Title X The National Family Planning Program Brief Review of Services

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Title X The National Family Planning
ProgramBrief Review of Services

• Susan B. Moskosky, Director
• Office of Family Planning/
• Office of Population Affairs
• US Department of
• Health and Human Services
• January 2007

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Office of Population Affairs (OPA)

• OPA Focal point for the Department of Health
  and Human Services (HHS) on reproductive health
  issues
• Includes Title X Office of Family Planning
• Title XX Office of Adolescent Pregnancy Programs
  (Adolescent Family Life Programs)

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Purpose and Mission of Title X in the Office of
Family Planning

• To make sure that people who want and need family
  planning services can get them. Priority is for
  people from low income families.
• Mission is to provide individuals with the
  educational, medical, and social services they
  need to plan their families

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Authority and Structure of Title X

• Five Major Provisions of the Law
• 1001 Title X Services - Heart of Title
  X
• More than 4400 clinics in the system
• 1003 Title X Training
• One General Training Center in each Region
  Clinical Training
• Male General Training
• 1004 Title X Research
• Evaluation Activities, Service Delivery
  Improvement Research
• 1005 Title X Information and Education
• Title X Clearinghouse, publications, clinic
  directory
• 1008 Prohibition of Abortion

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Title X Services

• Family Planning includes preventive health
  services such as pap smears, breast exams, HIV
  and STD tests, and other services related to
  reproductive health and family planning
• Helps men and women plan pregnancies and make
  sure time between babies provides the best chance
  for healthy babies, and a healthy start for
  children

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Title X Family Planning ServicesNational
Perspective

• 87 service grantees
• 57 of grantees are State, Territorial, Tribal,
  County, or Local Health Agencies
• Remainder are universities and community-based
  not for profit agencies
• More than 4,400 clinics in network
• In more than 75 of U.S. Counties, at least one
  Title X funded clinic

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Public Health Service RegionsTitle X Clinics
in all Regions
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Scope of Title X Services

• Voluntary
• Confidential
• Priority low income charges based on sliding
  fee schedule according to family income
• Any individual desiring services - male and
  female, regardless of ability to pay
• Under the direction of a physician with training
  or experience in FP
• Most services provided by NPs, CNMs, PAs

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Scope of Title X Services

• Broad Range of Acceptable and Effective FP
  methods
• Education and counseling related to FP
• Physical Exam and Related Preventive Health
  Services
• Clinical procedures as indicated for method
• Laboratory tests as indicated for method
• Contraceptive methods
• Level 1 Infertility services

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Adolescent Services

• All services required by Title X
• Encourage family participation in the decision of
  minors to seek family planning services -
  required
• Counseling on resisting attempts to coerce minors
  into engaging in sexual activities
• Counseling and age appropriate information
  without assumption that adolescent is sexually
  active
• Information about abstinence as well as other
  methods of contraception

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Title X Services

• HIV Counseling, Testing and Referral either
  on-site or by referral required of all Title X
  projects
• Pregnancy Diagnosis and Counseling
• Special Counseling Family Intimate Partner
  Violence, Substance abuse etc.

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Special Focus Areas

• Male Services
• Health Information, Education, and Clinical
  Services
• Research on Male FP Reproductive Health
• Couples Services
• Work with Parents

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To Summarize

• Title X began as a program to provide family
  planning services to persons who did not have
  them
• Over time, the program has grown to provide more
  health services for persons, especially women, in
  their reproductive years
• Family Planning helps people plan their families
  so that children and families have a healthy
  start
• Title X Family Planning is the primary source of
  health care for many people, and provides a way
  to find health care for the entire family

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For More Information on Title X

• Go to www.opa.osophs.dhhs.gov
• To access the Grantees, Delegates and Clinics
  on-line database
• Scroll down
• Click on Title X Family Planning Provider
  Database
• Type in City, State and/or Zip Code for your
  search