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Class 8 – Wrap Up &
Funding Mechanisms for
Male Reproductive Health
380.720 – Masculinity, Sexual Behavior and Health, 2012 Qtr 2
Funding & Program Types
•  Funding type depends on…
–  Health issue to be addressed
–  Type of service to be offered
–  Service setting
•  Multiple funding sources needed since
–  Different funding sources for clinical & non-clinical
services
–  Funding for reproductive health is primarily categorical
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Funding Sources
•  Currently no single federal program has a
mandate or mission to serve male adolescents
Service
Type
Clinical
Public Private Insurance
Funding Grants Programs
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Education
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Counseling
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Funding Options
Federal Grants
•  Title V -Social Security Act (Maternal & Child Health Block Grant)
•  Title X -Public Health Services Act (Federal family planning
program)
•  Title XX -Social Security Act (Social Services Block Grant)
•  STD/HIV prevention programs-Centers for Disease Control (CDC)
•  Community health centers
•  Ryan White program (Titles I, II, IV)
•  Temporary Assistance for Needy Families (TANF)
•  Healthy Marriage Initiative
•  CDC STD, HIV, Reproductive Health & School Health programs
Funding Options
Insurance programs
–  Medicaid
–  SCHIP & other insurance programs
State & Region funding
–  Male involvement programs - CA
Other funding
–  Local public funds
–  Private foundation funds – e.g., Ford Foundation,
California Wellness Foundation
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Funding: Medicaid
• Federally-funded health insurance program
• Eligibility varies from state to state
– Males <19 years may qualify if child in welfare family, have disability
– Eligibility expansion to parents in families (RI, CA, WI, DOC)
– Services available to low-income childless men (TN, HI, MN, OR, WA)
• Other
– Managed care programs assign patients to “primary care provider”
– Federal “freedom of choice” provision allows individual to seek family
planning services outside managed care network
– EPSDT requirements (Early & periodic screening, diagnosis, &
treatment)
Funding: SCHIP
•  Health insurance program established in 1997- Title XXI of the Social
Security Act
•  Administered as an expansion of Medicaid coverage for children OR
under a new separately administered plan (or a combined approach)
•  Eligibility varies from state to state
•  Most teens <19 years with net incomes <200% Federal poverty
Available services
– Broad medical services, including STI/HIV testing & treatment
– Counseling & case management
Other
– Managed care arrangement may limit range of providers
Funding: Title X
• Program dedicated to family planning & administered by the
Office of Family Planning in DHHS
Funding
– Can be used for clinical, educational & counseling services for
males
– Limited funding available – organization needs to be approved
to provide services
Recipients
– Family planning clinics
– Male involvement initiatives
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Funding: Office of Adolescent Health
• Coordinates adolescent health programs & initiatives across DHHS
related to adolescent health promotion & disease prevention
Funding
•  New discretionary grant program to support evidence-based teen
pregnancy prevention approaches.
Recipients
•  Pregnancy Assistance Fund – 17 states ($25 million)
–  Support for pregnant & parenting student services at institutions of higher education;
–  Support for pregnant & parenting teens at high schools & community service centers;
–  Improving services for pregnant women who are victims of domestic violence, sexual
violence, sexual assault, & stalking;
–  Increasing public awareness & education
•  Teen Pregnancy Prevention
-  Replication of Evidence-Based Program Models ($75 million)
-  Research & Demonstration Programs ($25 million)
Funding: CDC
•  Grant programs created to help control & prevent communicable
diseases (HIV & other STIs)
Funding
– Prevention programs for high-risk individuals
– HIV in communities of color
– HIV prevention services in African American faith-based
organizations
– Comprehensive STI prevention systems
Contact
www.cdcnpin.org/db/public/fundmain.htm
Funding: Title V
•  MCH block grants to state health departments to improve
maternal & child health
•  This is a theoretical funding source but it is subject to
authorization by each state health department
Funding
– Can be used for clinical & educational services
Recipients
– State & local health departments
– Non-profit health clinics
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Funding: Community Health Centers
•  Administered through Health Resources & Services & under
Section 330 of the Public Health Services Act
Funding
– Broad range of primary care services to people living in
underserved areas
Recipients
– Ideal partners for community-based organizations to provide
preventive services to young men
Funding: Ryan White
•  Categorical funding to areas with disproportionately high rates
of HIV prevalence
•  As part of Title IV, one component funds community-based
projects for children, youth, women, & their families who are
living with or at risk of HIV infection (Pediatric/Family AIDS
Demonstration Program)
Services
– Can provide medical &/or psychosocial services for youth at
high risk for HIV infection
Funding
– Limited (disadvantage)
Funding: Title XX
•  Social Services Block Grant distributed by DHHS’s Administration
for Children & Families to state social service agencies
Purpose
– To encourage individual self-sufficiency & reduce individuals’
dependence on government
Funding
– Potentially available for reproductive health activities
– Relevant for male reproductive health as part of a broader social
services program
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Funding: TANF
•  State block grant program replacing Aid to Families with Dependent
Children (AFDC)
Purpose
– Provides cash assistance to needy families, job training & related
services with potential to fund reproductive health services for men
Funding
– Legislation provides $100 million annual bonus to be shared with 5
states with greatest reductions in non-marital birth rates: CA, MI,
AL, MA & DOC
– Youth development focus; Programs with male involvement
components; Programs focusing on young women; Abstinence
education programs
Services
– Family planning is the only medical service that is funded
Healthy Marriage Initiative
•  Deficit Reduction Act (2005) provides $150 million each year for
healthy marriage promotion & fatherhood
•  Goals include
–  Increase percent children raised by 2 parents in healthy marriage
–  Increase percent married couples in healthy marriage
–  Increase percent premarital couples equipped with skills &
knowledge necessary to form & sustain healthy marriage
–  Increase percent youth & young adults with skills & knowledge to
make informed decisions about healthy relationships
–  Increase public awareness about value of healthy marriages &
skills & knowledge to help them form & sustain healthy marriages
–  Encourage & support research on healthy marriages & healthy
marriage education
–  Increase percent of women, men & children in homes free of
domestic violence
Funding: Other Programs
Administration for Children & Families (DHHS)
•  Independent Living Program
•  Community Services Block Grant
•  Runaway and Homeless Youth Programs
•  Healthy Marriage Initiative
Health Resources & Services Administration
•  Healthy Start
•  Healthy Schools, Healthy Communities
Office of Juvenile Justice & Delinquency Prevention
•  Youth Violence Initiatives
Department of Labor
•  WIA (Workforce Investment Agency)
•  Job Corps
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Advocacy & Support
Men's Health Network
Washington, DC
menshealthnetwork.org
202-543-MHN-1 (6461)
contact: info@menshealthnetwork.org
Top 10 Things to Talk About with Your
Partner & Consider Before Having Sex
First & foremost. . .
1.  Develop relationships & not sex. Be honest, communicate &
above all respect each other.
2.  The best way to prevent pregnancy & avoid STI/HIVs is to not
have sex.
If you plan on having sex. . .
3.  Both get tested before doing the deed.
4.  Know that the standard STI lab tests cover only 4 of the possible
33 STIs that one can contract in the world.
5.  Don’t drink and bonk.
6.  Keep in mind: once your sperm leave the gates, you may not
have final say in what may happen. Talk about pregnancy
decision-making & prevention up front with your partner.
Top 10 Things to Talk About with Your
Partner & Consider Before Having Sex
If you plan on having sex continued. . .
7.  Condoms come in many shapes & sizes. . .Don’t like one? Find
another that works & don't forget to use a condom every time you
have sex.
8.  Practice makes perfect condom use. Remember: squeeze at the tip,
roll to the base, hold while pulling out. Reduced sensation with a
condom? Try a drop or 2 of lube inside.
9.  Find out if your partner is on birth control & doesn't hurt to learn
about hormonal and barrier contraception options as well as how
they are used.
10. Don't forget about Plan B contraception in case a condom breaks or
slips off. It is available over the counter for adult females & good for
use up to 5 days.
11. Sex should be pleasurable. If you're having any issues, find
someone to talk to about it.
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Top 10 Things to Talk About with Your
Partner & Consider Before Having Sex
Oh yea -•  Don't forget to brush your teeth and floss every day.
•  Use deodorant & shower daily.
•  Eat your breakfast every day (energy is power).
•  Call your mom at least once a week to say hi.
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