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Take Charge
Take the Charge is a government program that provides free family planning and pregnancy prevention services to low-income residents of Washington state. The program expands Medicaid coverage for family planning services to individuals whose income is 200% or lower than the federal poverty level (FPL). By reducing the prevalence of unintended pregnancies, the goal of the program is to improve public health while reducing Federal and State Medicaid costs of unplanned pregnancies and their consequences. As of November 2007, there were 200 clinics in Washington providing the program's services. Services Services available to eligible women include family planning counseling, annual examinations and pap smears, prescriptions for FDA-approved birth control methods including emergency contraception, and tubal ligation (sterilization) procedures. Services available to eligible men include FDA-approved over the counter contraceptives (such as male and female condoms and spermicide), annual ...
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Family Planning
Family planning is the consideration of the number of children a person wishes to have, including the choice to have no children, and the age at which they wish to have them. Things that may play a role on family planning decisions include marital situation, career or work considerations, or financial situations. If sexually active, family planning may involve the use of Birth control, contraception (birth control) and other techniques to control the timing of Human reproduction, reproduction. Other aspects of family planning aside from contraception include sex education, prevention and management of sexually transmitted infections, pre-conception counseling and pregnancy#Management, management, and infertility management.World Health Organization. (n.d.)Sexual and Reproductive Health. Retrieved on 30 October 2019. Family planning, as defined by the United Nations and the World Health Organization, encompasses services leading up to conception. Abortion is another form of family ...
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Washington (state)
Washington, officially the State of Washington, is a U.S. state, state in the Pacific Northwest region of the United States. It is often referred to as Washington State to distinguish it from Washington, D.C., the national capital, both named after George Washington (the first President of the United States, U.S. president). Washington borders the Pacific Ocean to the west, Oregon to the south, Idaho to the east, and shares Canada–United States border, an international border with the Provinces and territories of Canada, Canadian province of British Columbia to the north. Olympia, Washington, Olympia is the List of capitals in the United States, state capital, and the most populous city is Seattle. Washington is the List of U.S. states and territories by area, 18th-largest state, with an area of , and the List of U.S. states and territories by population, 13th-most populous state, with a population of just less than 8 million. The majority of Washington's residents live ...
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Medicaid
Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by U.S. state, state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding. States are not required to participate in the program, although all have since 1982. Medicaid was established in 1965, part of the Great Society set of programs during Presidency of Lyndon B. Johnson, President Lyndon B. Johnson’s Administration, and was significantly expanded by the Affordable Care Act (ACA), which was passed in 2010. In most states, any member of a household with income up to 138% of the federal Poverty line in the United States#Measures of poverty, poverty line qualifies for Medicaid coverage under the provisions of the ACA. A 201 ...
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Poverty In The United States
In the United States, poverty has both social and political implications. Based on Measuring poverty, poverty measures used by the Census Bureau (which exclude non-cash factors such as food stamps or medical care or public housing), America had 37 million people defined as living in poverty in 2023; this is 11 percent of the population. Some of the many causes include income, inequality, inflation, unemployment, debt traps and poor education.Western, B. & Pettit, B., (2010)Incarceration and social inequality.Daedalus, 139(3), 8-19 The majority of adults living in poverty are employed and have at least a high school education. Although the US is a relatively wealthy country by international standards, it has a persistently high poverty rate compared to other developed countries due in part to a less generous welfare system. Efforts to alleviate poverty include New Deal-era legislation during the Great Depression, to the national war on poverty in the 1960s and poverty alleviat ...
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Unintended Pregnancies
Unintended pregnancies are pregnancies that are mistimed or unwanted at the time of conception, also known as unplanned pregnancies. Sexual activity without the use of effective contraception through choice or coercion is the predominant cause of unintended pregnancy. Worldwide, the unintended pregnancy rate is approximately 45% of all pregnancies (for a total of 120 million unintended pregnancies annually), but rates vary in different geographic areas and among different sociodemographic groups. Unintended pregnancies may be unwanted pregnancies or mistimed pregnancies. While unintended pregnancies are the main reason for induced abortions, unintended pregnancies may also result in other outcomes, such as live births or miscarriages. Unintended pregnancy has been linked to numerous poor maternal and child health outcomes, regardless of the outcome of the pregnancy. Efforts to decrease rates of unintended pregnancy have focused on improving access to effective contraception thr ...
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Pap Smear
The Papanicolaou test (abbreviated as Pap test, also known as Pap smear (AE), cervical smear (BE), cervical screening (BE), or smear test (BE)) is a method of cervical screening used to detect potentially precancerous and cancerous processes in the cervix (opening of the uterus or womb) or, more rarely, anus (in both men and women). Abnormal findings are often followed up by more sensitive diagnostic procedures and, if warranted, interventions that aim to prevent progression to cervical cancer. The test was independently invented in the 1920s by the Greek physician Georgios Papanikolaou and named after him. A simplified version of the test was introduced by the Canadian obstetrician Anna Marion Hilliard in 1957. A Pap smear is performed by opening the vagina with a speculum and collecting cells at the outer opening of the cervix at the transformation zone (where the outer squamous cervical cells meet the inner glandular endocervical cells), using an Ayre spatula or a cyto ...
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Birth Control
Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth control only became available in the 20th century. Planning, making available, and using human birth control is called family planning. Some cultures limit or discourage access to birth control because they consider it to be morally, religiously, or politically undesirable. The World Health Organization and United States Centers for Disease Control and Prevention provide guidance on the safety of birth control methods among women with specific medical conditions. The most effective methods of birth control are sterilization by means of vasectomy in males and tubal ligation in females, intrauterine devices (IUDs), and implantable birth control. This is followed by a number of hormone-based methods including contraceptive pills, patches, vaginal r ...
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Emergency Contraception
Emergency contraception (EC) is a birth control measure, used after sexual intercourse to prevent pregnancy. There are different forms of EC. Emergency contraceptive pills (ECPs), sometimes simply referred to as emergency contraceptives (ECs), or the morning-after pill, are medications intended to disrupt or delay ovulation or fertilization, which are necessary for pregnancy. p. 121: Intrauterine devices (IUDs)usually used as a primary contraceptive methodare sometimes used as the most effective form of emergency contraception. However, the use of IUDs for emergency contraception is relatively rare. Definition Emergency contraception is a birth control measure taken to reduce the risk of pregnancy following unprotected sexual intercourse or when other regular contraceptive measures have not worked properly or have not been used correctly. It is intended to be used occasionally and is not the same as medical abortion. Emergency contraception is offered to women who do not ...
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Tubal Ligation
Tubal ligation (commonly known as having one's "tubes tied") is a surgical procedure for female sterilization in which the fallopian tubes are permanently blocked, clipped or removed. This prevents the fertilization of eggs by sperm and thus the Implantation (human embryo), implantation of a fertilized egg. Tubal ligation is considered a permanent method of Sterilization (medicine), sterilization and birth control by the FDA. Bilateral tubal ligation is not considered a sterilization method by the MHRA. Medical uses Female sterilization through tubal ligation is primarily used to permanently prevent a patient from having a Pregnancy, spontaneous pregnancy (as opposed to pregnancy via In vitro fertilisation, in vitro fertilization) in the future. While both hysterectomy (the removal of the uterus) or bilateral oophorectomy (the removal of both ovaries) can also accomplish this goal, these surgeries carry generally greater health risks than tubal ligation procedures. Less common ...
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Condoms
A condom is a sheath-shaped barrier device used during sexual intercourse to reduce the probability of pregnancy or a sexually transmitted infection (STI). There are both external condoms, also called male condoms, and internal (female) condoms. The external condom is rolled onto an erect penis before intercourse and works by forming a physical barrier which limits skin-to-skin contact, exposure to fluids, and blocks semen from entering the body of a sexual partner. External condoms are typically made from latex and, less commonly, from polyurethane, polyisoprene, or lamb intestine. External condoms have the advantages of ease of use, ease of access, and few side effects. Individuals with latex allergy should use condoms made from a material other than latex, such as polyurethane. Internal condoms are typically made from polyurethane and may be used multiple times. With proper use—and use at every act of intercourse—women whose partners use external condoms experi ...
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Spermicide
Spermicide is a contraceptive substance that destroys spermatozoon, sperm, inserted vaginally prior to Sexual intercourse, intercourse to prevent pregnancy. As a contraceptive, spermicide may be used alone. However, the pregnancy rate experienced by couples using only spermicide is higher than that of couples using other methods. Usually, spermicides are combined with contraceptive barrier methods such as Diaphragm (contraceptive), diaphragms, condoms, cervical caps, and contraceptive sponge, sponges. Combined methods are believed to result in lower pregnancy rates than either method alone. Spermicides are typically unscented, clear, unflavored, non-staining, and lubricative. Types and effectiveness The most common active ingredient of spermicides is nonoxynol-9. Spermicides containing nonoxynol-9 are available in many forms, such as jelly (gel), films, and foams. Used alone, spermicides have a perfect use failure rate of 6% per year when used correctly and consistently, and ...
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Vasectomy
Vasectomy is an elective surgical procedure that results in male sterilization, often as a means of permanent contraception. During the procedure, the male vasa deferentia are cut and tied or sealed so as to prevent sperm from entering into the urethra and thereby prevent fertilization of a female through sexual intercourse. Vasectomies are usually performed in a physician's office, medical clinic, or, when performed on a non-human animal, in a veterinary clinic. Hospitalization is not normally required as the procedure is not complicated, the incisions are small, and the necessary equipment routine. There are several methods by which a surgeon might complete a vasectomy procedure, all of which occlude (i.e., "seal") at least one side of each vas deferens. To help reduce anxiety and increase patient comfort, those who have an aversion to needles may consider a "''no-needle''" application of anesthesia while the ' no-scalpel' or 'open-ended' techniques help to accelerate r ...
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