The Role of Family Planning
Providers/Networks in
STD Prevention and Treatment
Sexually Transmitted Diseases:
Strengthening the Federal Response to a
National Epidemic
Clare Coleman, President & CEO
April 28, 2011
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NFPRHA Turns 40 in 2011
• Founded in the wake of the enactment of Title X of
the Public Health Service Act, which created the
nation’s family planning program.
• Complex and varied network of administrators and
service providers in states + territories.
• Common denominator: Use federal and state funds
to subsidize family planning and reproductive health
care for the poor and low-income.
May 2011
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Publicly Funded Family Planning
• 71% of care is paid for by Medicaid: Family planning
is a mandatory benefit, and the federal government
pays 90% of the costs.
• 13% of care is covered through the Title X federal
family planning program – categorical, discretionary
grant; $317.5 million in FY 2010.
• 13% of care is covered through state health funds.
• About 3% of care comes from other sources,
including CDC (IPP), MCH, TANF, SSBG.
May 2011
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Publicly Funded Family Planning
• More than 8,000 publicly funded family planning
centers in 2006 serving > 7 million women.
• Title X is the backbone of the network, supporting
89 public and private non-profit grantees in 59
states/territories over 4,500 service delivery sites.
Hospitals
Community Health Centers
Planned Parenthood affiliates
Private non-profits
Health departments
May 2011
5%
10%
13%
16%
56%
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Publicly Funded Family Planning
Publicly funded family planning centers provide
confidential preventive health services, including:
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contraceptive services
pelvic exams
pregnancy testing
screening for cervical and breast cancer
screening for high blood pressure, anemia, and diabetes
screening for STDs, including HIV
basic infertility services
health education
referrals for other health and social services
May 2011
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Publicly Funded Family Planning
Title X-funded health centers in 2009:
• Served 5.2 million low-income women and men
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70% have incomes < 100% FPL ($10,830 per year)
92% have incomes < 250% FPL ($27,075 per year)
20% self-identify as black (12.9% nationally)
28% self-identify as Latino (15.8% nationally)
Performed 2.2 million Pap tests
Performed > 2.3 million breast exams
Performed 5.9 million STD tests
Performed nearly 1 million confidential HIV tests
May 2011
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Infertility Prevention Project
• Began in 1988; joint project between CDC and HHS’
Office of Population Affairs (OPA)
• Funds Chlamydia and gonorrhea screening and
treatment services for low-income women attending
family planning and STD clinics.
– Chlamydia is the most commonly reported STD in the
United States. CDC estimates that the direct medical costs
of Chlamydia are $647 million each year, and direct and
indirect costs are 1.7 billion.
• Key goals: reduce pelvic inflammatory disease (PID),
which can cause infertility in women.
May 2011
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CEO: Clare Coleman
Policy team:
Robin Summers
Julia Strasser
Dana Thomas
ccoleman@nfprha.org
rsummers@nfprha.org
jstrasser@nfprha.org
dthomas@nfprha.org
202-293-3114 and www.nationalfamilyplanning.org
December 2010
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