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n ^•. ~r AGENpA ITEM 7 B ORANGE COUNTY HEALTH DEPARTMENT FAMILY PLANNING NARRATIVE FOR FISCAL 1930 I. Program Description - A. Estimate of Need' .. - - Orange Counties' population as of July 1, 1977, was estimated to . be 68,776. Of this total 19,952 were estimated to'be females in the ' '' - _. child bearing age group 14 - 44: of 'this grouping 3,351 are estimated to. be nonwhite and 18,038 to be white. The 1875 estimated number of ~- - women of~this grouping having household incomes less than 150 of the poverty level was 2,078. It is recognized that this poverty level index number is a significantly unreliable number far 1979; secondly, we are prohibited f2°om restricting our family planning services to the poor. Realistically, our services will not be requested by the • majority of those in need nor will we be Handed to serve the entixe need. In estimating our need we use the need total, the poverty index, _ the population estimate of those above poverty and below the econa~nie self-sufficiency level, adjust for the university student population, and adjust for the age factors (e.g., even though a teen may have - parents who can afford private services, the teen may not get such service unless provided free). By conservatively considering these factors we estimate that 2,700 parsons need our clinical services. The health educational services of this program could benefit the majority of the total need population. Accordingly, we orient family planning health education towards the total male and female parentir~ population;. concerted effort and the majority of educator staff time is directed towards the teen population. H. Percent of Need Currentl Met The total number of active patients in our F.P. program for FY '78 was 1,432, This figure represents a 20~ increase over the number of active patients for FY '77. Our Percentage of clients age 17 and younger increased from 10.2$ in FX '77 to 15.2 in FY '78. The majority of our patients remain in the 20 - 29 age bracket. We estimate that we will close out FY '79 (ending June 30, 1979) with 1678 active patients which. is a 15% increase over last year. ~e continuation rate has increased ' from 63.5 in FY '76 to 76.34 ~ during calendar year 1978• Our client population is equally divided between white and non-white. The income level of nearly 33~ of our patients was less than $6,500, for 50~ of ' our patients the income was unknown. 5even• Percent of our F.P. clients had income.levels greater than $12,500. A route estimate is that we are presently clinically serving 62~ of ... those needing our services and in FY '80 we are projecting an increase to 71 ~.