Focus Area 9: Family Planning: Objectives and Subobjectives

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~~ ~~provide~~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. ~~Potential d~~Data 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 d~~Data 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.

¹Baseline 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	69¹	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 d~~Data 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.

<< Previous—Disparities Table: Income and Location | Table of Contents | Next—References >>

[ Top ]