title: The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings.
abstract: Publicly funded family planning clinics serve millions of low-income women each year, providing a range of critical preventive services and enabling women to avoid unintended pregnancies. It is important to quantify the impact and cost-effectiveness of such services, in addition to these health benefits. Using a methodology similar to prior cost-benefit analyses, we estimated the numbers of unintended pregnancies prevented by all U.S. publicly funded family planning clinics in 2004, nationally (1.4 million pregnancies) and for each state. We also compared the actual costs of providing these services ($1.4 billion) with the anticipated public-sector costs for maternity and infant care among the Medicaid-eligible women whose births were averted ($5.7 billion) to calculate net public-sector savings ($4.3 billion). Thus, public expenditures for family planning care not only help women to achieve their childbearing goals, but they also save public dollars: Our calculations indicate that for every $1 spent, $4.02 is saved.
authors.affiliation: Guttmacher Institute, 125 Maiden Lane, 7th Floor, New York, NY 10038, USA.
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Frost
authors.forename: Lawrence B
authors.initials: LB
authors.lastname: Finer
authors.forename: Athena
authors.initials: A
authors.lastname: Tapales
mesh_terms: D000293:Adolescent; D000328:Adult; D003151:Community Health Centers / Q000191:economics* / Q000706:statistics & numerical data; D003271:Contraceptive Agents, Female / Q000191:economics / Q000600:supply & distribution; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D003710:Demography; D005193:Family Planning Services / Q000191:economics* / Q000379:methods / Q000706:statistics & numerical data; D035082:Federal Government; D005260:Female; D005380:Financing, Government / Q000145:classification / Q000706:statistics & numerical data*; D006801:Humans; D016013:Likelihood Functions; D008484:Medicaid; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D015397:Program Evaluation; D013219:State Government; D014481:United States
chemical_list: D003271:Contraceptive Agents, Female