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Entre Nous Cph Den. 1992 May:(20):13.

Abstract

PIP: Domiciliary family planning services are usually managed by a female staff of 1 or 2 doctors and 1 to 5 nurses caring for a population of around 200,000 in inner cities. Pregnancy testing, vaginal examination, referral for termination of unwanted pregnancy, and sterilization are available. Haringey is an outer London borough with a population of around 200,000 of Asian, Cypriot, and West Indian origin with inner-city socioeconomic characteristics: homeless and socially deprived families, single parents, and high unemployment. There are around 3000 births and 2000 pregnancy terminations annually. The staff of the Haringey Domiciliary Family Planning Service consists of 1 medical officer and 2 nurses, and it has visited over 3000 women since 1968; some 500 are being visited at present. The majority are young single mothers who refer themselves via friends and relatives. Over 1/3 are mainland British, 38% are of West Indian origin, and the rest are African, Asian (mainly Bangladeshi), Cypriot, and Irish. The average number of children/woman is 2.5, but 6.6 for women from Bangladesh. The average time spent with the service is 3 years. 1 in 12 clients become unintentionally pregnant and request an abortion. Many such women are highly mobile, or frequently change addresses and hence lose contact with health and social workers. There has been criticism that domiciliary services exist to stop poor people, the handicapped, or certain ethnic groups from procreating for eugenic reasons.

MeSH terms

  • Abortion, Induced*
  • Ambulatory Care Facilities*
  • Communication
  • Community Health Workers*
  • Culture
  • Delivery of Health Care
  • Demography
  • Developed Countries
  • Economics
  • Employment
  • England
  • Ethnicity*
  • Europe
  • Family Characteristics
  • Family Planning Services
  • Fertility
  • Geography
  • Health
  • Health Facilities
  • Health Planning
  • House Calls*
  • Ill-Housed Persons*
  • Population
  • Population Characteristics
  • Population Dynamics
  • Poverty Areas*
  • Pregnancy, Unwanted*
  • Residence Characteristics
  • Sexual Behavior
  • Single-Parent Family*
  • Unemployment*
  • United Kingdom
  • Urban Population
  • Urbanization