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Primary and reproductive healthcare access and use among reproductive aged women and female family planning patients in 3 states

May 24, 2023

Public funding plays a key role in reducing cost barriers to sexual and reproductive health (SRH) care in the United States. In this analysis, we examine sociodemographic and healthcare seeking profiles of individuals in three states where public funding for health services has recently changed: Arizona, Iowa, and Wisconsin. In addition, we examine associations between individuals' health insurance status and whether they experienced delays or had trouble in obtaining their preferred contraception. This descriptive study draws on data collected between 2018 to 2021 in two distinct cross-sectional surveys in each state, one among a representative sample of female residents aged 18–44 and the other among a representative sample of female patients ages eighteen and older seeking family planning services at healthcare sites that receive public funding to deliver this care. The majority of reproductive-aged women and female family planning patients across states reported having a personal healthcare provider, had received at least one SRH service in the preceding 12 months, and were using a method of birth control. Between 49–81% across groups reported receiving recent person-centered contraceptive care. At least one-fifth of each group reported wanting healthcare in the past year but not getting it, and between 10–19% reported a delay or trouble getting birth control in the past 12 months. Common reasons for these outcomes involved cost and insurance-related issues, as well as logistical ones. Among all populations except Wisconsin family planning clinic patients, those with no health insurance had greater odds of being delayed or having trouble getting desired birth control in the past 12 months than those with health insurance. These data serve as a baseline to monitor access and use of SRH services in Arizona, Wisconsin, Iowa in the wake of drastic family planning funding shifts that changed the availability and capacity of the family planning service infrastructure across the country. Continuing to monitor these SRH metrics is critical to understand the potential effect of current political shifts.

Serving Native Youth: A Dialogue on Native Food Sovereignty and Native Food Security

March 1, 2023

In 2022, four Native American community-based organizations that serve Native youth gathered to give their perspectives on Native Food Security and Native Food Sovereignty. Each organization brought members of their team who support their food and cultural education endeavors and work intimately with Native youth. They learned about each other's programs and quickly realized that they share many similar values, challenges, and dreams.

Clean Jobs Midwest 2022 Report

December 12, 2022

Clean Jobs Midwest is an annual report based on survey data on clean energy employment in 12 Midwestern states.These states include Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. The Midwest's clean energy industry employed 714,323 people in sectors including renewable energy generation, energy efficiency, advanced transportation, grid and storage, and clean fuels at the end of 2021. 

State Constitutions and Abortion Rights: Building Protections for Reproductive Autonomy

April 22, 2022

This report outlines 11 states in which high courts have recognized that their state constitutions protect abortion rights and access independently from and more strongly than the U.S. Constitution or have struck down restrictions that were upheld by the U.S. Supreme Court. The analysis considers how this jurisprudence can expand and shape efforts to secure reproductive rights.

Farm to Early Care and Education 2016-2021 Impact Report

December 1, 2021

Farm to Early Care and Education. Deeping a stakeholder coalition & developing a F2ECE that could be offered statewide.

Housing Affordability in the Omaha and Council Bluffs Area: An Assessment of Housing Affordability, Needs, & Priorities

April 16, 2021

In 2019-2020, a collaborative comprised of nine local foundations partnered with Development Strategies, a research firm based in St. Louis, Missouri, to explore affordable housing across the Omaha metro area and Council Bluffs. While the purpose of the study was to gather data that would guide philanthropic leaders in a strategic investment, the information gained provided valuable insight for the broader community regarding the need for affordable housing.The study highlights seven key issues across the focus area (Douglas County, Sarpy County, and the City of Council Bluffs). 

Black Homicide Victimization in the United States: An Analysis of 2017 Homicide Data

June 1, 2020

This study examines the problem of black homicide victimization at the state level by analyzing unpublished Supplementary Homicide Report (SHR) data for black homicide victimization submitted to the Federal Bureau of Investigation (FBI). The information used for this report is for the year 2017. This is the first analysis of the 2017 data on black homicide victims to offer breakdowns of cases in the 10 states with the highest black homicide victimization rates and the first to rank the states by the rate of black homicide victims.It is important to note that the SHR data used in this report comes from law enforcement reporting at the local level. While there are coding guidelines followed by the law enforcement agencies, the amount of information submitted to the SHR system, and the interpretation that results in the information submitted (for example, gang involvement) will vary from agency to agency. This study is limited by the quantity and degree of detail in the information submitted.

Environmental Justice and Philanthropy: Challenges and Opportunities for Alignment

March 3, 2020

Across the country, environmental justice (EJ) organizations and communities of color are leading influential campaigns and initiatives aimed at protecting public health, developing stronger climate and environmental policies, and building new economies rooted in Just Transition principles. However, the power and scale of grassroots environmental justice organizations are often misunderstood or overlooked by philanthropy, despite a long record of community organizing and action. As a result, funding disparities persist, and the most important voices acting on behalf of equitably adapting to and mitigating climate change and environmental degradation are often excluded from critical decision-making processes.This study of the underlying dynamics of misalignment between the philanthropic and environmental justice sectors in the Midwest and Gulf South regions confirms that environmental funders are largely granting to mainstream environmental organizations (99%), with just a tiny fraction (1%) going to environmental justice organizations. While it is clear there are barriers to alignment between philanthropy and the EJ sector, it is equally clear that there are significant areas of opportunity.

Gun Violence in Iowa

February 1, 2020

This fact sheet is a summary of data contained in EveryStat for Gun Safety, a free, interactive website that contains data about gun violence by state, county, race and ethnicity, gender, and intent. These materials have been designed for users to better understand how gun violence impacts the communities they care about.

Foundation Openness Cohort Report

April 1, 2019

Over two years, the Iowa Council of Foundations (ICoF) engaged 23 funders in a journey to improve openness and transparency with grantseekers and our communities. While they joined funders across the country pursuing this shared goal, the cohort set out to try new methodologies. Importing user experience (UX) techniques from the high-tech and human-centered design world, the cohort focused on the experience of users (grantseekers) to put grantseekers in the center of the foundations' design, strategy, and culture. The following report details two years of research, analysis, and learning as Iowa funders explored foundation openness and transparency through user experience.

Teen Substance Use and Abuse in the Growing Metro of Des Moines, Iowa

July 13, 2017

uVoice, a youth philanthropy board comprised of twelve students from seven Des Moines-area high schools, spent 2016 identifying unmet needs of central Iowa youth, specifically issues related to substance abuse.Students wrote and released a "White Paper" discussing the results of the survey. The group made community-wide recommendations on how to best address the issue of youth substance abuse in Polk County.

Immigration: A Demographic Lifeline in Midwetern Metros

March 23, 2017

This report focuses how immigrants have helped offset native-born population loss and revitalized an aging workforce by examining 46 Midwestern metro areas as a refresh of a similar study published by the Chicago Council on Global Affairs in 2014. Metro areas are a useful barometer by which to measure the impact of immigration because the economies of central cities and their suburbs are tightly connected and because large immigrant communities are found in both central cities and suburbs of metro areas. Also, the extent to which immigration matters to metro-area economies heightens the importance of immigration as an issue and raises the stakes for immigration reform.