Ohio Equity Institute

Cuyahoga Cleveland PartnershipOhio Equity Instituteto Improve Birth OutcomesDoes the data support the notion that we promote family planning within our community?1Meeting ObjectivesColorado Family Planning

Guttmacher Institute Contraception Use Unintended Pregnancy by Contraception UseCost of Unintended Pregnancies in Ohio

County & City 2008-2010 Teen Birth Rates

2013 High School YRBS Data Reproduction Health

2Colorado Family Planning30,000 contraceptive IUDs provided since 2009Participating clinic IUDs quadrupled

Teen Birth Rate 40%

Teen Abortion Rate 35%

Total Savings - $42,500,000!!!

$5.68 Medicaid cost savings for every $1 spent!In Ohio in 2010, we had $6.77 savings for $1 spent on Family Planning

Almost 2 out of 3 women practice contraception consistently

Out of 3.1 Million unintended pregnancies in the US 5% had consistent contraception use 52% Nonuse

In Ohio, 57% of all publicly funded births were unintended pregnancies

Costing nearly $485 Million or $12,000 per pregnancy

Cuyahoga County 20.3 per 1,000 15-17 y/o females Cleveland 37.4 per 1,000 15-17 y/o females

1st Ring 18.6 per 1,000 15-17 y/o females

Outer Ring 2.6 per 1,000 15-17 y/o females

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(Described as is North to South in the Green Square)

Glenville 43.3 per 1,000 15-17 year old females

St. Clair-Superior 50.0 per 1,000 15-17 y/o females

Hough 51.1 per 1,000 15-17 y/o females

Fairfax 62.0 per 1,000 15-17 y/o females

Woodland Hills 57.1 per 1,000 15-17 y/o females

6

Warrensville Heights 133.6 per 1,000 15-17 y/o females

OR 1 in 7 females have been pregnant.

Maple Heights 53.7 per 1,000 15-17 y/o females

72013 Cuyahoga County High School YRBS Survey Reproductive HealthEver sexually active: 44.4%

Cleveland (East) 63.5%

First Ring (East) 56.6%

Outer Ring (East) 36.7%

Sexually active (now): 32.0%

Cleveland (East) 44.6%

First Ring (East) 38.8%

Outer Ring (East) 28.7%

Ever sexually active: 20% decrease from 2009 to 2013

Currently sexually active 5% decrease from 2009 to 2013

Ever sexually active

Race 61% (AA) 34% (W) Affluence 54% (Low) 37% (High)

Currently sexually active last 3 months

Race 42% (AA) 26% (W)Affluence 39% (Low) 28% (High) 2013 Cuyahoga County High School YRBS Survey Reproductive HealthSexually active < 13 : 7.0%

Cleveland (East) 16.9%

First Ring (East) 11.5%

Outer Ring (East) 3.8%

Condom use last time 64.9%

Cleveland (East) 65.3%

First Ring (East) 65.2%

Outer Ring (East) 71.9%

Sexually active < 13: 36% decrease from 2009 to 2013

Condom use (last time) - 3% increase from 2009 to 2013

Ever sexually active b4 age 13 Race 14% (AA) 14% (H) 2% (W)Affluence 13% (Low) 4% (High)

Condom use last encounter

Race 65% (AA) 66% (W)Affluence 61% (Low) 68% (High)

ConclusionFamily planning is (cost) effective!

Sexual activity differs by location, race, & SESCondom use similar among all groups

Teen birth rates higher in Cleveland (East Side), Warrensville Heights, & Maple Heights.