Skip to main content

Based on the literature concerning intervention strategies for family planning for women on Medicaid 14-65 living in poverty: Are there any...

Dehlendorf et al. (2010) (see the reference below) found that there are significant racial/ethnic and socio-economic differences in the rates of unintended pregnancies among women. This research suggests that the provision of patient-centered reproductive healthcare services can improve the ability of women from different backgrounds to make "informed choices" about their reproductive health. 


In addition, the Office of Adolescent Health of the HHS (U.S. Department of Health and Human Services) is looking at ways to prevent teen pregnancies, which cost the government anywhere from $9.4 to $28 billion annually (see the link below). There is evidence that expanding teens' access to Medicaid-based health services and using media to expand safe sex health campaigns can reduce teen pregnancy. The Affordable Care Act of 2010 expands healthcare services for adolescents and offers models of care and clinical training that concentrate on family planning. These models include directing healthcare providers to screen teens for sexually risky behaviors and to counsel them about these behaviors.


The CDC (Centers for Disease Control), at the link below, also has guidelines about preventing pregnancy and STDs (sexually transmitted diseases). These guidelines are based on the literature, which suggests that healthcare providers play a critical role in intervening to prevent pregnancy and STDs. Healthcare providers should screen their patients as part of the clinical interview about their sexual histories and counsel them about how to reduce sexually risky behaviors. Counseling should reflect respect and a non-judgmental attitude. The Office of Population Affairs (OPA) and the Centers for Disease Control and Prevention (CDC) published "Providing Quality Family Planning Services (QFP)" in 2014 to provide guidelines about family planning care. This care provides guidance about preventing care and spacing births. See the Kaiser Family Foundation report for more details. 



References:


Christine Dehlendorf, MD MAS, Maria Isabel Rodriguez, MD,Kira Levy, BA,Sonya Borrero, MD MS, and Jody Steinauer, MD MAS. Disparities in Family Planning. Am J Obstet Gynecol. 2010 Mar; 202(3): 214–220.


Kaiser Family Foundation, Women and Health Care in the Early Years of the Affordable Care Act: Key Findings from the 2013 Kaiser Women’s Health Survey, May 2014.


Kamb ML, Fishbein M, Douglas JM, Jr., et al. Project RESPECT Study Group. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: a randomized controlled trial. JAMA 1998;280:1161–7.

Comments

Post a Comment

Popular posts from this blog

etymology - Origin of the greeting "Sweet dreams".

Does anybody know the etymology of the phrase "sweet dreams"? I tried googling but did not find anything satisfying. Is this a relatively new phrase of the modern world or has this been in use for some time? I think it's the latter one. Answer The OED has the interjection as "a farewell to someone going to bed" from the 20th century: 1908 Sears Roebuck Catal. 198/1 Tenor Solos..Good Bye, Sweet Dreams, Good Bye. But it goes back until at least the 19th and possibly 18th centuries. John Wolcot, writing under the pseudonym of Peter Pindar, used it in his poem "Orson and Ellen; A Legendary Tale" published in 1801: Also from 1801 in The infernal Quixote (Page 287) by Charles Lucas: In the March 1776 of The Universal Magazine was published "The Serenade. A Pastoral Tale. From the German of Gesner" , where the shepherd Daphnis watches over his beloved as she sleeps and sings: The same tale appears in 1776's as Idyl XI, " Daphnis ...
Post a Comment
Read more

Is there a word/phrase for "unperformant"?

As a software engineer, I need to sometimes describe a piece of code as something that lacks performance or was not written with performance in mind. Example: This kind of coding style leads to unmaintainable and unperformant code. Based on my Google searches, this isn't a real word. What is the correct way to describe this? EDIT My usage of "performance" here is in regard to speed and efficiency. For example, the better the performance of code the faster the application runs. My question and example target the negative definition, which is in reference to preventing inefficient coding practices. Answer This kind of coding style leads to unmaintainable and unperformant code. In my opinion, reads more easily as: This coding style leads to unmaintainable and poorly performing code. The key to well-written documentation and reports lies in ease of understanding. Adding poorly understood words such as performant decreases that ease. In addressing the use of such a poorly ...
Post a Comment
Read more

What are the similarities between the relationships of the characters in The Outsiders and Romeo and Juliet?

At first glance, it might appear as if the characters in  The Outsiders  by S. E. Hinton and  Romeo and Juliet  by William Shakespeare do not have much in common; however, when one isolates the core of the conflicts, it becomes clear that the relationships in both stories are rooted in rivalry and secrecy.  In both  The Outsiders  and  Romeo and Juliet , an overarching theme is rivalry. While   socioeconomic status separates the greasers from the Socs in The Outsiders , last names separates the Montagues from the Capulets, who appear to be relatively equal in terms of socioeconomic status. Due to these rivalries, there are instances of deadly interactions in both stories. In  The Outsiders , Johnny kills Bob (whether his actions were justified or not is debatable). In  Romeo and Juliet , Romeo kills Tybalt and Paris, and Tybalt kills Mercutio. These deaths have profound effects on the main characters. In Ponyboy's case, the Johnny's death and other events in the novel inspire h...
Post a Comment
Read more