Applicant Name: FSM Department of Health & Social Affairs
Descriptive Title of Applicant’s Project:
Creating Equity by Improving Service Quality and Reach of Family Planning Services in the Federated States of Micronesia through expansion of the Pohnpei State Telehealth Network
The FSM Department of Health and Social Affairs has applied for a renewal of our 5-year Title X grant to continue to implement Family Planning Services through the Federated States of Micronesia. The FSM continues to experience a high total fertility rate (3.13 children per woman); a high adolescent fertility rate (18.3 per 1,000 females aged 15-17 years); a high perinatal mortality rate (37.2per 1,000 live births); a high percentage of low birth weights (7.2%); and a low prevalence rate of most or moderately effective contraceptive usage (56.3%), all of which have targeted reductions in our new grant cycle. Geographic limitations to a full range of contraceptive services, that are particular to FSM, relate to its widely dispersed islands with pockets of populations residing on them with infrequent shipping and poor communication services. This barrier is a priority to be addressed during this grant cycle by increasing services to the hard-to-reach populations through adding new telehealth stations to the existing telehealth stations setup during the COVID-19 preparation in the FSM. The Family Planning Title X program will continue to address issues relating to those women at risk by virtue of their age, parity, spacing, marital status and/or physical health, e.g. fetal deaths. However, the high priorities to be particularly addressed during this grant period are the vulnerable population of teenagers or adolescents and the hard-to-reach populations on the outer islands through using telehealth stations. Attention will be focused on promoting most or moderately effective methods through patient- centered, non-coercive education and counseling through the Pohnpei State Telehealth Network. This 1 year grant will allow for the FSM Family Planning Unit to assess the feasibility of expanding the telehealth network in the other three states and scale up the project through lessons learned from this grant so that all outer island communities and hard-to-rea
ch populations can benefit from expanded family planning services in the nation.