Effect on Unwanted Fertility of Extending Physician-Administered Birth Control in the United States

A goal of publicly subsidized family planning programs in the United States is to prevent unwanted births, and the primary means being used to achieve this goal is to increase coverage with physician-administered contraception, with priority being given to persons from low-income families. We analyzed data from families living in low-income neighborhoods to determine whether that means would contribute to that goal, and if so, how much unwanted fertility might be decreased through increased coverage with physician-administered methods. The results indicate that increased coverage with those methods would decrease unwanted fertility by 80 percent (79 percent among blacks, 83 percent among whites). Increasing the ratio of sterilization to pill and IUD makes the effect of the increased coverage even more dramatic.