What Is the Direction of Public Health Nationally, and How Does Louisiana Compare

Louisiana Department of Health and Hospitals Office of Public Health Family Planning

What is Family Planning? Family planning helps people space births Who are the Recipients of These and plan pregnancies to ensure Services? positive birth outcomes and a healthy The program services are available to all start for infants. who want and need them with priority given to low-income persons. No one is denied Purpose/Goals services based upon inability to pay. It is the goal of the Family Planning Program to reduce female and infant Funding Source mortality, morbidity, and teen pregnancy, In Louisiana, family planning services are and to provide individuals and families the provided through federal grants (Title X and information and means to determine the Title V), Medicaid funds (Title XIX), patient number and spacing of their children. fees based on a sliding fee scale, and state funds. What Services are Provided? 1% Family planning services include physical exams, laboratory tests, counseling, and Fe deral education, as well as community-wide 38% initiatives. Specifically: Direct State/Local  Physical exams, pregnancy testing, health 61% screenings, laboratory testing, Self prescriptions, referrals, nutrition Ge ne rated counseling and contraception. Abortion is a prohibited service. Abortion is not a family planning method. The broad range For every dollar spent on family planning of services does not include abortion as a services in Louisiana, an estimated $12 is method of family planning. saved in costs associated with unintended pregnancy.  Education and information on reproductive health. Louisiana’s National Rank  Abstinence counseling. Between 1991 and 2005, the national teen birth rate declined 34%. The teen  Health promotion services and referral to birth rate in Louisiana declined 35% appropriate health care providers. during the same time period. The  Community outreach, coordination, and decline resulted in an improvement in referral with community agencies. the state’s poverty rate for children under age 6, and an improvement in the  In-service, performance-based, and proportion of children under age six content-focused training to family living in a single-mother household. planning staff and community volunteers throughout state.

Louisiana Department of Health and Hospitals Office of Public Health Family Planning

Program Accomplishments  In July 2008, FPP, in collaboration with The Family Planning Program (FPP) MCH Program, began offering folic acid provides family planning services in 69 tablets to all female clients capable of Parish Health Units and 6 contracted sites becoming pregnant to help prevent birth around the state. defects.  In 2008, the Family Planning Program provided services to 60,079 women and  APRN’s and MD’s statewide were men. trained in Implanon insertion and removal.  90% of users had incomes at or below 100% of the poverty rate.  APRN’s and MD’s statewide were  25,343 Pap smears performed to screen trained in IUD insertion and removal. for cervical cancer.  Changed to liquid based pap testing.  8,477 clients counseled and tested for HIV.  Successfully negotiated contract to  36,382 women taught how to do begin additional laboratory service of monthly self-breast exam. Human Papillomavirus (HPV) Relfex testing for women.  75,041 women and men tested for  Installed Automated Field Testing Gonorrhea, Chlamydia, and Syphilis. Interface System (AFTIS) in all clinic  13,458 men and women reached in one- locations, to report test request and on-one educational outreach sessions. results, statistical and demographic analysis, and reports.  Expanded Family Planning formulary.

 Updated the pharmaceutical section of  46,376 applications received and 38,870 the COMPASS Encounter form to applications approved for the Medicaid include folic acid. Waiver Program.

 139 Private Providers and the 10 State  Updated OPH Portal website for FPP to Hospitals provide family planning include the Medical Manual, services through the Take Charge Administrative Manual, Consent Waiver Program. forms/instructions, and newsletter.

 Translated into Spanish and applicable  Developed the male consent form. languages client consent forms and health education materials.