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Developing and Testing a Research-Based, Provider-Informed Screening Tool to Improve Infertility Risk Assessment in Title X Clinics

Award Number: FPRPA006077
ORGANIZATION: OFFICE OF POPULATION AFFAIRS/OFFICE OF FAMILY PLANNING
OPDIV: DHHS/OS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SOCIAL SCIENCE RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/30/2026
PERIOD OF PERFORMANCE END DATE: 09/29/2029

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Developing and Testing a Research-Based, Provider-Informed Screening Tool to Improve Infertility Risk Assessment in Title X Clinics - This project—which addresses OASH Priority Topics 1 (identification of root-cause infertility services), 2 (preconception health to support clients in achieving a healthy pregnancy), and 4 (delayed diagnosis of reproductive conditions affecting fertility, and informs Priority Topic 3 (chronic disease and exposure-related risk factors)—aims to increase early identification of fertility-affecting conditions among Title X clinics by developing and testing a novel research- and provider-informed screening tool designed for use in Title X settings. Title X clinics are often among the few points of contact a young person has with the health care system during the years when reproductive health conditions that affect fertility first present and when a brief, well-timed conversation could influence future reproductive health and pregnancy outcomes. However, while Title X providers are uniquely positioned to identify early signs of fertility-related risk and support clients’ reproductive goals, infertility-related risks are not currently systematically assessed during routine Title X visits. Providers regularly contend with a number of key challenges and gaps, including incomplete or inaccurate client recall and limited consideration of male spouse or partner-related risk factors. To address these gaps, Child Trends will work with the Office of Population Affairs to complete three objectives to increase Title X providers’ knowledge of and confidence in identifying root-cause infertility risk factors. First, we will characterize current trends in infertility-affecting conditions and infertility screening practices in Title X clinics through a review of existing literature and screening instruments, a secondary analysis of data from the National Survey of Family Growth, and a national survey of Title X providers. Second, we will develop a research- and provider-informed infertility risk screening tool that incorporates critical spouse/partner health and client cycle-tracking data, drawing on in-depth interviews and co-design sessions with Title X providers. Finally, we will pilot and refine this tool in 3-5 Title X clinics, disseminating findings and results broadly. Ultimately, this project will leave the field with practical knowledge and resources that currently do not exist: a clearer national picture of how early reproductive symptoms in this population connect to later fertility outcomes; a documented set of promising provider practices in recognizing infertility risk factors during preconception and infertility-related visits; and a brief, practice-informed screening tool that incorporates critical and often-missed information, which Title X clinics nationwide can feasibly adopt within existing visit structures.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $3,905,264 )
2026	2026	CHILD TRENDS, INCORPORATED	12300 TWINBROOK PKWY STE 235	ROCKVILLE	MD	20852	MONTGOMERY	USA	Family Planning Service Delivery Improvement Research	00	1	9/30/2026	NEW	$3,905,264
														Subtotal = $3,905,264

Grand Total All Awards = $3,905,264

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Developing and Testing a Research-Based, Provider-Informed Screening Tool to Improve Infertility Risk Assessment in Title X Clinics

Award Number: FPRPA006077

ORGANIZATION: OFFICE OF POPULATION AFFAIRS/OFFICE OF FAMILY PLANNING

OPDIV: DHHS/OS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SOCIAL SCIENCE RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/30/2026

PERIOD OF PERFORMANCE END DATE: 09/29/2029

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