West Virginia Department of Health and Human Resources Family Planning Program What is Family Planning? Preventive and reproductive medical care provided by federal Title X funded clinics that: Helps individuals plan and space their pregnancies Helps women avoid mistimed, unwanted, and unintended pregnancies Reduces the number of abortions Lowers rates of sexually transmitted diseases, including HIV Congress Created Title X in 1970 to make contraceptive services and supplies available to anyone in need Family Planning Clients Clients served in CY 2008 Females (over age 19) Females (age 19 and younger) Males (over age 19) Males (age 19 and younger) Total 40,200 14,166 2,159 __801 57,326 West Virginia Family Planning Program Hancock Percent Need Met By County of Resident Brooke Population in need of publicly supported contraceptive services (includes all WV females teens <20 and women aged 2044 with incomes < or = to 250% FP) CY 1/1/07 to 12/31/07 Ohio Marshall Wetzel Wood Tyler Ritchie Marion Calhoun Putnam Kanawha Mineral Taylor Barbour Hampshire Tucker Grant Hardy Randolph Pendleton Braxton Webster Clay Nicholas Pocahontas Lincoln Under 19% 20% to 29% Wayne Boone Fayette Greenbrier Mingo Berkeley Preston Lewis Upshur Gilmer Roane Cabell Harrison Doddridge Wirt Mason Jackson Monongalia Morgan Pleasants 30% to 39% Logan Raleigh Wyoming McDowell Summers 40% to 49% Monroe 50% to 59% Mercer Over 60% WVDHHR/BPH/OMCFH/PWH/F/APRIL 2008 Jefferson Family Planning Funding Budget 2009 – 2010 - Title X - Title V - State Appropriations - Medicaid $2,359,564 $1,192,174 $3,458,900 $100,000 $7,110,638 West Virginia Family Planning Program Free or Low-Cost Birth Control Population-Based Goal Targeted to all income levels Includes working people who do not earn enough to meet basic needs West Virginia Family Planning Program Provider Agencies Deliver clinical family planning services through formal agreements >145 provider agencies Service sites are located throughout the State Note: While funding is targeted to State residents, out-of-state residents can be served. WV Family Planning Program Clinics Confidential Federal Title X regulations require that confidential services be made available to everyone Minors are to be served without parental notification or consent when seeking confidential services Family Planning Program Guidelines (2001, p.3) Who is eligible? Income 250% FPL or below Female or male Childbearing age – no defined age limits Students Underinsured Medicaid recipients (without a HMO) Minors (<18) seeking confidential services Individuals seeking pregnancy Family Planning Program Guidelines (2001, pp. 4-6) Range of Contraceptive Methods Birth Control Pills Family Planning Program Guidelines, (2001, pp. 28-30) Birth Control Shots Depo-Provera Family Planning Program Guidelines, (2001, pp. 31-33) Condoms Spermicides Family Planning Program Guidelines, (2001, pp. 50-51) Diaphragms Family Planning Program Guidelines, (2001, pp. 46-49) Emergency Contraception Plan B Family Planning Program Guidelines, (2001, pp. 38-41) Contraceptive Patch Ortho Evra Family Planning Program Guidelines, (2001, pp. 51.4-51.8) Natural Family Planning Abstinence as a contraceptive method sex Intrauterine Device (IUD) Paragard Copper T (inserted) Family Planning Program Guidelines, (2001, pp. 42-45) Surgical Sterilization Vasectomy and Tubal ligation Family Planning Program Guidelines, (2001, pp. 52-53) Health 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. Preventive Health Services •Complete physicals •Extensive history •Pap tests •Breast exams •How to do self exam Preventive Health Services • • • • • Basic lab tests STD screening Pregnancy tests Follow-up/referral Health education Pregnancy Diagnosis and Counseling 1. 2. 3. Providers must provide pregnancy diagnosis and counseling to all clients in need of this service Pregnancy diagnosis consists of: Client medical history Pregnancy test Physical assessment Family Planning Program Guidelines, (2001, pp. 53) Related 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 clinics Special counseling for future planned pregnancy (provider agencies are encouraged to provide multivitamins with folic acid to clients planning a pregnancy Family Planning Program Posters