/2009 – 8/31/2012

This study will identify the strengths of each component of a mixed payor model and help identify the ideal blend of providers to yield a cost effective and efficient publicly subsidized family planning program. It will address a gap in knowledge by comparing access issues, pregnancy outcomes, cost-effectiveness and quality measures across provider types. Using the Family PACT (Planning, Access, Care, and Treatment) database which contains information on all the publicly subsidized family planning in California, the following series of studies will be conducted:

  1. evaluate how provider type impacts access to care, including a survey to delineate provider characteristics such as population served specialty, practice type, location and volume of family planning visits;
  2. contrast standardized quality indicators and utilization management outcomes by provider type;
  3. compare pregnancy outcomes by provider type to understand each group's specific contribution to averting unintended pregnancies; and
  4. assess the costs of supplying specific contraceptive methods, prescribing patterns of contraception and their impact on cost containment in new Title X clinics, long standing Title X clinics, private clinics, and non-Title X public clinics.