19
2018 Highlights Title X: Still Standing After 40 Years
2018 Highlights
Title X: Still Standing After 40 Years
Michigan’s Title X Network
• 31 Local Agencies
• 91 Clinic Locations
• 29 Local Health Departments
• 1 Planned Parenthood Affiliate (18 clinics)
• 1 Hospital Based Clinic
• 62,707 Clients
• 54,981 Female
• 7,726 Males
2
Gogebic
Ontonagon
Houghton
Keweenaw
Iron
Baraga
Marquette
Dickinson
Alger
Delta
Menominee
SchoolcraftLuce Chippewa
Cheboygan
Presque Isle
Charlevoix
Antrim OtsegoLeelanau
BenzieGrandTraverse
Kalkaska
Crawford
Oscoda
Alcona
ManisteeWexford
Iosco
MasonLake
Osceola
Clare GladwinArenac
Oceana
Mecosta
Isabella
MidlandBay
Huron
Muskegon
Montcalm
GratiotSaginaw
TuscolaSanilac
St. ClairLapeer
ShiawasseeClintonIonia
KentOttawa
Allegan Barry Eaton Ingham
Livingston Macomb
Van
Buren
Kalamazoo
Calhoun Jackson Washtenaw
Wayne
Berrien
Hillsdale
Lenawee
Monroe
Missaukee
Alpena
Roscommon
Emmet
Genesee
Montmorency
Mackinac
BranchCass
St.
Joseph
Detroit
Ogemaw
1
1
1
1
3
1
2
1
1 1
1
1
1
1
1
11
1
1
11
1
1
1
1
1
1
1
1
11
1
1
1
1
1
4
1
1
1
1
1
1
1
1
1
1
1
13
1
1 1
1
1
1
2
3
1
21
1
1
11
1
1
1
1
31 Agencies/91 Clinics
Local Public Health
1
1
1
1
Oakland
1
1
1
1
1Hospital System
1Planned Parenthood
2
Last Updated: 06/2019
Family Planning Clients Served
• The total number of clients visiting Michigan’s Title X Family Planning Agencies decreased every year between 2010 and 2018.
• In fact, between 2010 and 2018, there was a 44.7% decrease (from 113,461 to 62,707) in total clients.
3
113,461
105,777101,190
91,588
80,490
72,312
66,189 65,58862,707
0
20,000
40,000
60,000
80,000
100,000
120,000
2010 2011 2012 2013 2014 2015 2016 2017 2018
Nu
mb
er o
f C
lien
ts
Year
Title X’s Target Population – Low Income Individuals/Families
• In 2018, 52% of clients served were at 100% or below of the HHS poverty level.
• Interestingly, the percent of clients over 250% of the HHS poverty level increased each year with a total increase of 76.1% (from 4,394 to 7,736) between 2010 and 2018.
4
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
2010 2011 2012 2013 2014 2015 2016 2017 2018
Perc
ent
Year
100% or Below
101%-150%
151%-200%
201%-250%
Over 250%
Unknown
Title X: The Uninsured
• Between 2010 and 2018:
o The percent of publicly insured clients increased from 24.2% to 31.6%.
o The percent of privately insured clients increased from 9.1% to 27.8%.
o The percent of uninsured clients decreased from 65.0% to 39.7%.
5
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
2010 2011 2012 2013 2014 2015 2016 2017 2018
Perc
ent
Year
Public
Private
Uninsured
Percent of Female Clients <25 Years of Age
that Received a Chlamydia Test
• The percent of female clients under 25 years of age that received a Chlamydia test remained steady between 2010 and 2015, then increased by approximately 40% between 2016 and 2018.
42.5
34.4
38.942.4 40.8 42.2
59.756.9
59.5
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
2010 2011 2012 2013 2014 2015 2016 2017 2018Pe
rcen
t
Year
Title X: LARC Utilization
• Between 2010 and 2018, the percent of female clients aged 15-44 who reported relying on a LARC increased each reporting year.
7
3.64.1
5.0
6.3
7.8
8.8
11.7
13.8
15.4
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
2010 2011 2012 2013 2014 2015 2016 2017 2018Pe
rcen
t
Year
Title X: The Importance of Reproductive Health
• Recognition:
• Title X providers are leading experts in delivering high-quality reproductive and preventive health services based on national standards of care and contraceptive best practices.
• Title X providers link clients to other local health programs like WIC, Immunizations, MIHP, et cetera.
• Title X providers address social determinates of health with medical and social referrals providing health insurance assistance or navigation services to uninsured clients.
• Title X programs foster significant savings on contraceptives and other medications by utilizing the 340B Drug Pricing Program.
Title X: The Importance of Reproductive Health
Recognition:
• Title X providers counsel on pregnancy intention every visit and supports clients with client-centered counseling.
• Title X providers screen for STD/HIV exposure to reduce transmission and adverse health consequences.
• Title X providers screen for cervical and breast cancer to foster early detection and treatment.
• 87% of clients served in 2018 qualified for subsidized or no-charge services.
Title X: The Importance of Reproductive Health
• The compassion, quality and commitment has never been higher among Michigan’s Title X Service Delivery Network.
• We have a history of survival in an environment that doesn’t fully appreciate the depth of our contributions
• This too, shall pass…..
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.
2020-2023
TOGETHER, SAVING LIVES
Released Thursday, September 5th
Strategic Vision
Zero preventable deaths
Zero health disparities
13
Six Priority Areas
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2019 Town Hall Meetings
REGION DATE CITY
Region 1 September 5th Marquette
Regions 2&3 September 10th Alpena
Region 4 September 19th Grand Rapids
Region 5 September 13th University Center
Region 6 September 17th Caro
Region 7 September 12th Lansing
Region 8 September 11th Kalamazoo
Region 9 September 18th Ann Arbor
Region 10 September 19th Pontiac
September 24th Clinton Township
September 26th Detroit
Regional Perinatal Quality CollaborativeRegional Perinatal Quality Collaboratives (RPQCs)
Michigan
Department of
Health and
Human
Services
(MDHHS)
Regional
Perinatal
Quality
Collaboratives
(RPQCs)
Health
Plans
Community
Stakeholders
and Local
Public Health
Community
Input
Title X
Mother Infant
Health and
Equity
Collaborative
(MIHEC)
Maternal Infant
Strategy Group
(MISG)
17
01
02
03
What you can do
Sign up for the MIHEIP newsletter
Connect with your RPQC
Attend a MIHEC MeetingNovember 14, 2019
Ann Arbor, Michigan
November 14, 2019
Engagement Opportunities
Visit Michigan.gov/MIHEIP
Questions/ Comments?
Dawn Shanafelt, MPA, BSN, RN
Director, Division of Maternal & Infant Health & Title VMichigan Department of Health & Human [email protected]
