Presentation on theme: "What is Family Planning?"— Presentation transcript:
1West Virginia Department of Health and Human Resources Family Planning Program
2What is Family Planning? Preventive and reproductive medical care provided by federal Title X funded clinics that:Helps individuals plan and space their pregnanciesHelps women avoid mistimed, unwanted, and unintended pregnanciesReduces the number of abortionsLowers rates of sexually transmitted diseases, including HIV
3Congress Created Title X in 1970 Congress passed the Public Health Service Actcreating the first and only national family planning programto make contraceptive services and supplies available to anyone in need.In WV the Title X program in is solely administered by the WV Family Planning Program within DHHR’s Bureau for Public Health.You see--low or no income doesn’t ever need to be the cause…..for 32 years we have been here as a safety netbut….too few people know.Title X in 1970to make contraceptive services and supplies available to anyone in need
4Family Planning Clients Clients served in CY 2008Females (over age 19) ,200Females (age 19 and younger) 14,166Males (over age 19) ,159Males (age 19 and younger) __801Total ,326
6Family Planning Funding Budget – 2010- Title X $2,359,564- Title V $1,192,174- State Appropriations $3,458,900- Medicaid $100,000$7,110,638
7West Virginia Family Planning Program Free or Low-CostBirth Control
8Population-Based Goal Reducing the number of unintended pregnancies and births to unmarried women is a population-based goal which is targeted to--not limited to--people with incomes <250 FPL.Too few people realize that people NOT on our rollsare eligible for these services.People who are employed in service jobs, temporary jobs, seasonal jobs, part-time jobs, minimum or low-wage jobsPeople whose work place has closedwho go to work everyday to support themselves and their families with no help from anyonepeople who have never received a “government handout”who have few, if any, job benefits including insurancewhose earnings are high enough to disqualify them from welfare but are far below what they need to meet their basic needs.Targeted to all income levelsIncludes working people who do not earn enough to meet basic needs
9West Virginia Family Planning Program Provider Agencies Deliver clinical family planning services through formal agreements>145 provider agenciesService sites are located throughout the StateNote: While funding is targeted to State residents, out-of-state residents can be served.
10WV Family Planning Program Clinics To deliver the clinical reproductive health servicesfollowing Title X regulations, the WV FPP contracts with:Over 150 clinic sitesevery countyCounty health departmentsPrimary care centersRural health centersCollege and university student health centersHospitalsAnd private medical practicesyour area FPP services are available at_______People may go to any clinic for servicesno requirements as to where one lives.You will receive a current list of provider sites by county.Website.WIC website
11Confidential Federal Title X regulations require that confidential services be made available to everyoneMinors are to be served without parental notification or consent when seeking confidential servicesFamily Planning Program Guidelines (2001, p.3)Confidential services for everyone is required byfederal regulations governing this Programand by the Privacy Act of 1974.
12Who is eligible? Income 250% FPL or below Female or male Who can receive Family Planning services?Anyoneincome is 250% FPL or lesswomen or men,capable of having children—(there are no defined upper or lower age limits)whether married, single, divorced or widowedregardless of whether he/she worksunemployedstudentwho is covered by Medicaidwho has health insurance that does not cover birth control or reproductive health carewho recently lost TANF or other DHHR benefitsIncome 250% FPL or belowFemale or maleChildbearing age – no defined age limitsStudentsUnderinsuredMedicaid recipients (without a HMO)Minors (<18) seeking confidential servicesIndividuals seeking pregnancyFamily Planning Program Guidelines (2001, pp. 4-6)
13Range of Contraceptive Methods Title X requires that a range of birth control methods be made available.The contraceptives provided free by the WV Program are:
14Birth Control PillsFamily Planning Program Guidelines, (2001, pp )
15Birth Control Shots Depo-Provera Family Planning Program Guidelines, (2001, pp )
16Condoms SpermicidesFamily Planning Program Guidelines, (2001, pp )
17DiaphragmsFamily Planning Program Guidelines, (2001, pp )
18Emergency Contraception Not the abortion pill RU-486!This is erroneously called “morning after pill”!!It does not cause an abortion.It actually prevents pregnancy 75 to 89% of the time if taken within 72 hours of a contraceptive failure or rape.We provide a dedicated product—Plan B—which is simply 2 pills containing large doses of the hormones in regular birth control pills taken 12 hours apart.Title X regulations permit clinicians to dispense emergency contraception in advance at the annual exam.Plan BFamily Planning Program Guidelines, (2001, pp )
19Ortho Evra Contraceptive Patch This is a brand new contraceptive method.Our program provides our clients with the most modern methods.Ortho EvraFamily Planning Program Guidelines, (2001, pp )
20Natural Family Planning Those who choose not to use artificial methodsOr who are seeking pregnancyare taught ways to determine and chart their own fertile days during the month.Information and counseling about practicing abstinence to prevent pregnancy is available.
22Paragard Copper T Intrauterine Device (IUD) (inserted) The Paragard Copper T IUD is available through our Program.The IUD is provided free.may be charged a small insertion or removal fee.We have agreements with a number of doctors and mid-level clinicians, willing to accept our fees, who do the actual insertions and removals.Minimum age 21No MedicaidNo insuranceAt or below 100% FPL(inserted)Family Planning Program Guidelines, (2001, pp )
23Surgical Sterilization VasectomyandTubal ligationFamily Planning Program Guidelines, (2001, pp )
24Health Education/Counseling Health education and counseling is a required component for Family Planning visits and must be provided appropriate to the client's age, level of knowledge, language, socio-cultural background and in an unbiased manner.
25Preventive Health Services Title X requires that clients visiting Family Planning Program-funded clinics for contraceptive care be offered related preventive health services.Many people with limited incomesdon’t receive any recommended health screenings and preventive carebecause they cannot afford it.Our clinics provide critical preventive health servicesbeyond birth controlComplete physicalsExtensive historyPap testsBreast examsHow to do self exam
26Preventive Health Services Basic lab testsScreening and treatment for some sexually transmitted diseases– every woman under 30 gonorrhea/chlamydiaPregnancy testsFollow up and referral for identified medical needsBasic lab testsSTD screeningPregnancy testsFollow-up/referralHealth education
27Pregnancy Diagnosis and Counseling Providers must provide pregnancy diagnosis and counseling to all clients in need of this servicePregnancy diagnosis consists of:Client medical historyPregnancy testPhysical assessmentFamily Planning Program Guidelines, (2001, pp. 53)
28Related Services The following related services are also available: Treatment of minor gynecological problems (such as vaginitis or UTI)STDs and HIV/AIDS (detection and treatment of common STDs for clients; partners should be referred to local STD clinicsSpecial counseling for future planned pregnancy (provider agencies are encouraged to provide multivitamins with folic acid to clients planning a pregnancy
30new BrochuredesignI have brought a supply of brochures for you to give to your clients and to make available in your waiting area.We request that your office manager assume responsibility for letting us know when your stock begins to run low so that we can keep you adequately supplied.