Project AbstractAccording to a study published in the New England Journal of Medicine in 2016, 45% of all pregnancies in the United States were unintended in 2011. In South Carolina (SC), the percentage of unintended pregnancy among women with a recent live birth has decreased from 41.2% in 2012 to 35.0% in 2015. While the state has come a long way, there is still work to do. South Carolina relies on Title X to assist with funding for quality FP services for low income families. According to the 2016 US Census data, 735,960 (15.3%) of SC citizens lived below the federal poverty level. South Carolina has a higher percent of the population living below the federal poverty level compared to the United States (14.0%). This indicates that the demand for reliable, affordable healthcare services will continue. SC Title X funding in each county health department means access to quality health services in a very rural state, where healthcare access is limited.The Family Planning Program (FP Program) at the South Carolina Department of Health and Environmental Control (SC DHEC) is the primary provider of Family Planning (FP) services to low income women, men, and adolescents in the state of South Carolina. The FP Program had been thoroughly committed and totally dedicated to providing high quality, voluntary FP services to both women and men as they plan their families through services that address postponing, preventing, achieving, or facilitating spacing of pregnancy. The FP Program has delivered innovative comprehensive FP services such as partnering with FQHCs and hospitals to provide services in rural areas and to teens, or working together with other state agencies to address the opioid crisis in the state, to generations of families in our state for over 47 years while adhering to Title X statute, regulations, and legislative mandates. The agency has and willalways be good stewards of Title X funding. SC DHEC provides oversight of Title X funds to
ensure effective over and accountability for all funds use for family planning servicesIf awarded, SC DHEC will utilize the funds from this opportunity the Office of Population Affairs to continue being the primary provider of FP services in the state. The FP program is projecting increase the amount of men, women and adolescents served in 58 clinics in all 46 counties across the state, assuring access to a broad range of FP methods as well as FP education.It is the hope of SC DHEC that the FP Program can continue providing g broad range of acceptable and effective family planning methods and related preventive health services that include natural family planning methods, infertility services, and services for adolescents; highly effective contraceptive methods; breast and cervical cancer screening and prevention services that correspond with nationally recognized standards of care; STD and HIV prevention education, counseling, testing, referral, adolescent abstinence counseling; and other preventive health services for the citizens who need it most in the state.