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Family planning coordinator in a city hospital.

The experience of the family planning coordinator at the Boston City Hospital is related. The coordinator Edna Smith had been a part time nurse employee of the Planned Parenthood League of Massachusetts before she became the family planning coordinator at the hospital. In the beginning she worked part time but today she coordinates a full-time program. Family planning was accepted immediately by the patients but the staff itself was slower to accept it. This was due in large part to religious beliefs. About 200 patients a day come to the gynecologic clinic in the hospital and 60 patients a day to 4 satellite clinics. The majority of the patients have low incomes and are black or Puerto Rican. All acceptable methods of contraception are offered the most popular being the pill. The second choice is the IUD and the third is the diaphragm. Patients have recently been returning to the clinic to ask about frightening reports they have heard concerning the pill. Many of the nonmedical problems originate with the husband. Each satellite clinic has a family planning counselor who is drawn from the community in which she works. As a result of the contacts of the family planning workers in the community the clinic has been asked to give sex education classes for teenagers. The program is expanding and the workers are meeting with other agencies to coordinate their efforts to provide a better citywide service.