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The Illusion of Parent Choice: Lessons Learned from BPC’s Parent Survey Series

May 10, 2023

In October 2019, BPC conducted its first national survey of parents in hopes of learning, "Do parents prefer child care closer to home or work?" We wanted to know how finding child care (the supply) impacts parents and their choices. Our first survey revealed parents prefer child care closer to home, but our survey raised more questions. Why do parents choose certain child care arrangements? What factors are most important to parents?As BPC set to investigate in early 2020, the pandemic shifted our focus to COVID-19's impact on child care, including closures, increased safety measures, and how remote work impacted the need for child care.

Political and Religious Activation and Polarization in the Wake of the Roe v. Wade Overturn

July 7, 2022

In the wake of the U.S. Supreme Court's decision in Dobbs v. Jackson Women's Health Organization, which overturned Roe v. Wade, the 1973 decision that had protected abortion rights nationally, Americans remain more in favor of access to abortion than opposed to it.The survey was designed and conducted by PRRI among a random sample of 2,038 adults (age 18 and up) living in all 50 states in the United States who are part of Ipsos's Knowledge Panel. Interviews were conducted online between June 24 and 26, 2022.

Children's Uninsurance Fell between 2019 and 2021, but Progress Could Stall When Pandemic Protections Expire

June 29, 2022

The pandemic and associated job losses threatened to reduce employer-sponsored health insurance coverage and increase uninsurance among American families. Though such risks were higher for adults because of the long-standing generosity of public coverage policies for children, the severity and novelty of the pandemic also had the potential to exacerbate children's coverage losses that had occurred between 2016 and 2019 and to jeopardize decades of progress in reducing their uninsurance rate. In this brief, we explore changes in coverage status and type among children from birth to age 17 from 2019 to 2021. To do so, we use data from the National Health Interview Survey (NHIS) and the Current Population Survey (CPS) Annual Social and Economic Supplement and administrative data on children's enrollment in Medicaid and the Children's Health Insurance Program (CHIP) and Marketplace coverage through early 2022. We examine (1) changes between early 2019 and early 2021 to reflect the first year of the pandemic and the first round of pandemic recovery legislation passed in March 2020 and (2) changes from early 2021 through late 2021 and early 2022 to reflect continuing trends and initial responses to the second major federal recovery effort in March 2021.

Politics of Knowledge

March 7, 2022

The compendium The Politics of Knowledge: Understanding the Evidence for Agroecology, Regenerative Approaches, and Indigenous Foodways (English | Español | Français) tackles the dominant questions about evidence that are holding back food systems transformation. Authors unpack the narratives and legacies behind these questions and explore the many ways funders, researchers, and policymakers can take transformative action.

Foundations Respond to Crisis: Lasting Change?

November 29, 2021

Philanthropic and nonprofit leaders have called for changes in foundation practice for decades, asking funders to, for example, provide more flexible and unrestricted funding; streamline and simplify processes; listen to, trust, and support their grantees; and pursue racial equity and racial justice.But there had been little evidence of change until the spring of 2020, when many foundations shifted their practices as the scale of the COVID-19 crisis became clear. In a series of three reports released late last year by CEP, we found that foundations made many changes to their practices, such as providing more unrestricted support and streamlining processes. In addition, many foundations reported providing new support to lower-income, Black, or Latino communities, and to organizations created and led by people from the communities most affected by systemic inequities.Since then, CEP has collected new survey and interview data from foundation and nonprofit leaders to examine whether these changes continued into 2021 and whether they will continue in the future.

Citizen Children with Noncitizen Parents Experienced Health Insurance Coverage Losses between 2016 and 2019

August 12, 2021

Uninsurance among citizen children with any noncitizen parents rose from 6.0 to 8.0 percent between 2016 and 2019. This increase reversed much of the coverage gains they had experienced between 2013 and 2016 and was larger than that for citizen children with only citizen parents. The Medicaid/Children's Health Insurance Program participation rate among eligible citizen children with noncitizen parents also fell from 93.1 to 90.8 percent between 2016 and 2019, likely contributing to these children's increase in uninsurance. These changes widened coverage gaps for citizen children with noncitizen parents relative to those with only citizen parents. They also align with findings that the proposed expansion of the "public charge" rule to include use of noncash benefits in applications for lawful permanent residence and other federal immigration policy shifts beginning in 2017 deterred some immigrant families from using public programs for fear of immigration-related consequences.

Trends and Differentials in Receipt of Sexual and Reproductive Health Services in the United States: Services Received and Sources of Care, 2006–2019

June 24, 2021

KEY POINTSSeven in 10 U.S. women of reproductive age, some 44 million women, make at least one medical visit to obtain sexual and reproductive health (SRH) services each year.While the overall number of women receiving any SRH service remained relatively stable between 2006–2010 and 2015–2019, the number of women receiving preventive gynecologic care fell and the number receiving STI testing doubled.Disparities in use of SRH services persist, as Hispanic women are significantly less likely than non-Hispanic White women to receive SRH services, and uninsured women are significantly less likely to receive services than privately insured women.Publicly funded clinics remain critical sources of SRH care for many women, with younger women, lower income women, women of color, foreign-born women, women with Medicaid coverage and women who are uninsured especially likely to rely on publicly funded clinics. Among women who go to clinics for SRH care, two-thirds report that the clinic is their usual source for medical care.Among those relying on both private providers and public clinics, the proportion of women who reported receiving a combination of contraceptive and STI/HIV care increased between 2006–2010 and 2015–2019.Implementation of the Affordable Care Act has likely contributed to some of the changes observed in where women receive contraceptive and other SRH services and how they pay for that care

Reducing Abortion Stigma: Global Achievements since 2014

February 10, 2021

Abortion stigma affects everyone: individuals, communities and service providers. Young women and adolescent girls bear the brunt of abortion stigma. It causes delays in people seeking abortion and stops others from accessing it, leading to unintended pregnancies. Stigma drives abortion underground, where it is more likely to be unsafe.Since 2014, the support of the David & Lucile Packard Foundation has enabled IPPF to reduce abortion stigma affecting young people around the world, working directly with Member Associations in six countries (Bénin, Burkina Faso, India, Pakistan, Ghana and Nepal). Meaningful youth participation has ensured that young people's lived experiences were central in every aspect of this work. This project has also supported smaller ground-breaking youth-led projects in 14 different countries: Albania, Colombia, Ghana, Guinea, Kenya, Macedonia, Nepal, Nigeria, Palestine, Puerto Rico, Sierra Leone, Spain, Tanzania and Venezuela.This document highlights the achievements and learnings from the Abortion Stigma Project between 2014 and 2020, including case studies, research and evidence generated around abortion stigma, and popular resources and tools developed throughout the project, and more.

Foundations Respond to Crisis: Toward Equity?

December 9, 2020

The disproportionate public health and economic impacts of the COVID-19 pandemic on certain communities, along with nationwide protests against police violence and racial injustice, have intensified the calls for foundations to focus on equity and reckon with anti-Black racism in a deeper way than they had before. To what extent have staffed foundations changed their practices in 2020 in response to this push for substantial shifts in how philanthropy approaches its work?CEP surveyed and interviewed foundation leaders to find out. Foundations Respond to Crisis: Toward Equity? reveals that almost all foundations participating in CEP's study report placing new, or more, focus on supporting Black, Latino, and lower-income communities; and most foundation leaders say they are reckoning with racism and paying greater attention to racial equity in their work. However, there remains still significant room for further progress, and it remains to be seen how deep and sustained this new focus will be.

Foundations Respond to Crisis: Toward Greater Flexibility and Responsiveness?

December 1, 2020

Nonprofits and funders alike have long called on foundations to be more flexible and responsive, to provide more unrestricted funding, to reduce what they ask of grantees, and to build more trusting relationships. In 2020, these calls for change only intensified in a time of immense challenge for nonprofits and the people and communities they serve.Have foundations responded to these calls with newfound urgency? And if so, is that response merely a momentary adjustment? Or will the crises of 2020 spur substantive, long-term change in how funders approach their work?CEP surveyed and interviewed foundation leaders to find out. Foundations Respond to Crisis: Toward Greater Flexibility and Responsiveness? reveals that foundations say they are loosening grant restrictions, providing more unrestricted funding, and reducing what they ask of grantees. Many plan to continue these practices in the future, though to a lesser degree than during their pandemic response.Findings in this report are based on survey data gathered from 236 foundations — 170 of which signed the pledge hosted by the Council on Foundations to act urgently in response to COVID-19, and 66 of which had not — as well as in-depth interviews with leaders of 41 foundations that signed the pledge. All data was collected between June and August 2020.This study is the final in a series of three reports from CEP examining the extent to which staffed foundations have changed their practices in response to calls for change to meet the unprecedented challenges of 2020.

Understanding Abortion: A Visual Resource

November 30, 2020

Understanding abortion: a visual resource aims to fill a gap in communication, reducing literacy and language barriers around abortion messaging. It can be used with a range of different audiences, including people with learning disabilities, to support them in the process of making an informed and consensual decision on pregnancy and abortion.This resource offers an insight into what the process of having an abortion is like, showing what a young person's journey would be if they decided to have an abortion.It is aimed to support community health workers, young people, and others people advocating for an increase in knowledge and information on abortion and reducing the stigma surrounding it. This is a versatile tool, in which the reader can select the most relevant parts of the story according to their needs or those of their audience.We hope this tool can support those who require more information and may need to access safe abortion services.This resource can be used on its own or alongside other IPPF resources around abortion, such as the How to talk about abortion: a guide to rights based messaging or How to educate about abortion: A guide for peer educators, teachers and trainers. In addition, IPPF have produced videos on What is a surgical abortion and What is a medical abortion.

Recommendations to improve data sharing agreements for U.S. fisheries in the Pacific region

November 11, 2020

Based on interviews with participants in U.S. Pacific fisheries mangement, this report presents guidelines for building relationships in support of data sharing. It includes a glossary of key terms around data management to help create a shared understanding across technical, program, and industry, as well as a model template for data sharing agreements.