Key Issues

In addition to the Program Priorities, the following key issues have implications for Title X services projects, and should be considered in developing the program plan:

1. Cost of contraceptives and other pharmaceuticals;
2. Efficiency and effectiveness in program management and operations;
3. Management and decision-making through performance measures and accountability for outcomes;
4. Linkages and partnerships with community-based and faith-based organizations;
5. Addressing CDC’s ‘‘Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health Care Settings,’’ and incorporating ‘‘ABC’’ concepts for HIV prevention counseling (that is, ‘‘A’’ for extramarital abstinence; ‘‘B’’ for be faithful in marriage or committed relationships; and, ‘‘C’’ for correct and consistent condom use. For individuals at increased risk for contracting or transmitting HIV, the message should include ‘‘A,’’ ‘‘B,’’ and ‘‘C’’;
6. The use of electronic technologies, such as electronic grants management capabilities, electronic health information infrastructures, electronic access to health quality information, and similar electronic systems;
7. Data collection (such as the Family Planning Annual Report [FPAR]) for use in monitoring performance and improving family planning services;
8. Service delivery improvement through translation into practice of research outcomes that focus on family planning and related population issues; and
9. Utilizing practice guidelines and recommendations, developed by recognized national professional organizations and Federal agencies, in the provision of evidence-based Title X clinical services.