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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Increase the proportion of women who get needed publicly funded birth control services and support — FP‑09 Data Methodology and Measurement

On this page:  About the National Data  |  Methodology  |  History

About the National Data

Data

Data Sources:  National Survey of Family Growth (NSFG), CDC/NCHS; Guttmacher Institute Abortion Provider Census (APC), Guttmacher Institute; American Community Survey (ACS), Census

Baseline: 42.9 percent of women aged 13 to 44 years in need of publicly supported contraceptive services and supplies received those services and supplies in 2015

Target: 47.9 percent

Numerator
Number of women aged 13 to 44 receiving public-sector contraceptive services (defined as all women who received contraceptive services from a publicly supported clinic or who received contraceptive services from private providers paid for by Medicaid).
Denominator
Number of women aged 13 to 44 in need of publicly supported contraceptive services and supplies (defined as those who have ever had sexual intercourse, fecund, not intentionally pregnant or trying to become pregnant during the entire year, and in need of publicly support services because their family income is under 250 percent of the federal poverty level or they are under age 20).
Target-setting method
Percentage point improvement
Target-setting method details
Percentage point improvement from the baseline using Cohen's h effect size of 0.10.
1
Target-setting method justification
Trend data were evaluated for this objective but it was not possible to project a target because the trend was moving away from the desired direction. A percentage point improvement was calculated using Cohen's h effect size of 0.1. This method was used because the baseline standard error was not available and no additional information could be used to assess the target.

Methodology

Methodology notes

[Denominator notes] The Guttmacher Institute periodically (approximately every 2 years) estimates the number of women in need of publicly supported contraceptive services and supplies, as well as the number of women who receive public-sector contraceptive services in the United States. Estimates of women in need of contraceptive services are based on population estimates (by age and race/ethnicity) from the U.S. Census Bureau; poverty and marital status data form the American Community Survey (ACS), and characteristics of women from the National Survey of Family Growth (NSFG). Detailed methodology for making these estimates has been published. Women are defined as in need of contraceptive services and supplies during a given year if they are aged 13-44, have ever had sexual intercourse, neither they nor their partners have been sterilized or are infecund for any reason, and they are neither intentionally pregnant nor trying to get pregnant over the entire year. Women are defined as in need of publicly supported contraceptive services if they are in need of contraceptive services and are either aged 20 or older with a family income below 250% of the federal poverty level, or are younger than age 20. [Numerator notes] Estimates of the number of women receiving publicly supported contraceptive services are based on data from Guttmacher's Census of Publicly Funded Family Planning Clinics and from the NSFG. Additional information on the methodology for collecting these data has been published.

History

Comparable HP2020 objective
Retained, which includes core objectives that are continuing from Healthy People 2020 with no change in measurement.

1. Effect size h=0.1 was chosen to correspond with 10% improvement from a baseline of 50%.