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comparisons across studies. Results from reviewed analysis do, however, suggest that publicly funded family planning services avert a significant proportion of unintended pregnancies, improve birth outcomes and reduce governmental costs. Conclusion The reviewed literature demonstrates that publicly financed family planning care promotes control over childbearing decisions and improved birth outcomes, while saving local, state and federal governments money. However, this review also identified several important research gaps and flaws in the existing evidence base, particularly in the generalisability of results and narrow set of measures used to estimate impact. We suggest several ways to expand the field of available research by leveraging opportunities afforded through state Medicaid reform legislation and Medicaid expansions under the Affordable Care Act.

The impact of publicly-financed family planning services on pregnancies, births, and costs: A critical review of the peer-reviewed literature