Enhancing Service Delivery Through Title X Funding: Findings from California

CONTEXT: The federal Title X grant program provides funding for family planning services for low-income women and men. In California all clinics receiving Title X funds participate in the states family planning program Family PACT along with other public and private providers. The relative extent to which Title X-funded clinics and other Family PACT providers have incorporated enhancements beyond their core medical services has never been studied. METHODS: In 2010 a survey was sent to public- and private-sector Family PACT clinicians to assess whether funding streams were associated with the availability of special services: extended clinic hours outreach to vulnerable populations services for clients not proficient in English and use of advanced clinic-based technologies. Bivariate and logistic regression analyses controlling for potentially confounding factors were conducted. RESULTS: Greater proportions of Title X-funded clinics than of other public and private providers had Spanish-speaking unlicensed clinical staff (89% vs. 71% and 58% respectively) and Spanish-language signs (95% vs. 85% and 82%). Title X-funded providers were more likely than other public providers to offer extended clinic hours provide outreach to at least three vulnerable or hard-to-reach populations and use three or more advanced technologies (odds ratios 2.0-2.9). CONCLUSIONS: Compared with other Family PACT providers clinics that receive Title X funding have implemented greater infrastructure enhancements to promote access and improve the quality of service for underserved populations. This may be because Title X-funded providers have more financial opportunities to provide the array of services that best respond to their clients needs. Copyright (c) 2012 by the Guttmacher Institute.