Abstract

PIP: The family planning program in the District of Columbia is discussed. In 1964, the Department of Public Health began to cope with the problem of unplanned and unwanted infants in the District of Columbia by establishing a family planning program with a Congressional grant of $1000, the first appropriation made from Federal funds for this purpose anywhere in the country. Later that year an additional $24,000 0 was authorized. Despite the controversial nature of family planning at that time, the program was well received within its first year and has now become an integral part of the Health Department's permanent structure. Program participation is entirely voluntary. When the program began only women who had a baby and were patients in the maternity clinics of the Health Department were eligible. However, as the program progressed, the eligibility standards were relaxed so that all women except unmarried minors who have never been pregnant are eligible to receive information and devices. Minors referred from venereal disease clinics who have the written permission of a parent stating that there is no objection to the youth receiving devices and information are also treated. The contraceptive to be used is determined in conference between the patient and her physician. Devices available are oral contraceptives, IUDs, chemical preparations, and instructions in the rhythm method. Although there has been much publicity recently about the side effects of oral contraceptives, approximately 75% of the patients prefer them. Until more stringent regulations are issued for the use of oral contraceptives, they will continue to be available. The majority of the approximately 28,000 women who have visited the family planning clinics have been aware that birth control is possible. The program is designed to enlighten and help those women with little knowledge of contraceptive methods. Currently, there are 13 family planning clinics located throughout the City. Such a clinic is placed in each of the new neighborhood health centers. There is also a Health Department Family Planning Information Center where District residents may call for detailed information about the program and, when necessary, be referred to a nurse or physician. This family planning program is considered to be a long-term investment in the future as well as one with immediate dividends. Planned parenthood among low-income families will lead to a more healthy and socially adjusted family, bring about sizable reductions in future financial demands on the family as a unit, and lessen economic and employment demands on the (community as a whole.