摘要：CONTEXT: In addition to contraceptive services, publicly funded family planning clinics provide low-income women
with a range of reproductive diagnostic, treatment and educational services. Nationally representative information
about the scope of services available from clinics is needed to formulate policy and programmatic recommendations.
METHODS: In 2003, more than 1,000 U.S. clinics responded to an eight-page survey on service availability and clinic
policies. Differences in the proportions of clinics reporting each service or policy were examined by clinic type and receipt
of Title X funding.
RESULTS: Nearly all clinics offer pills, injectables and condoms; 75% offer the patch; and 80% offer emergency contraception.
Most clinics (73%) typically use a conventional Pap smear for initial cervical cancer screenings; 27% use
liquid-based Pap tests. For follow-up, 68% of clinics use liquid-based or other advanced testing. Virtually all clinics
screen at least some clients for chlamydia; Planned Parenthood and Title X¨Cfunded clinics, more than others, tend to
focus screening efforts on sexually active women aged 25 and younger. Single-dose treatments are provided by 58%
of clinics. Nine in 10 clinics offer HIV testing on-site, most of them to any client who requests it. Services targeted to specific
populations include counseling about abstinence for minors (91%); non¨Creproductive health services for men
(36%); and availability of staff such as translators (81%) and bilingual administrative (59%) or clinical personnel (57%)
for non-English-speaking clients.
CONCLUSIONS: More public funding is imperative for clinics to keep up with the demands of new technologies and a
diverse client base.
