Planned Parenthood Federation of America (PPFA), usually referred to simply as Planned Parenthood, is a non-profit organization that provides reproductive health as well as maternal and child health services. PPFA is the U.S. affiliate of the International Planned Parenthood Federation (IPPF) and one of its larger members. PPFA has its roots in Brooklyn, New York, where Margaret Sanger opened the first birth-control clinic in the U.S. She founded the American Birth Control League in 1921, which changed its name to ""Planned Parenthood"" in 1942. It has since grown and consists of approximately 85 affiliates and 820 clinics in the United States, with a total budget of US$1 billion. PPFA provides services to over three million people in the country, and supports services for over one million people outside the United States.PPFA is the largest provider of reproductive health services in the United States, with clinical interactions focused on breast and cervical cancer screening, HIV screening and counseling, contraception, and abortion. PPFA performs roughly 300,000 abortions annually, among the 3 million people the organization serves. Throughout its history PPFA has experienced support, controversy, protests, and violent attacks.