Public Health Solutions (PHS) proposes to restore and expand its former Title X Family Planning Program (hereinafter “PHS’ Title X Program”) to meet the dire need for Title X services in New York City (NYC), where Title X support has been limited since New York State (NYS)’s two longstanding Title X grantees, PHS and the NYS Department of Health, left the Title X program in 2019. For over 37 years, PHS’ Title X Program provided comprehensive high-quality voluntary family planning (FP) services and related health services and education to adolescents and adults throughout NYC. As such, PHS is uniquely positioned to lead the scale-up of Title X service provision rapidly and effectively to meet the dire need for Title X FP services in NYC.
PHS proposes to use Dire Need grant funds to support grantee and sub-recipient capacity building activities that are critical to scaling up PHS’ Title X Program in line with OPA’s Program Priorities and new Title X regulations. The proposed project will supplement Title X service delivery to be funded through Title X Service Grants (pending the receipt of such award), which aims to serve 31,023 primarily low-income individuals (nearly 70% living at or below 100% of Federal Poverty Level (FPL)) during the first year of a 5-year project period. These clients, which include residents of NYC’s most high-need and underserved neighborhoods, will directly benefit from PHS’ ability to resume the delivery of Title X services swiftly and efficiently.
Grantee capacity building activities, including strategic planning to advance equity, updating key program standards tools and documents to align with current Title X regulations, and building PHS' capacity to successfully transition to Family Planning Annual Report (FPAR) 2.0, will ensure PHS’ ability to monitor and oversee Title X service delivery within its Program upon receipt of a Title X Service Grant. Sub-recipient capacity building activities will ensure that all sub-recipients are able to comply with Title X requirements, advance OPA’s Program Priorities and meet FPAR 2.0 data collection requirements. Sub-recipient activities will include: staff training on health equity; community needs assessment; developing and executing community engagement, education, and project promotion plans; developing individual work plans to support Title X service delivery; reviewing and updating clinical protocols to align with current Title X regulations; establishing baseline quality performance; and engaging in FPAR 2.0 capacity building activities. Through this project, PHS will restore Title X funding to its six former sub-recipients and their 13 service sites, as well as expand its Title X Program through the addition of one new sub-recipient and their two service sites. PHS will support this new sub-recipient to come into compliance with all OPA and PHS Title X requirements through additional targeted training and capacity building activities.
Overall, PHS has a highly accomplished track record of providing Title X FP services at its own health centers, as well as administering funding to sub-recipient community-based health centers, and is well positioned to fulfill the statutory and regulatory requirements and program priorities enumerated in the FY22 Dire Needs NOFO.