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2009 Office of Population Affairs Natural Family Planning Research Grantee MeetingJanuary 14-15, 2009 Washington, DC
Susan Moskosky, MS, RNCDirector, Office of Family PlanningOffice of Population Affairs/DHHSDecember 2008
Title X – An Overview of the National Program
What we hope you (and we!) learn at this meeting
A little about Title X and the Office of Population Affairs
A little about the history of NFP globally as well as NFP role in Title X
A lot about each other’s projects
A lot about what is expected of you as grantees
A lot about what you can expect from OPA/your project officer
Department of Health & Human Services
* Office of Minority Health * Office of HIV/AIDS Policy
* Office of Population Affairs * Office of Research Integrity
* Office of Women’s Health * National Vaccine Program
* Office of Regional Health Administrators
* President’s Council on Physical Fitness
* Office of the Surgeon General
* Office of Military Liaison and Veterans Affairs
* Office of Disease Prevention and Health Promotion
Secretary – Mike Leavitt
Assistant Secretary for Health - Dr. Joxel Garcia, MD, MBA
Office of Public Health and Science (OPHS) Programs
Organizational StructureOffice of Population Affairs
(OPA)Deputy Asst. Secretary for Population Affairs
VacantEvelyn Kappeler, Acting Director, OPA
Office of Family PlanningSusan Moskosky, MS, RNC
DirectorOffice of Research & Eval.
Office of Adolescent Pregnancy Programs
Alicia Richmond-ScottActing Director
10 Regional Program Offices
Office of Population AffairsOffice of Population Affairs
VacantDeputy Assistant Secretary for Population Affairs
Evelyn KappelerActing Director, OPA
VacantDeputy Assistant Secretary for Population Affairs
Evelyn KappelerActing Director, OPA
Office of Family PlanningSusan Moskosky, M.S., R.N.C.
Director
Office of Family PlanningSusan Moskosky, M.S., R.N.C.
Director
Immediate OfficeEvelyn Kappeler, Acting Director, OPA
Senior Policy Analyst
Susan Dunnell VacantManagement Analyst Medical Officer
Vacant Shanaè Oakman VacantPolicy Analyst Staff Assistant Public Affairs Specialist
Immediate OfficeEvelyn Kappeler, Acting Director, OPA
Senior Policy Analyst
Susan Dunnell VacantManagement Analyst Medical Officer
Vacant Shanaè Oakman VacantPolicy Analyst Staff Assistant Public Affairs Specialist
Charon FlowersVacant Health EducationStaff Assistant Specialist
Jule Hallerdin David JohnsonNurse Consultant Public Health Advisor
Vacant Elizabeth PhillipsPublic Health Advisor Program Analyst
Vacant Betty Churn-HughesPublic Health Analyst Clinical Nurse Consultant
Charon FlowersVacant Health EducationStaff Assistant Specialist
Jule Hallerdin David JohnsonNurse Consultant Public Health Advisor
Vacant Elizabeth PhillipsPublic Health Advisor Program Analyst
Vacant Betty Churn-HughesPublic Health Analyst Clinical Nurse Consultant
Vacant Jacqueline Crump- McCainStaff Assistant Program Analyst
JoAnne Jensen Allison Roper Medical Education Program Analyst Specialist
Alicia Richmond-Scott Stephanie Alexander Acting Director, Program AnalystProgram Analyst
Lizzette Del CantoProgram Analyst
Vacant Jacqueline Crump- McCainStaff Assistant Program Analyst
JoAnne Jensen Allison Roper Medical Education Program Analyst Specialist
Alicia Richmond-Scott Stephanie Alexander Acting Director, Program AnalystProgram Analyst
Lizzette Del CantoProgram Analyst
Office of Adolescent Pregnancy Programs
Alicia Richmond-ScottActing Director
Office of Adolescent Pregnancy Programs
Alicia Richmond-ScottActing Director
Office of Research & Evaluation
Office of Research & Evaluation
Amy BianchiPublic Health Analyst
Eugenia EckardStatistician
Melanie BrownPublic Health Analyst
Amy BianchiPublic Health Analyst
Eugenia EckardStatistician
Melanie BrownPublic Health Analyst
Public Health Service Regions
Title X of the Public Health Service Act
Created in 1970
Amended the Public Health Service Act to provide for special project grants for the provision of family planning services, and related research, training, and technical assistance - cited as “Family Planning Amendments of 1970”
Mission is to provide individuals with the educational, comprehensive medical, and social services necessary to exercise personal choice in determining the number and spacing of their children
Structure of Title X
Five Major Provisions of the Law
1001 – Title X Services - Heart of Title X
- 88 Grantees, more than 4,500 clinics in the system
1003 – Title X Training
10 Regional Training Centers - One in each Region
3 National Training Centers – Male, Clinical, National
1004 – Title X Research
- Evaluation Activities, Service Delivery Improvement Grants, Research Cooperative Agreements, Male Research Cooperative Agreements, NFP Research
1005 – Title X Information and Education
- Title X Clearinghouse, publications, directory
1008 – Prohibition of Abortion
Title X
Section 1001 of Title X of the Public Health Service Act
- Authorizes grants “to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective methods and services (including natural family planning methods, infertility services, and services for adolescents).”
Title X
Section 1004
- Authorizes support for “research in the biomedical, contraceptive development, behavioral and program implementation fields related to family planning and population.”
Title X Program Priorities 2009
Assuring the delivery of quality family planning and related preventive health services, where evidence exists that those services should lead to improvement in the overall health of individuals, with priority for services to individuals from low-income families
Assuring access to a broad range of acceptable and effective family planning methods and related preventive health services that include natural family planning methods, infertility services, and services for adolescents, including adolescent abstinence counseling
Title X Program Priorities 2009
Providing preventive health care services in accordance with nationally recognized standards of care
Assuring compliance with State laws requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest
Title X Program Priorities 2009
Encouraging participation of families, parents, and/or legal guardians in the decision of minors to seek family planning services; and providing counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities
Title X Program Priorities 2009
Addressing the comprehensive family planning and other health needs of individuals, families, and communities through outreach to hard-to-reach and/or vulnerable populations, and partnering with other community-based health and social service providers
Funding
FY2009 - $299,981,000
- Currently on a Continuation Resolution for FY 09 (Mar-09)
90% supports clinical family planning service projects
10% supports:
- Training grants and other activities
- Research grants and other activities
- Information and Education contract and other activities
- Administrative responsibilities (rent, salaries, etc.)
Title X Service GrantsGrantee Profile
Title X Service Grantee Network:
88 Service Grantees, including State, territorial, tribal, county or local health agencies, universities, faith-based and community-based nor for profit agencies
4,542 Family Planning Clinics, at least one in 75% of all US counties
4,987,238 Clients Served 2007 with family planning and related preventive health care services
Client Characteristics 2007*
4,987,238 total clients
56% 24 yrs. or younger
25% 19 yrs. or younger
50% Racial and/or Ethnic minority
26% Hispanic/Latino
69% < 100% FPL
91% <200% FPL
* 2007 Family Planning Annual Report
Title X Service GrantsRequirements
Title X funded Family Planning Services must be:
Voluntary
Confidential
Provided to any person, male and female, desiring services, with priority for persons from low-income families
Provided regardless of the inability to pay
Provided under the direction of a physician with training or experience in family planning
Section 1001 – Family Planning Services
Scope of Required Services:
Broad range of acceptable and effective FP methods, including natural family planning
Education and counseling related to FP
Physical exam and related preventive health services
Pregnancy diagnosis and counseling
Adolescent services
Clinical procedures as indicated for method
Laboratory tests as indicated for method
Level I infertility services
STD and HIV prevention education; counseling and testing either on-site or by referral
Related Preventive Health Services May be offered
Gynecologic Services
STD Screening and Treatment
HIV Testing, Counseling and Referral
Special counseling
Other services as specified in “Program Guidelines”
Key Point- scope of Title X project as indicated/defined in the approved grant application
Why Are We Here?????
As reflected on FPAR, the utilization of NFP methods remains low among Title X family planning users (8,784 users in 2007)
Need for more complete understanding of factors that impact decisions of individuals and couples to use NFP successfully
Need for more information regarding strategies that might lead to increased utilization of NFP methods
Purpose of Grant
“To expand the body of knowledge on users of NFP through a greater understanding of the determinants of the use of NFP or Fertility Awareness Methods (FAM) and the predictors of success among users of NFP and FAM, as well as to identify and/or evaluate strategies and approaches that will lead to increased or improved utilization of these methods”
Natural Family Planning Research Grants
3-Year Project Period
Non-competing continuation grant applications required each year of the project period
7 Grantees – diverse locations, backgrounds, and approaches
Washington, DC
Philadelphia, PA
Salt Lake City, UT
Milwaukee, WI
Seattle, WA
Kansas City, MO
What You Can Expect from OPA
Timely response to your questions
Technical assistance as needed
Feedback on your project
Ongoing support
We value the contribution that your projects will make to advancing our understanding of NFP, including:
- Determinants of NFP usage as well as predictors of success using NFP
- Identifying and/or evaluating strategies and approaches that are effective at increasing or enhancing the use of NFP among family planning clients
Thank You!!Questions???