Promotion of abstinence education and family involvement messages to minors seeking services,
Provision of acceptable and effective methods of contraception, and
Pre-conceptional counseling.
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Describe how this service supports the agency mission
This service area is directly aligned with the mission of the Virginia Department of Health to promote and protect the health of Virginians by providing primary and secondary prevention, health promotion, diagnosis and treatment. Family planning allows sexually active persons the option of postponing children until they are financially, emotionally and physically able to bear the responsibilities of parenthood. Promoting abstinence as the only sure way of preventing unwanted pregnancies and sexually transmitted infections among those not married. Prevention of teen pregnancy helps teens to meet education and career goals prior to childbearing, increasing their potential to become independent contributing citizens of Virginia. The development of sexual responsibility encourages healthy attitudes toward marriage and family.
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Describe the Statutory Authority of this Service
Code of Virginia § 32.1-2 requires the Virginia Department of Health to administer a comprehensive program of preventive, curative, restorative and environmental health services, including prevention and education activities focused on women’s health.
Code of Virginia Section 32.1-11 authorizes the Board of Health to formulate a program of environmental health services, laboratory services and preventive, curative and restorative medical care service, including home and clinic health services.
Title X of the Public Health Service Act, 42 U.S.C. 300, et, seq
Public Law 91-572, Section 1001.
Title X (42 CFR Part 59, Subpart A) – Regulations governing Title X set out the requirements of the Secretary of Health and Human Services, for the provision of family planning services funded under Title X and implement the statute as authorized under Section 1001 of the Public Health service Act.
Federal Title X funding for family planning agencies originates from the Family Planning Services and Population Research Act of 1970, P.L. 91-572. This law was amended in 1975 and 1978 to require Title X projects to provide access to natural family planning, infertility, and adolescent services. These amendments require that economic status not be a deterrent to receiving family planning services.
Code of Virginia §54.1-2969 - States that a minor shall be deemed an adult for the purposes of consenting to services related to birth control, pregnancy or family planning and the diagnosis or treatment of venereal disease.
Virginia Department Health Policy, “Limits on Confidentiality for Minors Choosing 'Do Not Contact' Status” - Minor patients must be informed of the advantages of involving their parents or guardians in their medical care. The advantages of parental involvement include: provision of important medical history, assistance to the minor with making wise decisions, and potential for improving family relationships.
| Agency Customer Group | Customer | Customers served annually | Potential annual customers |
| Low income <250% of Federal Poverty Level individuals served | 62,686 | 388,030 | |
| Minority patients served | 31,274 | 138,230 | |
| Total Individuals served | 71,517 | 388,030 |
| Partner | Description |
| [None entered] | |
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Factors Impacting the Products and/or Services:
Service capacity is affected by available funding.
Access to care
Immigration of foreign-born persons has caused and is likely to continue to require adaptations to language and cultural barriers. -
Anticipated Changes to the Products and/or Services
Pap Smear technology advances will improve capability to diagnose and treat
Immunization against Human Papilloma Virus is now available. This sexually
transmitted virus is the most common cause for cervical cancer. The impact of the vaccine may not be seen in the near future.
Birth control technology will improve which is likely to attract more clients
Higher health care costs, fewer employers offering affordable health care insurance and the long term impact of economy recovery in the Commonwealth will increase the number of women seeking publicly funded family planning services.
In January 2008, Medicaid revised its Family Planning Waiver, now called Plan First, to include men and women at 133 % of the federal poverty level. As long as they remain income eligible, basic family planning services are available indefinitely. -
Listing of Products and/or Services
- Service Evaluation Determine customer satisfaction through annual survey. Maintain contact with area professionals to communicate and receive feedback of effectiveness of services being provided Monitor changes in demographics so the proper number of trained staff are available to serve customers. Also need to recognize shifts in customers who do not speak English so bilingual staff or volunteers are available
- Three kinds of prevention services are provided: primary, secondary, and health promotion. Prevention products and services are provided primarily through education and screening. 1. Primary Prevention Family Planning – this includes counseling involving specific intervention to protect against an unintended pregnancy, or to plan for a future pregnancy and sexual risk reduction. Abstinence promoted to teens and unmarried Current standard and acceptable contraception methods: Barrier methods, male & female condoms, vaginal foam, hormonal based method to include: birth control pills, transdermal patches or injections, Intrauterine device, Diaphragm, Vaginal Ring and female or male sterilization [on limited basis according to funding]. Risk reduction counseling including limiting number of sexual partners and safer sex practices. Pregnancy testing and management of early prenatal care Establish there is a pregnancy Refer to Social Services for Medicaid eligibility Refer for maternity care with delivery health care professional Preconception counseling and testing Infertility counseling and referrals 2. Secondary Prevention These screenings promote early case finding of blood pressure, breast & cervical cancer and infertility. This would include but not be limited to: Breast diseases including cancer Cervical Cancer screening Chlamydia and other sexual transmitted diseases Blood pressure checks and referrals 3. Health Promotion Nutrition Counseling Folic Acid supplements Fluoride supplements if appropriate BMI [Body Mass Index] assesses body fat Smoking cessation Referrals for Drug / Alcohol / Addiction Mental Health Referrals Dental Health Immunizations Hepatitis B for those at risk Flu immunization annually
- Community Involvement Information dissemination on populations being served. Outreach efforts to at risk populations and the community at large Recruitment of medical providers/facilities (voluntary sterilization program) Partnerships, collaborations, and coalition building with community agencies/providers/programs both internal and external.
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Financial Overview
Local health department family planning services are funded by a variety of sources. The major source of funding is through the Cooperative Budget including both state and local matching funds. The service area receives state funds for the purchase of contraceptives and cervical cancer screening services. The service area also receives federal Title X funds to supplement family planning services in the local health departments.
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Financial Breakdown
FY 2011 FY 2012 General Fund Nongeneral Fund General Fund Nongeneral Fund Base Budget $8,005,874 $10,926,375 $8,005,874 $10,926,375 Change To Base $618,595 $0 $618,595 $0 Service Area Total $8,624,469 $10,926,375 $8,624,469 $10,926,375 Human Resources-
Human Resources Overview
[Nothing entered]
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Human Resource Levels
Effective Date Total Authorized Position level null Vacant Positions null Current Employment Level 0.0 Non-Classified (Filled) Full-Time Classified (Filled) breakout of Current Employment Level Part-Time Classified (Filled) Faculty (Filled) Wage Contract Employees Total Human Resource Level 0.0 = Current Employment Level + Wage and Contract Employees -
Factors Impacting HR
[Nothing entered]
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Anticipated HR Changes
[Nothing entered]
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Human Resources Overview
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Maintain the number of individuals served who are in need of publicly funded family planning services.
Objective DescriptionLocal family planning services provide primary and secondary prevention, as well as health promotion, diagnosis and treatment. Family planning counseling is an example of primary prevention. The counseling involves specific intervention to protect against an unintended condition (pregnancy), or to plan for a future pregnancy. This is a voluntary program that offers all men and women in the Commonwealth, regardless of financial status, a means to exercise personal choice in determining the number and spacing of their children. Secondary prevention such as Cervical Cancer screening or Chlamydia screening promotes early case finding for cervical cancer and infertility. Health promotion activities such as nutrition counseling, smoking cessation, and behavioral risk reduction counseling all focus on activities that increase a person’s overall level of health and health awareness. Family planning services assist individuals in preventing sexually transmitted infections and play a major role in the early detection of breast and cervical cancer. Local family planning services also include: Promotion of abstinence education and family involvement messages to minors seeking services, Provision of acceptable and effective methods of contraception, and Pre-conceptional counseling.Alignment to Agency Goals
- Agency Goal: Promote systems, policies and practices that facilitate improved health for all Virginians.
Comment: This objective also aligns with Virginia's long term objective to inspire and support Virginians towards healthy lives and strong and resilient families.
Objective Strategies- Assure provision of family planning services which comply with state and federal Title X Family Planning Program requirements. Increase public awareness of local health department family planning services within the general community with a focus on hard to reach and high risk populations. Collaborate with community partners to provide access to health department family planning services for women in need. Provide a range of appropriate, affordable and safe contraceptive methods for women in need. Identify and address barriers to access such as language, transportation and appointment availability. Assess customer satisfaction with quality of health department services and modify as indicated.
Link to State Strategy- nothing linked
Objective Measures-
Number of individuals served
Measure Class:OtherMeasure Type:OutputMeasure Frequency:AnnualPreferred Trend:MaintainMeasure Baseline Value:74738Date:12/31/2004
Measure Baseline Description: Number of individuals
Measure Target Value:66801Date:6/30/2012Measure Target Description: Number of individuals
Data Source and Calculation: Virginia Department of Health Web VISION
- Agency Goal: Promote systems, policies and practices that facilitate improved health for all Virginians.
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Reduce the teenage pregnancy rate.
Objective DescriptionThe United States has highest pregnancy and birth rates of any industrialized country. The negative consequences of teen motherhood include: less likely to complete high school [only 32% of those with one child complete high school], dependent on welfare, more likely to have more children sooner on a limited income, and more likely to abuse or neglect the child. The negative impacts on the child include: Low birth weight and prematurity more likely, Higher percent of school failure, Insufficient health care, and Increased chance of being abused or neglected In the United States the teen birth rate declined steadily from 1960 through the mid-1970s, stayed fairly constant for the next decade, then increased 24 percent between 1986 and 1991. Between 1991 and 1999, the teen birth rate decreased 20% to a record low. This decline has continued into this century. Recently, the US teen birth rate increased 3% between 2005 and 2006. [National Campaign to Prevent Teen Pregnancy analysis of Henshaw, S.K., U.S. Teenage Pregnancy Statistics] Virginia has also seen a continual steady decline of teen pregnancy rates. In 2004 and 2005, Virginia's teen birth rate dropped to 26.5/1,000 compared to 1987 when the rate was 45.6/1000. The Virginia teen birth rate may be trending upward reflecting the national increase as the rates for 2006 and 2007 are 27.3/1,000 and 27.2/1,000. [Virginia Center for Health Statistics]Alignment to Agency Goals
- Agency Goal: Promote systems, policies and practices that facilitate improved health for all Virginians.
Comment: This objective also aligns with Virginia's long term objective to inspire and support Virginians towards healthy lives and strong and resilient families.
Objective Strategies- Promote abstinence as best choice for teens Provide intensive education about sexual health, making healthy choices and avoiding risky behaviors. Encourage family involvement in making decisions about sexual health. For teens choosing to be sexually active, provide information about contraceptive methods and help select the method best suited for them. Assess teen’s satisfaction with local health department services and modify as indicated. Identify and remove barriers to teens receiving local health department services such as transportation and appointment availability. Increase public awareness of health department services for teens Health fairs in private and public schools and colleges News articles Media coverage Develop community partnerships with public and private agencies, governing bodies, parents and youth to address teen pregnancy prevention.
Link to State Strategy- nothing linked
Objective Measures-
Teen pregnancy rate
Measure Class:OtherMeasure Type:OutcomeMeasure Frequency:AnnualPreferred Trend:DownMeasure Baseline Value:26.5Date:12/31/2004
Measure Baseline Description: Number per 1,000 for 10-19 year olds
Measure Target Value:26.2Date:6/30/2012Measure Target Description: Number per 1,000 for 10-19 year olds
Data Source and Calculation: Virginia Department of Health Center for Health Statistics
- Agency Goal: Promote systems, policies and practices that facilitate improved health for all Virginians.