Natural Family Planning Research
Grant: An Exploratory Study to
Enhance Understanding About the
Use of Natural Family Planning
Methods in Title X Settings
Jacki Witt, Project Director
Pat Kelly, Co-investigator
Maithe Enriquez, Co-investigator
Supported by Grant # FDRPA006037-01-00,
Office of Population Affairs, Office of Family
UMKC School of Nursing
NFP Project Staff
Pat Kelly TBD Maithe Enriquez
Co-Investigator Study Coordinator Co-Investigator
Aimee Brockman Susie Miller
Admin Asst Admin Asst
Aims of the Natural Family
1) Explore knowledge, attitudes &
institutional & socio-cultural factors that
influence the promotion, instruction or
referral for natural family planning among
agencies, health care providers & clients
who are the beneficiaries of federal
2) Make recommendations which will
inform policy & clinical practices related
To NFP in federally funded clinics
The Theory of Planned Behavior
Input from Beneficiaries
Design and Methodology
Clinical Training Center for Family Planning
9 Preceptors in
129 Preceptors in
38 States and Washington, DC
Focus Group Facilitator Guide
Construct Question Probe(s)
What are some of your concerns about Concerns about discussing any other
discussing Natural Family Planning with method(s)? Concerns about
clients? incorporating Level 1 infertility services?
Behavioral Beliefs Concerns about incorporating
What are the advantages of NFP that you Disadvantages? Partner issues?
are aware of? Use as a pregnancy planning tool?
What referral sources are available in your What do you do if someone asks for more
community for clients wishing to use information about natural family
natural methods of contraception? planning?
Which people or groups of people influence How do you individualize your
the content or volume/amount of your counseling?
Which people or groups of people would How about single women?
support you introducing NFP to married Adolescents?
Which people or groups of people influence Professionals?
which method of birth control your client Family members?
chooses to use? Partners?
How much control would you say you have
over which method of birth control your
What factors make it difficult to offer What about other methods? Any
natural family planning to clients? difficulties?
What factors make it easy to offer natural
family planning to clients? What about other methods?
Sample Consumer Survey
• Is this your first visit to this clinic?
• Geographic setting where clinic is located:
– Small Town (<10,000 population)
– City (10,000 – 99,999 population)
– Urban (100,000-499,999population)
– Metropolis (>500,000 population)
• For the purpose of this study, we define natural family planning (NFP), also called
fertility awareness methods (FAM) as family planning methods that rely on
identifying potentially fertile days in each menstrual cycle when intercourse is
most likely to result in a pregnancy.
• Has a health care provider ever told you about natural family planning for
preventing pregnancy (birth control)?
• Has a health care provider ever told you about natural family planning for trying to
get pregnant (planning a pregnancy)?
• Using a seven (7) point scale where 1 means “strongly
disagree” and 7 means “strongly agree” respond to the
following statements about natural family planning.
• I understand when the fertile time (most likely to get
pregnant) of the menstrual cycle is for women who have
1 2 3 4 5 6 7
• The most fertile time of the menstrual cycle (time
when a woman is most likely to get pregnant) :
– About 7-10 days after the first day of
– About 12-14 days after the first day of
– About 18-21 days after the first day of
– None of the above
– Don’t know or not sure
Qualitative Analysis Plan
• Focus group proceedings will be taped and
• Loaded into Atlas
• Initial codes assigned (using contructs from
• Data grouped
• Themes organized
• Initial analysis verified by facilitators
Quantitative Analysis Plan
• Descriptive Statistics