2016 Service Delivery Report
respectful
2
| 2016 SERVICE DELIVERY REPORT
We provide and protect the health care and information people need to plan their families and their futures.
health care services ABORTION CARE – the abortion pill and in-clinic procedures (South Texas Medical Center location only). BIRTH CONTROL – includes condoms; options for different types of birth control pills (combination or progestin-only); the birth control shot; the hormonal patch; the vaginal ring, and long-acting reversible contraceptives (IUDs and implants). EMERGENCY CONTRACEPTION – birth control to prevent pregnancy if taken within 5 days (120 hours) after unprotected sex. GYNECOLOGY – well-woman exams that include pelvic examination; tests for vaginal infections; tests for urinary tract infections; Pap and human papillomavirus (HPV) co-testing for cervical cancer screening; referrals for mammograms when indicated; and clinical breast exams that can detect abnormalities, including the early signs of breast cancer.
2016 SERVICE DELIVERY REPORT | 1
MALE SEXUAL HEALTH EXAMS – examination of the genitals and perianal region; documentation of normal growth and development as well as common genital findings including hydrocele, varicocele, and signs of sexually transmitted infections; clinical examination of the testicles to screen for abnormalities that could become cancer and patient instruction on performing self-examination. MENOPAUSE CARE – clinical evaluation and hormonal replacement therapy when indicated. REFERRAL FOR PRENATAL CARE AND ADOPTION – Planned Parenthood respects all decisions by all people regarding their pregnancies. In order to help them effectuate their decisions, we provide patients who decide to continue their pregnancy with information and referrals for prenatal care and adoption services. PREGNANCY TESTING – urine and blood-based testing. STD TESTING & TREATMENT – testing and treatment for sexually transmitted diseases and infections including the latest rapidbased testing for some of the more frequently requested tests that can provide results at the time of visit. STOP CERVICAL CANCER – HPV vaccine, clinical evaluation of abnormal Pap test results, and medical treatments to stop the progression of dysplasia and early cervical cancer. WELLNESS SCREENING – Because we know that for many of our patients we are their only regular health care provider, both women and men receive physical examination of chest, heart, lungs, abdomen, as well as testing for glucose (blood sugar), iron and hypertension, as indicated. 2 | 2016 SERVICE DELIVERY REPORT
supportive
health care by numbers Since 1939, Planned Parenthood South Texas has been a trusted health care provider for women in the region. Women, men and teens trust Planned Parenthood for their most intimate health care—they come to us for birth control, testing and treatment of sexually transmitted infections, abortion care, as well as other gynecology services and health care.
17,670
Patients Served
The number of individuals, unduplicated, who received health care in our clinics.
15,283
Women Served
1,987
Men Served
More than 10% of the people we serve are men.
4 | 2016 SERVICE DELIVERY REPORT
22,649
STD & HIV Testing
Testing for sexually transmitted diseases and infections: chlamydia, gonorrhea, herpes, syphilis, HPV and HIV.
934
Emergency contraception
264,085
181
This number combines the weeks of protection for all the contraceptive methods provided in 2016. For example, a pack of pills provides birth control protection for one month, the shot for three months, and an IUD for 5-10 years, depending on the type of IUD.
Total procedures and HPV vaccines provided through the SCC project.
Weeks of protection
5,918
Wet Mount
A wet mount is a gynecology test used to determine the cause of vaginal infections, including: yeast infection, trichomoniasis, and bacterial vaginosis.Â
2,388
Stop Cervical Cancer (SCC)
5,682
Pregnancy tests
740
Abortion care
Information about abortion care on page 9.
29,752
Total Visits
Pap Tests 2016 SERVICE DELIVERY REPORT | 5
birth control
Barrier Methods
EC
Long Acting Reversible Contraceptives (LARCs) Hormonal non-LARC
POPULARITY OF LARCS IS ON THE RISE (WHEN COST IS NOT A FACTOR)
While the total number of contraceptive units dropped slightly from 2015 to 2016, the number of distributed long-acting reversible contraceptives (LARCs) rose significantly, as did weeks of protection.
Upon further research, we discovered the increase in LARCs occurred in the four Planned Parenthood San Antonio clinics that receive Title X funding (a federal family planning contract managed by the Women’s Health and Family Planning Association of Texas). As a condition of this funding, clinics do not charge a fee to clients who have incomes at or below 100% of the Federal Poverty Level. The funding also allows the purchase of pharmaceuticals at discount pricing for clinics serving populations with low-incomes, increasing 6 | 2016 SERVICE DELIVERY REPORT
Type of Contraceptive
2015
2016
12,444
12,899
4%
1,269
934
-26%
19,842 52 101 4,263
19,121 219 178 4,009
-4% 321% 76% -6%
43 25 11
306 97 98
612% 288% 791%
38,063
37,862
-1%
160,710 264,085
64%
Barrier Method - Male Condom Emergency Contraception Hormonal non-LARC
Oral Contraceptives (monthly cycle) Hormonal Contraceptive Patch Hormonal Contraceptive Vaginal Ring Injectable Hormonal Contraception
LARC
Single-rod Implant Intrauterine Device (IUD) Hormonal Intrauterine Device Total Contraceptive Units
WEEKS OF PROTECTION
% change
access to these highly effective forms of birth control, which otherwise can be prohibitively expensive. Many patients requested LARCs after the 2016 presidential election citing concern over not being able to obtain LARCs if the new administration dismantled the Affordable Care Act as they have repeatedly said they intend to do. The most popular LARC was the single-rod implant (Nexplanon®). Other noteworthy trends: • Oral contraceptives remain the most popular form of birth control among our clients. • Demand for emergency contraception at PPST has been declining since EC became available over-the-counter at numerous retail pharmacies. 2016 SERVICE DELIVERY REPORT | 7
abortion care In 2016, Planned Parenthood provided 740 abortion procedures (in-clinic and abortion pill) at our South Texas Medical Center. During part of the year, abortion care was paused, which likely accounts for the decrease in abortion care when compared to previous years (in 2015 we provided 1,498 abortion procedures). The type of abortion care also experienced a dramatic shift as more patients chose the abortion pill compared to 2015 (see pie chart on opposite page). In March of 2016, the U.S. Food and Drug Administration (FDA) updated its prescribing guidelines to reflect medical best practices. This change allows medication abortion to the prescribed a few weeks later into pregnancy (through 10 weeks gestation) and it is likely the reason for the dramatic shift. In June of 2016, after almost three years of litigation, the U.S. Supreme Court struck down key provisions of HB2, Texas’ onerous abortion law. Nevertheless, since the law passed in 2013, some of these provisions were in effect at different times in different regions, causing public confusion about whether abortion was legal and where people could get an abortion when they needed it. Planned Parenthood continues to work hard to correct the damage to abortion access caused by HB2. Information provided both through community outreach and in our clinics dispel abortion myths and provide the most comprehensive information about pregnancy options. 8 | 2016 SERVICE DELIVERY REPORT
ABORTION CARE BY TYPE
2015 16%
Abortion Pill
84%
In-Clinic Procedure
2016 47%
Abortion Pill
53%
In-Clinic Procedure
Planned Parenthood is proud to be a source of nonjudgmental health care and information for all people. We provide support and patientcentered care, regardless of sex, gender identity, gender expression, sexual orientation, marital status, race/ethnicity, age, religion, socioeconomic status national origin, immigration status or residence. We are here for our patients—no matter what.
caring
the people we serve
28%
AGE 22% 19% 15%
10% 6% ≤17
18-19
10 | 2016 SERVICE DELIVERY REPORT
20-24
25-29
30-34
35+
RACE & ETHNICITY* Other 2%
Latino 68%
White 22% Black 8% *Based on the 85% of patients who answered voluntary questions.
89 % Female
11 % Male
SEX 2016 SERVICE DELIVERY REPORT | 11
health care by clinic location servicios de salud por clĂnica location localidades
clients served clientes atendidos
23.1%
2140 Babcock Rd
4,083
16.3
120 W Ashby Pl*
2,876
16.1%
8725 Marbach Rd
2,851
13.8%
11514 Perrin-Beitel Rd
2,444
%
San Antonio, TX 78229 (210) 736-2262
San Antonio, TX 78212 (210) 736-2475
San Antonio, TX 78227 (210) 674-2222
San Antonio, TX 78217 (210) 590-0202
11.4
2346 E Southcross
2,012
10.6%
712 N 77 Sunshine Strip
1,873
870 E Alton Gloor Blvd
1,531
%
8.7%
San Antonio, TX 78223 (210) 333-5454
Harlingen, TX 78550 (956) 423-8584
Brownsville, TX 78526 (956) 546-4571
*clinic moved to 920 San Pedro in April 2017 clínica trasladada a 920 San Pedro en abril de 2017
17,670
TOTAL CLIENTS SERVED Total de clientes atendidos en todas las clínicas
12 | SERVICE DELIVERY REPORT / Reporte de Prestación de Servicios 2016