Jeffrey B. Gould is professor of Maternal and Child Health in the School of Public Health, University of California, Berkeley. At the time of the study, Beate Herrchen was assistant researcher, Tanya Pham was student research assistant and Stephan Bera was research assistant in the Maternal and Child Health Program. Claire Brindis is director of the Center for Reproductive Health Policy Research, Institute for Health Policy Studies, University of California, San Francisco. The project described in this article was initiated by the California State Office of Family Planning, made possible by a grant from the California Wellness Foundation and performed under subcontract to the Center for Health Training. The authors are indebted to Robert Natti for his many years of encouragement, to Richard Yoder for project management and project area review, to Bobbie Wunsch for facilitating regional meetings, and to Dixie Chan, Jane Boggess and Nancy Snyder for organizing regional meetings and identifying steering committee members. They are especially grateful to the project steering committee for their guidance and support.