Community Health Program Evaluation Presentation

1. Sharon Wallace
NUR 512
Jacksonville University

2. Introduction and
Overview
Access to safe, voluntary
family planning is a
basic human right.
Family planning is the
process of projecting
when to have children,
and the use of birth
control and other
techniques to
implement such plans.

3. Family Planning Introduction
Family planning:
 Allows individuals and couples to
achieve desired birth spacing and
family size.
 Contributes to improved health
outcomes for infants, children,
women and families. (Healthy
People 2020, 2015)
 Achieved through use of
contraceptives methods and the
treatment of involuntary infertility.
Family planning services include:
 Contraceptive and broader
reproductive health services,
including patient education and
counseling.
 Breast and pelvic examinations
 Breast and cervical cancer screening
 Sexually transmitted infection (STI)
and human immunodeficiency virus
(HIV) prevention education,
counseling, testing, and referral
 Pregnancy diagnosis and counseling

4. Assessment of Extent and Severity of Family
Planning Issues
 The United States has one of the highest adolescent
pregnancy rates in the developed world with greater than
700,000 adolescents between 15-19 years old becoming
pregnant each year, and greater than 300,000 giving birth.
(Gavin, Moskosky, Carter, Curtis, Glass, Godfrey, Marcell, and Zapatu,
2014)
• Approximately 50% of all pregnancies in the United States
are unintended. The public costs of births resulting from
unintended pregnancies was $11 billion in 2006. (World
Health Organization, 2015)

5. Assessment of Extent and Severity of Family
Planning Issues
Millions of women who want to avoid pregnancy are not
using safe and effective planning methods for one or
more of the following reasons:
 Lack of access to information or services
 Lack of support from their partners or communities
 Embarrassment
 Fear of judgment from peers and religious groups
 Stigma about sexual and reproductive health.
(World Health Organization, 2015)

6. Family planning and reproductive health services are uniquely impacted by
policy and politics in the United States. Recent years have witnessed an
unprecedented number of abortion restrictions, and research funding has
decreased in related areas. Despite this, both science and implementation
of improved family planning and abortion methods have progressed in the
past decade.
(Schreiber & Traxler, 2015)

7. Government Impact
Title X
 The only federal grant program dedicated solely to
providing individuals with comprehensive family
planning and related preventive health services
 Overseen by the U.S. Department of Health and
Human Services, office of Population Affairs.
 Services are provided through state, local, and
county health departments, community health
centers, planned parenthood centers, and other
private non-profit programs. (hhs.gov, 2015)

8. Monitoring the Family
Planning Program
Outcomes
Program monitoring is
much easier when the
program is developed with
clear and consistent
operational objectives that
allow for direct and reliable
measurement and have
been developed using
sound evidence-based
rationale. (Milstead, 2016)
Objectives of The Family Planning
Program
 Increase the proportion of pregnancies that are
intended.
 Reduce the proportion of females experiencing
pregnancy despite use of reversible
contraceptive methods.
 Reduce the proportion of pregnancies
conceived within 18 months of a previous birth.
 Reduce pregnancies among adolescent females
 Increase the proportion of adolescents aged 17
years and under who have never had sexual
intercourse.
 Increase the proportion of sexually active
persons aged 15 to 19 years who use condoms to
both effectively prevent pregnancy and provide
barrier protection against disease. (Healthy
People, 2020)

9. Did the Family Planning Program result in the
desired changes?
Objectives Results
 Increase in proportion of
pregnancies that are intended
 Reduce the proportion of
pregnancies among
adolescent females
 Increase the proportion of
adolescents aged 17 years and
under who never have had
sexual intercourse.
 10% improvement; desired
outcome
 The rate of pregnancies
among adolescent females
ages 15–17 years decreased
9.5% between 2005 and 2009,
from 40.2 to 36.4 per 1,000.
 72.9% of adolescent females
ages 15–17 years reported they
had never had sexual
intercourse

10. Accountability in Resources (funding)
 Fiscal reports are completed semi-annually
 Annual audits done by independent groups
(Healthy People, 2020)

11. The evaluation of the Family Planning Program has
provided valuable feedback that has resulted in necessary
revisions in the program. The program objectives were
revised as needed in order to better the program and
receive desired outcomes.

12. Providing Information
 Information is provided for the consumer regarding
resources about choosing the right birth control
methods and talking with your kids about sex.
 Clinical recommendations for screening for sexually
transmitted infections (STI’s).
 There is also a list of evidenced based systemic reviews
and randomized controlled trials to give the results
and outcomes of the program validity and
sustainability.

13. Reporting of Unintended Effects of
the Program
 Along with the desired outcomes, the unintended
effects of the program were documented as well.
 There were certain areas of interest where data was
said to be unavailable to assess statistical significance
of difference in proportions.
 There was an increase desired on the number of
women who received reproductive health care over a 12
month period. This number actually dropped by 5%.

14. Sustainability
 Healthy People began more than thirty years ago and
continues its commitment to improving the quality of
our nation’s health.
 Healthy People 2020 is centered on the achievements
of the four previous Healthy People proposals. These
initiatives took place in 1979, 1990, 2000, and 2010.
 Every ten years, new goals and objectives are outlined
for health promotion and disease prevention.
(U.S. Department of Health and Human Services, 2015)

15. Accreditation
According to Healthy People 2020,
“In an effort to standardize services and improve
performance, public health agencies are moving
toward a voluntary national accreditation program.
This program will highlight agencies’ commitment to
service and quality and provide a standard towards
which all public agencies can work.”

16. References
Gavin, L., Moskosky, S., Carter, M., Curtis, K., Glass, E., Godfrey, E.,
Marcell, A., & Zapatu, L, 2014) Providing Quality Family Planning
Services: Recommendations of CDC and the U.S. Office of Population
Affairs. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr630401.htm
Milstead, J. (2016). Health policy and politics: a nurse's guide (5th ed.).
Burlington, MA: Jones & Bartlett Learning
Schreiber, C.A., & Traxler, S. (2015). State of Family Planning, Clinical
Obstetrics and Gynecology, 58(2), 392-408.

17. References
U.S. Department of Health and Human Services ,(2015). Healthy People
2020: Family Planning. Retrieved July 18, 2015 from
http://www.healthypeople.gov/2020/topics-objectives/topic/family-
planning
U.S. Department of Health and Human Services, (2015). Office of
Population Affairs: Title X Family Planning. Retrieved July 18, 2015 from
http://www.hhs.gov/opa/title-x-family-planning/
World Health Organization (2015). Family Planning. Retrieved July 18,
2015 from http://www.who.int/topics/family-planning/en/