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Availability of Intrauterine and Subdermal Contraception at Family Planning Clinics in Sacramento

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Abstract

The US Census Bureau reports that 15.8% are living at or below the federal poverty level. Additionally, 6.1% of Sacramento County residents under the age of 65 are without health insurance. California’s Family Planning Access Care and Treatment (Family PACT) program was established to ensure that California residents living at or below 200% of the Federal Poverty Level and who do not qualify for health services under Medi-Cal have access to desired contraceptive services (Early, 2018). However, a 2018 study on the availability of long-acting reversible contraception (LARC) provided by Family PACT clinics in Los Angeles County found that of the 336 clinics listed on the Family PACT program website, only 284 were currently participating in Family PACT. Of those clinics that were currently participating in Family PACT, only 61% were able to provide LARC onsite (Natavio, 2018). Since that time, the Family PACT program has issued new guidance instructing all participating clinics to offer LARC onsite. Yet, more recent studies have demonstrated that wide variation even among LARC services offered in these publicly funded centers still remains (Bornstein, 2018).

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