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Informed Policy Making for the Prevention of Unwanted Pregnancy

Author

Listed:
  • Carol Chetkovich

    (Harvard University)

  • Jane Mauldon

    (University of California, Berkeley)

  • Claire Brindis

    (University of California, San Francisco)

  • Sylvia Guendelman

    (University of California, Berkeley)

Abstract

California health and welfare officials asked the authors to identify ways that their programs could encourage service use among low-income women. The project posed a challenge: The clients wanted to identify supply-side barriers amenable to intervention, but prior research suggested other factors might be more influential. The approach was to examine service-related issues, but in the broader context of women's experiences. The authors identify factors amenable to intervention, including inaccurate beliefs about methods. Other important influences—such as instability of relationships, skepticism about planning, or unsatisfactory method experiences—may be beyond the reach of specific policies, but are nevertheless critical to understanding program context. Findings suggest that punitive messages and policies based on a simplistic model of behavior may be unrealistic and ineffective.

Suggested Citation

  • Carol Chetkovich & Jane Mauldon & Claire Brindis & Sylvia Guendelman, 1999. "Informed Policy Making for the Prevention of Unwanted Pregnancy," Evaluation Review, , vol. 23(5), pages 527-552, October.
    • Handle: RePEc:sae:evarev:v:23:y:1999:i:5:p:527-552
    DOI: 10.1177/0193841X9902300503
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    References listed on IDEAS

    as
    1. Radecki, S.E. & Bernstein, G.S., 1989. "Use of clinic versus private family planning care by low-income women: Access, cost, and patient satisfaction," American Journal of Public Health, American Public Health Association, vol. 79(6), pages 692-697.
    2. Mosher, W.D. & Pratt, W.F., 1990. "Use of contraception and family planning services in the United States, 1988," American Journal of Public Health, American Public Health Association, vol. 80(9), pages 1132-1133.
    3. Oakley, D. & Bogue, E.-L., 1995. "Quality of condom use as reported by female clients of a family planning clinic," American Journal of Public Health, American Public Health Association, vol. 85(11), pages 1526-1530.
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