Puerto Rico continues to outpace the United States on many adverse socioeconomic and reproductive health indicators. Puerto Rico rates are higher than the national rates for each of the following indicators: preterm birthrates, low birth weight, STD and HIV/AIDS rates, incidence of breast and cervical cancer, and educational attainment. Furthermore, since there is no Medicaid funding for family planning, since the Government Health Insurance Plan only reimburses for contraceptive costs and not for any other family planning service, and since there is minimal private insurance coverage for contraceptive services, the need for Title X family planning and related health services in Puerto Rico is extremely significant. For many low-income women and men in Puerto Rico, the University of Puerto Rico, Medical Sciences Campus, School of Public Health?s Title X Family Planning Program (UPR-TXFPP) is the principal, if not the only source of medical care and serves as the gateway into primary health services. Located within the University or Puerto Rico, Medical Sciences Campus, Graduate School of Public Health, the UPR-TXFPP serves as the lead provider of community service research, public health student training and other academic endeavors. For over four decades the UPR-TXFPP has provided high-quality, culturally sensitive family planning and other related health care to low-income, underinsured and uninsured individuals. The Program has a well-established infrastructure to meet the needs of the target population having cultivated an Island-wide network of robust linkages with partners that are devoted to enhancing the health and the well-being and improving the health outcomes of Puerto Rico residents. The Program will continue to provide sound guidance and appropriate oversight to sub-recipient agencies for the provision of quality family planning services in communities with the greatest need.