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PURPOSE OF THE STUDY
Nursing Students

This research study seeks to reach the future nurses, that they maybecome aware of their responsibilities when it comes to Family Planningand also to broaden their knowledge about its impact to women.
Pregnant Women

The result of this study will serve as a basis for the assessment of thepregnant women’s knowledge about Family Planning in the area of Gastambide, Manila.
BACKGROUND OF THE STUDY
The study was conducted because of its relevance to maternal health. FamilyPlanning plays a vital role to a mother’s health because it allows mothers to have birthspacing. Birth spacing enables mothers to allot time for recovery during labor anddelivery. Some methods also protect women from sexually transmitted disease as well.We had chosen this study because it is also related in our community immersion topicand we find it very interesting because we know that it can be useful later on in life.

Recommendations
There should be continuous efforts to improve the family planning program, including aneffort to provide integrated reproductive health. Special attention needs to be given tohelping women deal with side effects. Because of demands on women's time at homeand in the work place, health services should be offered at times (and places)convenient to women; for example, on weekends or after normal business hours.Policy-makers should be concerned about the need for more employment opportunitiesfor women, and should encourage women to take on greater leadership roles in thecommunity. Community leaders should develop strategies to minimize and eliminatedomestic violence and should develop referral systems to respond to victim's needs in atimely manner.

Conclusions
The following conclusions emerged from the committee’s review of the literature on the role and history of family planning in the United States:
The provision of family planning services has important benefits for the health and well-being of individuals, families, communities, and the nation as a whole.

Planning for families—helping people have children when they want to and avoid conception when they do not—is a critical social and public health goal.

The federal government has a responsibility to support the attainment of this goal. There is an ongoing need for public investment in family planning services, particularly for those who are low income or experience other barriers to care.
Conclusions and Recommendations
The committee’s findings on the clarity, consistency, and achievement of the goals of the Title X program support the following conclusions:
While the program’s core goal and contributions to the broader goals of HHS are clear, its operational priorities have fluctuated over time without a clear rationale or grounding in science. This situation has created confusion among the program’s grantees about the relative importance of the program’s priorities and where to invest the limited resources available.

The program has not engaged sufficiently in long-term strategic planning. Such planning is needed to produce directives that are evidence based and age appropriate, and to cover increasing costs.

Although data do not currently exist to permit a comprehensive evaluation of the program, it has clearly delivered care to millions of people despite very limited resources. More funds will be needed, however, to serve the growing number of individuals of reproductive age who lack the means to obtain family planning care and to keep pace with changes and improvements in technologies.
Based on the above conclusions, the committee offers the following recommendations:
Recommendation 3-1: Reassert family planning as a core value in public health practice. The Department of Health and Human Services (HHS) and Congress should recognize and support the Title X program as the leading voice for the nation’s family planning effort, especially because the program’s benefits apply not only to individuals and families, but also to communities and the nation.
Recommendation 3-2: Reassert and commit to the original goals of the Title X program. HHS should reassert the original mission of the Title X program—helping individuals plan for pregnancy if they so desire, as well as avoid unintended pregnancy. HHS, the Office of Population Affairs, and their leadership, as well as Title X grantees, should be clearly dedicated to this mission and the goals of the Title X program, supportive of family planning as a critical public health intervention, committed to evidence-based practice, and knowledgeable about the field of family planning and reproductive health.

Recommendation 3-3: Develop and implement a strategic plan. The Office of Family Planning should develop and implement a multiyear, evidence-based strategic plan that (a) reflects the mission of the Title X program and an understanding of its target population, as well as the field of family planning and reproductive health; (b) provides a vision for coordination, leadership, and evaluation; (c) addresses the family planning needs of individuals over the full reproductive lifespan; and (d) specifically references its evidence base. OPA’s operation and ongoing management of the program should be guided by this plan and linked to ongoing evaluation.
CONCLUDING THOUGHTS
The committee has identified a variety of ways in which the Title X program could be improved. These include focusing on the program’s core mission; undertaking a strategic planning process with a longer time horizon; implementing patient-focused, scientifically based clinical practices; and enhancing evaluation and communication. While there is room for improvement, it is also important to note that the program has successfully served thousands of low-income men and women and adolescents for almost four decades. Despite increasingly limited funds and varying levels of controversy and challenge, the dedication of federal agency staff, grantees, delegates, and clinic staff to the goals and clients of the program has remained strong and made it possible for the program to deliver essential services. The committee salutes their steadfast commitment to the overall goals of family planning in general and to the Title X program in particular.

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