Advancing Sexual and Reproductive Health and Rights
Perspectives on Sexual and Reproductive Health
Volume 44, Number 4, December 2012

Enhancing Service Delivery Through Title X Funding: Findings from California

By Heike Thiel de Bocanegra, Fran Maguire, Denis Hulett, Kathryn Horsley, Maryjane Puffer, Claire D. Brindis

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.

DOI: 10.1363/4426212




Heike Thiel de Bocanegra is assistant professor; Fran Maguire is analyst; Denis Hulett is statistician; and Claire D. Brindis is director and professor of pediatrics and health policy–all with the Bixby Center for Global Reproductive Health, University of California, San Francisco. At time of the study, Maryjane Puffer was director of clinical and community health programs; and Kathryn Horsley was program evaluation director–both with California Family Health Council, Los Angeles.