Dobie S A, Gober L, Rosenblatt R A
Department of Family Medicine, University of Washington School of Medicine, Seattle, USA.
Fam Plann Perspect. 1998 May-Jun;30(3):139-42, 147.
Women in rural areas are highly dependent on public clinics for family planning services, yet little information has been collected on rural family planning providers, especially on their funding and operation.
All 31 family planning clinic sites in rural Washington State were surveyed about their sponsorship, staffing, service provision and population coverage.
Clinic sites were located in 25 of the 53 discrete rural health service areas of Washington State. While the three wealthiest areas had clinics, eight of the poorest areas had no clinics. Eight clinics were Planned Parenthood affiliates, eight were private freestanding clinics and 15 were local health department sites. Clinic sites were small (with the equivalent of 2.4 full-time staff members, on average) and offered a mean of 18 of 43 potential reproductive and women's health care services; general primary care services were rarely provided. Only one clinic offered abortions.
Family planning clinics in rural Washington State offer an important but limited number of services. Many rural areas have no local family planning clinic. Given these clinics' reliance on federal and state funding, decreased public support might seriously impair family planning provision in rural areas.
农村地区的妇女在计划生育服务方面高度依赖公共诊所，但关于农村计划生育服务提供者的信息收集甚少，尤其是他们的资金和运营情况。
对华盛顿州农村地区的所有31个计划生育诊所进行了调查，内容包括其赞助情况、人员配备、服务提供和人口覆盖情况。
诊所在华盛顿州53个独立的农村卫生服务区中的25个设有站点。虽然最富裕的三个地区有诊所，但最贫困的八个地区没有诊所。八家诊所是计划生育协会的附属机构，八家是独立的私立诊所，15家是当地卫生部门的站点。诊所规模较小（平均相当于2.4名全职工作人员），平均提供43项潜在生殖和妇女保健服务中的18项；很少提供一般初级保健服务。只有一家诊所提供堕胎服务。
华盛顿州农村地区的计划生育诊所提供的服务数量虽重要但有限。许多农村地区没有当地计划生育诊所。鉴于这些诊所对联邦和州资金的依赖，公共支持的减少可能会严重损害农村地区的计划生育服务提供。
