The effectiveness of non-physicians as providers of family planning services

Population growth and advances in contraceptive technology are discussed in relation to changes in birth control attitudes and practices and the expansion of public family planning programs. The literature describing training, utilization, and effectiveness of non-physicians in providing family planning services is reviewed. Studies comparing physician and non-physician provision of oral contraceptives and IUD insertions are discussed. On the basis of extensive supporting data, the author concludes that many functions which formerly were in the physician's province are as safely and perhaps more appropriately performed by persons with less medical sophistication. Recommendations are made regarding the present and future role of nurses as primary care providers in family planning.