{"response":{"docs":[{"id":"dlg_ggpd_y-ga-bh800-pp8-bs1-bf33-b2010-belec-p-btext","title":"Women's health, family planning","collection_id":"dlg_ggpd","collection_title":"Georgia Government Publications","dcterms_contributor":["Georgia Family Planning Program.","Georgia. Department of Human Resources."],"dcterms_spatial":["United States, Georgia, 32.75042, -83.50018"],"dcterms_creator":["Georgia. Office of Maternal and Child Health"],"dc_date":["2010"],"dcterms_description":["Fiscal year 2005-"],"dc_format":["application/pdf"],"dcterms_identifier":null,"dcterms_language":["eng"],"dcterms_publisher":["Atlanta, GA : Georgia Department of Community Health, Division of Public Health, Office of Maternal and Child Health"],"dc_relation":null,"dc_right":["http://rightsstatements.org/vocab/InC/1.0/"],"dcterms_is_part_of":null,"dcterms_subject":["Georgia Family Planning Program","Birth control--Georgia","Women's health services--Georgia"],"dcterms_title":["Women's health, family planning","Family planning","Women's health, family planning program"],"dcterms_type":["Text"],"dcterms_provenance":["University of Georgia. Map and Government Information Library"],"edm_is_shown_by":["https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bh800-pp8-bs1-bf33-b2010-belec-p-btext"],"edm_is_shown_at":["https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bh800-pp8-bs1-bf33-b2010-belec-p-btext"],"dcterms_temporal":null,"dcterms_rights_holder":null,"dcterms_bibliographic_citation":null,"dlg_local_right":null,"dcterms_medium":["state government records"],"dcterms_extent":null,"dlg_subject_personal":null,"iiif_manifest_url_ss":null,"dcterms_subject_fast":null,"fulltext":"Core Business: Prevention \n \nProgram: Adolescent and Adult Health Promotion \n \nSub-Program: Family Planning \n \nW O M E N 'S H E A L T H \n \nFAMILY PLANNING \n \nWhat is the purpose of the program? To improve the health of women and infants by enabling families to plan and space pregnancies and prevent unintended pregnancy. \n \nWhat does the program do? The Georgia Family Planning Program (GFPP) provides comprehensive reproductive health services each year to over 140,000 women of childbearing age and their partners. Services include physical exams; birth control counseling and supplies; abstinence skills training; immunizations; and screening for cancer, high blood pressure, diabetes, HIV and other sexually transmitted infections. The GFPP also provides screening, counseling and referral for risk factors affecting women's health such as substance abuse, poor nutrition, cigarette smoking and exposure to violence. \n \nWhy is the program important? For every dollar spent on family planning services, Georgia saves $4.40 on medical care, welfare and nutritional programs for babies up to age two. Over two years, the savings could equal $16 million. Family planning programs increase the percentage of women receiving early prenatal care and reduce the risk of low birth weight, which reduces expensive medical costs and lifelong disabilities for babies. Unintended pregnancies often have adverse health, social, or economic consequences for both women and children. These consequences may include lower levels of educational and job attainment, as well as greater risk for families to live in poverty. Eighty-seven percent of the individuals served are working poor or unemployed (at or below 150% of the Federal Poverty Level), and typically have no health insurance. Family planning programs provide many of these women with their only source of primary and reproductive health care. \n \nHow many people are helped by the program? GFPP provides services to women in all 159 Georgia counties through a network of county public health clinics, hospitals clinics, community health centers and other agencies. \n \nWho do we serve? 1. Family planning clinics often serve as an entry point to the health care system and are a principal source of health care for many people who are uninsured and who do not qualify for Medicaid. 2. The Title X Program serves a racially and ethnically diverse clientele. 3. Most clients are age 20 or older, with the majority in their early 20s. 4. While the Program primarily serves low- to moderate-income women, recent efforts to encourage male involvement in family planning are reflected in steadily increasing numbers of male clients. \n \nLegislative Authority U.S. Department of Health and Human Services Project Grant for Family Planning Services, OCGA  49-7-03. Federal and state family planning funds are not used to pay for abortions. \n \nContact: Lyndolyn Campbell (404) 657-3138 E-mail: lacampbell@dhr.state.ga.us http://health.state.ga.us/programs/familyplanning/ \n \nGeorgia Department of Community Health Division of Public Health Office of Maternal and Child Health \n \nRevised January 2010 \n \n "},{"id":"dlg_ggpd_y-ga-bh800-pp8-bs1-bf3-b2005-belec-p-btext","title":"Georgia's Family Planning Program facts at a glance, fiscal year 2005","collection_id":"dlg_ggpd","collection_title":"Georgia Government Publications","dcterms_contributor":["Georgia. Department of Human Resources"],"dcterms_spatial":["United States, Georgia, 32.75042, -83.50018"],"dcterms_creator":["Georgia Family Planning Program"],"dc_date":["2004/2005"],"dcterms_description":["Fiscal year 2005-"],"dc_format":["application/pdf"],"dcterms_identifier":null,"dcterms_language":["eng"],"dcterms_publisher":["Atlanta, GA : Georgia Dept. of Human Resources, 2005"],"dc_relation":null,"dc_right":["http://rightsstatements.org/vocab/InC/1.0/"],"dcterms_is_part_of":null,"dcterms_subject":["Georgia Family Planning Program","Birth control--Georgia"],"dcterms_title":["Georgia's Family Planning Program facts at a glance, fiscal year 2005","Facts at a glance"],"dcterms_type":["Text"],"dcterms_provenance":["University of Georgia. Map and Government Information Library"],"edm_is_shown_by":["https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bh800-pp8-bs1-bf3-b2005-belec-p-btext"],"edm_is_shown_at":["https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bh800-pp8-bs1-bf3-b2005-belec-p-btext"],"dcterms_temporal":null,"dcterms_rights_holder":null,"dcterms_bibliographic_citation":null,"dlg_local_right":null,"dcterms_medium":["state government records"],"dcterms_extent":null,"dlg_subject_personal":null,"iiif_manifest_url_ss":null,"dcterms_subject_fast":null,"fulltext":"Georgia's Family Planning Program \nFACTS AT A GLANCE \nFiscal Year 2005 \n \n  The Georgia Family Planning Program Facts at a Glance, Fiscal Year 2005 \nWhat is the Georgia Family Planning Program? \nThe Georgia Department of Human Resources (DHR) Family Planning Program is often the only source of health information and clinical services for many Georgia women, and represents a critical point of entry into the public health system. \"Family Planning\" means preventing unintended pregnancy and planning for a healthy pregnancy and is a key contributor to healthy families and healthy babies in Georgia. By providing services to individuals who may otherwise not be able to access them, the Georgia Family Planning Program (GFPP) aims to lower the incidence of unintended pregnancy, improve maternal and infant health, reduce the incidence of abortions, and lower rates of sexually transmitted infections. \nThe GFPP is funded primarily with Federal Family Planning funds through Title X of the Public Health Service Act. Created in 1970, Title X provides $8.3 million in funding to the program, which is also supported by Temporary Assistance to Needy Families (TANF) funding, Medicaid and client fees and State funds. Title X is the only Federal program solely dedicated to assuring that family planning and reproductive health services are available to all who want and need them, especially low-income individuals. Each year, these publicly subsidized family planning programs and services help America's families avoid an estimated 1.3 million unintended pregnancies. \nThe purpose of this report is to provide an overview of GFPP's services and clients and is based on data submitted by a network of 276 Title X funded clinic sites across the state. The extensive data collected by the program is used to monitor program compliance, guide strategic planning and ensure program accountability. \n1 \n \n Key Role of GFPP \nAll Title X supported clinics provide high quality and affordable services that include a broad range of contraceptive methods and related counseling. The Georgia Family Planning Program offers the following confidential and voluntary services in all 159 counties through a network of 276 clinic sites: \n Health risk assessment  Medical exams  Screening for breast and cervical cancer  Abstinence skills education and counseling  Testing and treatment of sexually transmitted disease  HIV counseling and testing  Contraceptive supplies  Education and counseling on planning for a healthy pregnancy  Pregnancy testing and counseling  Immunizations  Assessment and referral for \nsubstance abuse (including tobacco)  Health promotion, education, and counseling  Health risk referral and follow-up as appropriate \n2 \n \n \"I have very little money and if it was not for the family planning clinic, I would not know where to go for my exams and Pap smears\".. \nFamily Planning Program Client THOMASTON, GA \n \n\"I have two children and wanted to learn more about birth control to prevent a third pregnancy. The staff took the time with me to tell me what I need to know to make decisions about birth control\"... \nFamily Planning Program Client COLLEGE PARK, GA \n \n\"Being a Hispanic woman, I was grateful the clinic staff spent the extra time with me. They also had an interpreter at the clinic. I have told all my friends\"... \nFamily Planning Program Client CHATSWORTH, GA \n3 \n \n The Program Served 175,452 Clients in Fiscal Year (FY) 2005 \nIn FY 2005 (July 2004 through June 2005) the program served 175,452 clients at 276 clinic sites across Georgia. The data related to clients served is obtained from Georgia Family Planning Mainframe Information System. This system extracts data from various clinical/client based information systems. \nSex of Users \nIn FY 2005, 97 percent of clients were women and 3 percent were men. Today family planning providers consider men's reproductive health needs in a broader context and are expanding their efforts to reach and serve men. At the same time, clinics are providing counseling services to address the role that men play in decision-making about contraception, and promoting responsible sexual behavior among teenage males. \nAge \nIn FY 2005, about 3 out of 4 family planning clients were aged 20 years or older. About one quarter of family planning clients were older than 30 years of age. \n \nFamily Planning Users by Age (%), Georgia, FY 2005 \n \n2% 3% \n11% 23% \n13% \n \nUnder 15 15-17 18-19 20-24 \n \n18% 30% \n \n25-29 30-44 \n \nOver 45 \n \nSource: Georgia Division of Public Health Family Planning Mainframe System. \n \n4 \n \n Income \nOne of the key goals of Title X is to provide services and assistance to low income individuals who may not otherwise be able to access these services. Services are provided on a sliding fee scale based on income and family size. However, services are never denied due to inability to pay. Nearly three quarters (70 percent) of Title X family planning users have incomes at or below the federal poverty level. \nRace and Ethnicity \nIn FY 2005, among female clients, about half were black and half were white. Among the male clients, 74 percent were black and 24 percent were white. Georgia, like many other states, has experienced a significant increase in its immigrant populations over the last decade, particularly Hispanics. In FY 2005, 15 percent of the Title X Family Planning clients (27,071) reported they were of Hispanic ethnicity. \n \nFamily Planning Users by Race (%), Georgia, FY 2005 \n6% \n \n47% 47% \n \nBlack White *Other \n \n*Other (American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, More than one race, Unknown/No Reported Race) Source: Georgia Division of Public Health Family Planning Mainframe System. \n \n5 \n \n Title X Program Guidelines Provide a Wide Range of Preventive Services \nCancer Screening \nFamily Planning clinics provide screening for breast and cervical cancer. Extensive research has shown that early detection of breast and cervical cancer can significantly increase chances of long-term survival. Routine Pap tests (screening for cervical cancer) can prevent virtually all deaths from cervical cancer and routine mammograms with clinical breast examinations are valuable as early detection tools. Women with abnormal results are assisted in finding resources for further evaluation and treatment if needed. \n\"It's not been easy to make ends meet as a college student, but I have peace of mind knowing that I have access to quality health care\"... \nFamily Planning Program Client GAINESVILLE, GA \n6 \n \n Sexually Transmitted Disease Testing and Treatment \nFamily Planning clinics test and treat for chlamydia, gonorrhea, syphilis and other sexually transmitted diseases (STDs). Clinics also test for HIV and assure that individuals who test positive receive appropriate care. \n Rates of STD are highest among adolescents and young adult women. \n Chlamydia is the most commonly reported STD, followed by gonorrhea. \n Although chlamydia, gonorrhea and syphilis are treatable with antibiotics, STDs can have serious health consequences. Active infections can increase the likelihood of contracting HIV, and untreated STDs can lead to pelvic inflammatory disease, infertility and adverse pregnancy outcomes. \n In 2004, 26 percent of AIDS cases diagnosed were women. \n While the number of people diagnosed with AIDS has been declining, black and white women account for an increasing percentage of those diagnosed with AIDS. \n \nPreventive Health Screenings, Georgia, FY 2005 \n \nSTD Tests \n \nBreast Exams \n \nPAP Tests *HIV Tests \n \n13,826 \n \n79,459 77,529 \n \n158,145 \n \n50,000 \n \n100,000 \n \nNumber of Screenings \n \n*Source: GA Public Health HIV CTS database (HIV Counseling and Testing System) and includes only public health facilities reporting. \n \n150,000 \n \n200,000 \n \n7 \n \n 62,038 \n \n28,607 20,843 8,188 5,670 3,837 \n \nNumber of Users \n \nLeading Method of Contraception is the Pill \nSurveys of women in the United States show that oral contraceptives are the leading method of contraception, followed by female sterilization and the male condom. In the Georgia Family Planning Program, 37 percent of women chose oral contraceptives as their method, followed by the 3-month hormonal injection (17%), and those that rely on partner's method (12%). \nMethod of Contraception Used by Title X Female Family Planning Users, Georgia, FY 2005 \n70,000 \n60,000 \n50,000 \n40,000 \n30,000 \n20,000 \n10,000 \n0 \n*Other includes fertility awareness method, spermicide alone, female condom, contraceptive sponge or diaphragm, vaginal ring. **Male condom or vasectomy. Source: Georgia Division of Public Health Family Planning Mainframe System. \n8 \n \nIntrauterine Device (IUD) 2,607 \n \n*Other 3,784 \n \n3 month hormonal injection \n**Rely on male method Female surgical sterilization \nHormonal/Contraceptive Patch \nAbstinence \n \nOral Contraception \n \n 58,660 27,364 22,730 19,872 \n \nGFPP is Essential Source of Health Information \nAccording to the Alan Guttmacher Institute about 50 percent of all pregnancies in the United States are unintended. Preconception counseling can optimize a women's health status prior to pregnancy and educate her about the health risks and effects during the first months of pregnancy, a critical time for fetal development. For example, the Georgia Family Planning Program takes advantage of every encounter with clients to provide preconception education. Clients are educated about the importance of adequate folic acid in preventing neural tube defects or defects of the spine and brain, like spina bifida, or \"open spine.\" To prevent these defects, women who are capable of getting pregnant are advised to take and are given the B vitamin, folic acid. In addition, the Georgia Family Planning Program requires, at first clinic visit, that all adolescents must be counseled on abstinence and resisting attempts to be coerced into engaging in sexual activities. \nAdditional Services Provided, Georgia, FY 2005 \n70,000 \n60,000 \n50,000 \n40,000 \n30,000 \n20,000 \n10,000 \n0 \nSource: Georgia Division of Public Health Family Planning Mainframe System. \n9 \n \nNumber of Services \n \nPreconception Health Appraisal \nFolic Acid Treatment for Infections (Vaginal/STD) Abstinence Skills Training \n \n GFPP Plays a Key Role in Georgia \nThe Georgia Family Planning Program is a priority in Georgia because it provides critical services for Georgia's neediest individuals. It is effective and saves money. For low-income women or those who lack health insurance, access to a wide range of health and preventive services can help prevent disease and promote the individual's overall health. In addition, family planning is cost-effective. Every dollar spent on family planning services saves an estimated average of $4.40 on medical care, welfare and nutritional programs for babies up to age two. For Georgia, this represents almost $16 million saved over a two-year period. In addition, every public dollar spent on family planning can save $3 in Medicaid costs for pregnancy-related health care and for medical care of newborns. Most importantly family planning works. Research has shown that allowing 18 to 23 months between pregnancies helps reduce low birth weight and infant mortality. \n\"As a woman, you go through a lot. Thanks for being there for us so we can plan our pregnancies\"... \nFamily Planning Program Client HARTWELL, GA \n10 \n \n Looking Ahead to Goals and Challenges of the Georgia Family Planning Program \nThe Georgia Family Planning Program has made significant progress in supporting Georgia's women and families, but there is still much work to be done. Some of the key goals and challenges include: \n Assuring continued high quality family planning and reproductive health services that will improve overall health of individuals. \n Maintaining the guarantee of full contraceptive choice in the face of rapidly escalating costs. \n Increasing access to services by partnering with other community-based organizations that have related interests and that work with similar populations. \n Emphasizing clinical services for hard-to-reach populations such as uninsured, underinsured, males, homeless and migrant populations. \n Encouraging coordination between public and private sectors to ensure all women have access to breast and cancer screening and education as well as STD and HIV prevention education, counseling and testing. \n Utilizing current data to optimize program planning and monitor performance. \n Using evidenced-based information to support program activities. \n11 \n \n GEORGIA Public Health Districts \n12 \n \n Health District Information \nFamily Planning \n \nDistrict 1-1: Northwest (Rome) Ph: 706-295-6652 Bartow, Catoosa, Chattooga, Dade, Floyd, Gordon, Haralson, Paulding, Polk, Walker \n \nDistrict 5-1: South Central (Dublin) Ph: 478-275-6545 Bleckley, Dodge, Johnson, Laurens, Montgomery, Pulaski, Telfair, Treutlen, Wheeler, Wilcox \n \nDistrict 1-2: North (Dalton) Ph: 706-272-2342 Cherokee, Fannin, Gilmer, Murray, Pickens, Whitifield \n \nDistrict 5-2: North Central (Macon) Ph: 478-751-6223 Baldwin, Bibb, Crawford, Hancock, Houston, Jasper, Jones Monroe, Peach, Putnam, Twiggs, Washington, Wilkinson \n \nDistrict 2: North (Gainesville) Ph: 770-535-5743 Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, Rabun, Stephens, Towns, Union, White \n \nDistrict 6: East Central (Augusta) Ph: 706-667-4285 Burke, Columbia, Emanuel, Glascock, Jefferson Jenkins, Lincoln, McDuffie, Richmond, Screven, Taliaferro Warren, Wilkes \n \nDistrict 3-1: Cobb/Douglas Ph: 770-514-2309 Cobb, Douglas \n \nDistrict 7: West Central (Columbus) Ph: 229-931-2390 Chattahoochee, Clay, Crisp, Dooly, Harris, Macon, Muscogee, Marion, Quitman, Randolph, Schley, Stewart Sumter, Talbot, Taylor, Webster \n \nDistrict 3-2: Fulton Ph: 404-730-1564 Fulton \n \nDistrict 8-1: South (Valdosta) Ph: 229-333-5290 Ben Hill, Berrien, Brooks, Cook, Echols, Irwin, Lanier Lowndes, Tift, Turner \n \nDistrict 3-3: Clayton (Morrow) Ph: 404-363-6781 Clayton \n \nDistrict 8-2: Southwest (Albany) Ph: 229-430-4571 Baker, Calhoun, Colquitt, Dougherty, Decatur, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth \n \nDistrict 3-4: East Metro (Lawrenceville) Ph: 678-442-6868 Gwinnett, Newton, Rockdale \n \nDistrict 9-1: Coastal (Savannah) Ph: 912-644-5202 Bryan, Camden, Cahatham, Effingham, Glynn, Liberty Long, McIntosh \n \nDistrict 3-5: DeKalb Ph: 404-294-3868 Dekalb \n \nDistrict 9-2: Southeast (Waycross) Ph: 912-285-6080 Appling, Atkinson, Bacon, Brantley, Bulloch,Candler, Charlton, Clinch, Coffee, Evans, Jeff Davis, Pierce, Tattnall, Toombs, Ware, Wayne \n \nDistrict 4: LaGrange Ph: 706-845-4035 Butts, Carroll, Coweta, Fayette, Heard, Henry, Lamar, Meriwether, Pike, Spalding, Troup, Upson \n \nDistrict 10: Northeast (Athens) Ph: 706-583-2777 Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe, Walton \n \n Georgia Department of Human Resources Division of Public Health Family Health Branch Women's Health Services \nTwo Peachtree Street, NW, 11th Floor Atlanta, Georgia 30303-3142 404-657-3142 \nhttp://health.state.ga.us/programs/familyplanning/ GDPHINFO@dhr.state.ga.us \nThis publication is funded by a Title X grant from the U.S. Department of Health and Human Services. \nDPH05/127HW \n \n "}],"pages":{"current_page":1,"next_page":null,"prev_page":null,"total_pages":1,"limit_value":10,"offset_value":0,"total_count":2,"first_page?":true,"last_page?":true},"facets":[{"name":"type_facet","items":[{"value":"Text","hits":2}],"options":{"sort":"count","limit":16,"offset":0,"prefix":null}},{"name":"creator_facet","items":[{"value":"Georgia Family Planning Program","hits":1},{"value":"Georgia. 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