|
|
Objectives and Subobjectives
Goal: Improve
pregnancy planning and spacing and prevent unintended pregnancy.
As a result of the Healthy People 2010 Midcourse
Review, changes were made to the Healthy People 2010 objectives and
subobjectives.
These changes are
specific to the following situations:
-
Changes in
the wording of an objective to more accurately describe what is being
measured.
-
Changes to
reflect a different data source or new science.
-
Changes
resulting from the establishment of a baseline and a target (that is, when a
formerly developmental objective or subobjective became measurable).
-
Deletion of
an objective or subobjective that lacked a data source.
-
Correction of errors and omissions in Healthy People 2010.
Revised baselines and targets for measurable objectives and
subobjectives do not fall into any of the above categories and, thus, are not
considered a midcourse review change.1
When changes were made to an objective, three
sections are displayed:
-
In the
Original Objective section, the objective as published in Healthy People 2010 in
2000 is shown.
-
In the
Objective With Revisions section, strikethrough indicates text deleted, and
underlining is used to show new text.
-
In the Revised Objective section, the objective appears as revised
as a result of the midcourse review.
Details of the objectives and subobjectives in this
focus area, including any changes made at the midcourse, appear on the
following pages.
1See Technical Appendix for more information on
baseline and target revisions.
NO
CHANGE IN OBJECTIVE
|
9-1. |
Increase
the proportion of pregnancies that are intended.
Target:
70 percent.
Baseline:
51 percent of all pregnancies among
females aged 15 to 44 years were intended in 1995.
Target
setting method:
Better
than the best.
Data
sources:
National Survey
of Family Growth (NSFG), CDC, NCHS; National Vital Statistics System (NVSS),
CDC, NCHS; Abortion Provider Survey, The Alan Guttmacher Institute; Abortion
Surveillance Data, CDC, NCCDPHP.
|
NO
CHANGE IN OBJECTIVE
|
9-2. |
Reduce the proportion of births
occurring within 24 months of a previous birth.
Target:
6 percent.
Baseline:
11 percent of females aged 15 to 44 years
gave birth within 24 months of a previous birth in 1995.
Target
setting method:
Better
than the best.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS. |
NO
CHANGE IN OBJECTIVE
|
9-3. |
Increase the proportion of
females at risk of unintended pregnancy (and their partners) who use
contraception.
Target:
100 percent.
Baseline:
93 percent of females aged 15 to 44 years
at risk of unintended pregnancy used contraception in 1995.
Target
setting method:
Total
coverage.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
9-4. |
Reduce the proportion of females
experiencing pregnancy despite use of a reversible contraceptive method.
Target:
7 percent.
Baseline:
13 percent of females aged 15 to 44 years
experienced pregnancy despite use of a reversible contraceptive method in
1995.
Target
setting method:
Better
than the best (retain year 2000 target).
Data
sources:
National Survey
of Family Growth (NSFG), CDC, NCHS; Abortion Patient Survey, The Alan
Guttmacher Institute.
|
ORIGINAL
OBJECTIVE
|
9-5. |
(Developmental)
Increase the proportion of health care providers who provide emergency
contraception.
Potential
data source:
The Alan
Guttmacher Institute.
|
OBJECTIVE
WITH REVISIONS
|
9-5. |
(Developmental) Increase
the proportion of health care providers who providefamily
planning agencies that offer emergency contraception.
Target:
90 percent.
Baseline:
80 percent of family planning agencies
offered emergency contraception in 1999.
Target
setting method:
13
percent improvement.
Potential
dData
source:
The Alan
Guttmacher Institute.
|
REVISED
OBJECTIVE
|
9-5. |
Increase the proportion of family
planning agencies that offer emergency contraception.
Target:
90 percent.
Baseline:
80 percent of family planning agencies
offered emergency contraception in 1999.
Target
setting method:
13 percent
improvement.
Data
source:
The Alan
Guttmacher Institute.
|
ORIGINAL
OBJECTIVE
|
9-6. |
(Developmental) Increase male
involvement in pregnancy prevention and family planning efforts.
Potential
data source:
National
Survey of Family Growth (NSFG), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS
|
9-6. |
(Developmental) Increase
male involvement in pregnancy prevention and family planning efforts.
Target
and baseline:
Objective |
Increase proportion of |
2002
Baseline
Percent |
2010
Target
Percent |
9-6a. |
Unmarried males who have
gone to a family planning clinic
with their female partner or girlfriend within the past 12 months |
21 |
22 |
9-6b. |
Unmarried males aged 15
to 24 years who received birth
control counseling or methods from a family planning clinic in the past 12 months |
31 |
37 |
9-6c. |
Unmarried males aged 15
to 24 years receiving advice or
counseling from a doctor or other medical care provider about using
methods of birth control, including condoms |
21 |
37 |
Target
setting method:
Better than the best.
Potential
dData
source:
National Survey of
Family Growth (NSFG), Cycle 6, CDC,
NCHS.
|
REVISED
OBJECTIVE
|
9-6. |
Increase male involvement in
pregnancy prevention and family planning efforts.
Target
and baseline:
Objective |
Increase proportion of |
2002
Baseline
Percent |
2010
Target
Percent |
9-6a. |
Unmarried males who have
gone to a family planning clinic with their female partner or girlfriend
within the past 12 months |
21 |
22 |
9-6b. |
Unmarried males aged 15 to
24 years who received birth control counseling or methods from a family
planning clinic in the past 12 months |
31 |
37 |
9-6c. |
Unmarried males aged 15 to
24 years receiving advice or counseling from a doctor or other medical care
provider about using methods of birth control, including condoms |
21 |
37 |
Target
setting method: Better
than the best.
Data
source: National Survey of
Family Growth (NSFG), Cycle 6, CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
9-7. |
Reduce
pregnancies among adolescent females.
Target:
43 pregnancies per 1,000.
Baseline:
671 pregnancies per 1,000
females aged 15 to 17 years occurred in 1996.
Target
setting method:
Better
than the best.
Data
sources:
Abortion Provider
Survey, The Alan Guttmacher Institute; National Vital Statistics System
(NVSS), CDC, NCHS; National Survey of Family Growth (NSFG), CDC, NCHS;
Abortion Surveillance Data, CDC, NCCDPHP.
1 Baseline revised from 68 after November
2000 publication.
|
NO
CHANGE IN OBJECTIVE
|
9-8. |
Increase the proportion of
adolescents who have never engaged in sexual intercourse before age 15 years.
Target
and baseline:
Objective |
Increase in Adolescents Aged
15 to 19 Years Never Engaging in Sexual Intercourse Before Age 15 Years |
1995
Baseline
Percent |
2010
Target
Percent |
9-8a. |
Females |
81 |
88 |
9-8b. |
Males |
79 |
88 |
Target
setting method: Better
than the best.
Data
source: National Survey of
Family Growth (NSFG), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
9-9. |
Increase the proportion of
adolescents who have never engaged in sexual intercourse.
Target
and baseline:
Objective |
Increase in Adolescents Aged
15 to 17 Years Never Engaging in Sexual Intercourse |
1995
Baseline
Percent |
2010
Target
Percent |
9-9a. |
Females |
62 |
75 |
9-9b. |
Males |
57 |
75 |
Target
setting method:
Better
than the best.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
9-10. |
Increase the proportion of sexually
active, unmarried adolescents aged 15 to 17 years who use contraception that
both effectively prevents pregnancy and provides barrier protection against
disease.
Target
and baseline:
Objective |
Increase in Contraceptive
Use at First Intercourse by Sexually Active, Unmarried Adolescents Aged 15
to 17 Years |
1995
Baseline
Percent |
2010
Target
Percent |
|
Condom |
|
|
9-10a. |
Females |
|
75 |
9-10b. |
Males |
72 |
83 |
|
Condom plus hormonal method |
|
|
9-10c. |
Females |
7 |
9 |
9-10d. |
Males |
8 |
11 |
|
NO
CHANGE IN OBJECTIVE (continued)
(Data
updated and footnoted)
|
|
Target
setting method:
Better
than the best.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
Target
and baseline:
Objective |
Increase in Contraceptive
Use at Last Intercourse by Sexually Active, Unmarried Adolescents Aged 15
to 17 Years |
1995
Baseline
Percent |
2010
Target
Percent |
|
Condom |
|
|
9-10e. |
Females |
39 |
49 |
9-10f. |
Males |
70 |
79 |
|
Condom plus hormonal method |
|
|
9-10g. |
Females |
7 |
11 |
9-10h. |
Males |
16 |
20 |
Target
setting method:
Better
than the best.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
1 Baseline corrected after November 2000
publication.
|
ORIGINAL
OBJECTIVE
|
9-11. |
Increase the proportion of young
adults who have received formal instruction before turning age 18 years on
reproductive health issues, including all of the following topics:
birth control methods, safer sex to
prevent HIV, prevention of sexually transmitted diseases, and abstinence.
Target:
90 percent.
Baseline:
64 percent of females aged 18 to 24 years
reported having received formal instruction on all of these reproductive
health issues before turning age 18 years in 1995.
(Data on males will be available in the future.)
Target
setting method:
Better
than the best.
Data source:
National Survey of Family Growth (NSFG),
CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS
|
9-11. |
Increase the proportion of young
adults who have received formal or informal instruction before turning
age 18 years on the following reproductive health issues:
abstinence, including all of the
following topics:
birth control
methods, HIV/AIDS prevention through safer sex practices, and sexually
transmitted diseases.
Target
and baseline:
Objective |
Increase in Young Adults
Aged 15 to 19 Years Who Have
Received Instruction on Reproductive Health Issues Before Turning Age 18 Years |
2002 Baseline
Percent |
2010
Target
Percent |
|
Formal instruction |
|
|
|
Abstinence |
|
|
9-11a. |
Females |
86 |
88 |
9-11b. |
Males |
83 |
85 |
|
Birth control methods |
|
|
9-11c. |
Females |
70 |
73 |
9-11d. |
Males |
66 |
70 |
|
HIV/AIDS prevention through safer sex practices |
|
|
9-11e. |
Females |
Developmental |
Developmental |
9-11f. |
Males |
Developmental |
Developmental |
|
Sexually transmitted diseases |
|
|
9-11g. |
Females |
Developmental |
Developmental |
9-11h. |
Males |
Developmental |
Developmental |
|
Informal instruction |
|
|
|
Abstinence |
|
|
9-11i. |
Females |
57 |
62 |
9-11j. |
Males |
45 |
49 |
|
Birth control methods |
|
|
9-11k. |
Females |
51 |
57 |
9-11l. |
Males |
33 |
38 |
|
HIV/AIDS prevention through safer sex practices |
|
|
9-11m. |
Females |
Developmental |
Developmental |
9-11n. |
Males |
Developmental |
Developmental |
|
Sexually transmitted diseases |
|
9-11o. |
Females |
51 |
60 |
9-11p. |
Males |
52 |
57 |
Target: 90 percent.
Baseline: 64 percent of females aged 18 to 24 years
reported having received formal instruction on all of these reproductive
health issues before turning age 18 years in 1995.
(Data on males will be available in the
future.)
Target
setting method: Better
than the best.
Data
source: National Survey of
Family Growth (NSFG), CDC, NCHS. |
REVISED
OBJECTIVE
|
9-11. |
Increase
the proportion of young adults who have received formal or informal
instruction before turning age 18 years on the following reproductive health
issues:
abstinence, birth control
methods, HIV/AIDS prevention through safer sex practices, and sexually
transmitted diseases.
Target
and baseline:
Objective |
Increase in Young Adults
Aged 15 to 19 Years Who Have Received Instruction on Reproductive Health
Issues Before Turning Age 18 Years |
2002
Baseline
Percent |
2010
Target
Percent |
|
Formal instruction |
|
|
|
Abstinence |
|
|
9-11a. |
Females |
86 |
88 |
9-11b. |
Males |
83 |
85 |
|
Birth control methods |
|
|
9-11c. |
Females |
70 |
73 |
9-11d. |
Males |
66 |
70 |
|
HIV/AIDS prevention through safer sex practices |
|
|
9-11e. |
Females |
Developmental |
Developmental |
9-11f. |
Males |
Developmental |
Developmental |
|
Sexually transmitted diseases |
|
|
9-11g. |
Females |
Developmental |
Developmental |
9-11h. |
Males |
Developmental |
Developmental |
|
Sexually transmitted diseases |
|
|
|
Informal instruction |
|
|
|
Abstinence |
|
|
9-11i. |
Females |
57 |
62 |
9-11j. |
Males |
45 |
49 |
|
Birth control methods |
|
|
9-11k. |
Females |
51 |
57 |
9-11l. |
Males |
33 |
38 |
|
HIV/AIDS prevention through safer sex practices |
|
|
9-11m. |
Females |
Developmental |
Developmental |
9-11n. |
Males |
Developmental |
Developmental |
|
Sexually transmitted diseases |
|
|
9-11o. |
Females |
51 |
60 |
9-11p. |
Males |
52 |
57 |
Target
setting method: Better
than the best.
Data
source: National Survey of
Family Growth (NSFG), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
9-12. |
Reduce
the proportion of married couples whose ability to conceive or maintain a
pregnancy is impaired.
Target:
10 percent.
Baseline:
13 percent of married couples with wives
aged 15 to 44 years had impaired ability to conceive or maintain a pregnancy
in 1995.
Target
setting method:
23 percent
improvement.
Data
source:
National Survey of
Family Growth (NSFG), CDC, NCHS.
|
ORIGINAL
OBJECTIVE
|
9-13. |
(Developmental)
Increase the proportion of health insurance policies that cover contraceptive
supplies and services.
Potential
data source:
The Alan
Guttmacher Institute.
|
OBJECTIVE
WITH REVISIONS
|
9-13. |
(Developmental)
Increase the proportion of health insurance policies plans that
cover contraceptive supplies and services.
Target:
90 percent.
Baseline:
86 percent of employment-based insured
health plans routinely covered all five leading methods of
contraception:
diaphragm, implant,
injectable, intrauterine device (IUD), and oral contraceptive pills in
2002.
Target
setting method:
5
percent improvement.
Potential
dData
source:
The Alan
Guttmacher Institute.
|
REVISED
OBJECTIVE
|
9-13. |
Increase
the proportion of health insurance plans that cover contraceptive supplies
and services.
Target:
90 percent.
Baseline:
86 percent of employment-based insured
health plans routinely covered all five leading methods of
contraception:
diaphragm, implant,
injectable, intrauterine device (IUD), and oral contraceptive pills in
2002.
Target
setting method:
5 percent
improvement.
Data
source:
The Alan
Guttmacher Institute.
|
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