The Kentucky Department for Public Health (DPH), Division of Women’s Health (DWH) within the Cabinet for Health and Family Services (CHFS) is applying for the Family Planning Services Grant and requesting $7,178,887 to continue providing quality family planning and related preventive health services at 132 service sites. Target populations for Title X Services are low income families including women, men and adolescents. Services include medical services related to family planning and effective utilization of a broad range of medically approved family planning methods, including natural methods; sterilizations; basic infertility services; and counseling to adolescents on sexual risk avoidance, parental involvement and coercion.
There are 18 counties without a Title X service site. Two counties have Title X sites within 30 miles; the other 16 counties have FQHCs. FPP will strive to have a Title X site in each county. Title X services are provided without any discrimination to any person. All family planning services are provided solely on a voluntary basis. Clients are not coerced to use a specific method or service. Title X services in Kentucky include family planning and other preventive health services, to include services identified through the assessment of a client during a family planning visit such as, screening for hypertension, diabetes and lipid disorders.
Quality assurance (QA) program is in place. The components of the QA plan include clinical, administrative and program standards. FPP and nursing directors are responsible for assuring internal QA. FPP has implemented virtual site visits with each service site to ensure compliance. Ongoing technical assistance and program updates related to program compliance are provided to all subrecipients. FPP reviews the contracts and annual budgets of each subrecipient to assure family planning services are planned, budgeted, available, and compliant with DPH and Title X program guidelines. Subrecipient compliance is monitored through annual internal audits by service site that undergoes additional review by FPP, and a virtual site visit.
As a recipient of Title X funds, FPP has been able to provide quality family planning services to the women, men and adolescents of our state for over 45 years. FPP is excited about the future and the ability to enhance the FPP to better meet the family planning needs of all Kentuckians. FPP will work to engage community health workers (CHWs) to provide referrals to Title X sites for family planning services. CHWs are accustomed to connecting clients to services; and will be well-suited to provide referrals and support for clients throughout the commonwealth. CHWs refer clients into Title X clinics to receive FP services; and connect clients receiving FP services to other medical and social service resources as appropriate.
Advancing health equity throughout the delivery of Title X family planning services is a priority. The Kentucky Office of Health Equity (OHE) was created to address health disparities among racial and ethnic minorities and rural Appalachian populations. FPP will require subrecipients to conduct at least two outreach activities to target vulnerable populations to create opportunities to support communities that have been historically underserved.
FPP constantly works to assure and improve accuracy of data submitted on the Family Planning Annual Report (FPAR). Quality improvement for accuracy of this data is ongoing. FPP consistently provides technical and clinical assistance to all subrecipients in a variety of methods to ensure accurate collection and reporting and implement strategies to improve workflows.
CHFS has a history of fidelity with the Title X Family Services Grant; and has the experience to provide project administration to assure subrecipients adhere to Title X requirements. Title X sites provided more than 68,000 family planning encounters last year, most clients had low-income.