PsycINFO, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Sociological Abstracts and Social Service Abstracts. The searches focused on Title X and U.S. family planning services, using the keywords Title X, public funding, national family planning programs, family planning, reproductive health services, maternal health services, women’s health services, student health services, adolescent health services, evaluation studies, Medicaid, and community health centers. From approximately 2,000 articles, staff identified those relevant to the committee’s charge and created an EndNote database. Second, Title X documentation—including legislation, regulations, previous program evaluations (see Appendix D for a review), guidance documents (Program Review Tool, Title X Program Guidelines, Office of Population Affairs [OPA] Program Instructions), Family Planning Annual Report (FPAR) guidance, products resulting from Service Delivery Improvement Requests for Applications (RFAs) (past and present final reports), and the Program Assessment Rating Tool (PART) evaluation—were added to the committee’s EndNote database. The previous program evaluations were also used to identify relevant articles and documents. Finally, committee members, meeting participants, and the public submitted articles and reports. In total, the committee’s database of relevant documents included more than 200 articles and reports.


The committee hosted three public workshops to gather additional information on specific aspects of its charge. These workshops were held in conjunction with the committee’s December 2007 and February and May 2008 meetings. The first workshop was intended to provide an overview of the structure and purpose of the Title X program and the committee’s charge, which was discussed by representatives from the study’s sponsors. Several invited stakeholders shared their perspectives on Title X, particularly with respect to the scope of its services and how well it is serving its target populations. The second workshop focused on a variety of topics, including the place of Title X in a state’s overall health system and the perspectives of organizations that represent grantees and of current and former grantees and delegates. The third workshop addressed the role of Title X regional program consultants, drug pricing and its impact on the cost of operating Title X programs, and the measurement of quality in family planning services. Each workshop was open to the public. Individuals were invited to present information to the committee, answer questions from the committee and the audience, and participate in subsequent discussions. The agendas for these meetings are presented in Boxes A-1 through A-3.

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