February 2023
RHNTC | eNews from the Reproductive Health National Training Center
New staff retention toolkit, resources for American Heart Month, and sex ed workshop recording

RHNTC Updates

NCTCFP Updates
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*NEW* Strategies for Creating a Supportive Work Environment for Sexual and Reproductive Health Staff Toolkit 
[instant download]

Retaining qualified staff has been a long-standing challenge for many sexual and reproductive health care agencies, a reality made worse by the COVID-19 pandemic. One strategy to improve staff retention is cultivating a connected and supportive work environment that centers staff engagement and development. With the understanding that family planning staff have limited time, energy, and resources, this toolkit offers those in management roles—such as Title X program managers, administrators, clinic directors, and HR staff—actionable approaches to developing an open, responsive, and supportive work environment. This toolkit can help Title X agencies create more supportive work environments for family planning staff, with the broader aim of increasing retention of qualified staff. Explore the toolkit.

Recognizing American Heart Month

February is American Heart Month, which aims to raise awareness about heart disease and what you can do to prevent it. The RHNTC and NCTCFP have compiled tools that can support providers in reproductive health care settings in implementing best practices for hypertension prevention, diagnosis, and control. Explore these and other resources:

  • Recognize Postpartum Warning Signs Poster: This poster reminds staff and clinical services providers to ask the screening question, "Are you pregnant, or have you been pregnant in the past 12 months?” and to flag urgent maternal warning signs to reduce chance of missing postpartum warning signs like for cardiomyopathy that can lead to maternal mortality.
Workshop Recording: From Approval to Action: Mobilizing Continued Parental Support for Sex Education 
[1.25 hours]

Statewide policies requiring comprehensive sex education (CSE) have been associated with better sexual health outcomes among youth, yet advocates for CSE often cite a perceived lack of support from parents or perceived controversy as a barrier to implementing CSE in schools. This workshop highlighted findings from recent research conducted with a sample of parents regarding their support for sex education in school. Findings suggest strong parental support for CSE covering a wide range of content to meet students’ needs, and support advocacy and action to advance state legislation requiring CSE and underpinning the use of national sexuality education standards by grade. Watch the recording.
Updates to the Federal Poverty Level for 2023 
[instant download]

The Title X Handbook stipulates that clients with household incomes at or below 100% of the federal poverty level (FPL) must not be charged for Title X-funded services, and that clients with household incomes between 101% and 250% of the FPL be charged in accordance with a schedule of discounts based on ability to pay for. In January, the Department of Health and Human Services released new Poverty Guidelines for 2023. Title X agencies can use the resources below to adjust their sliding fee discount scales: 

Strengthening Infertility Services in Title X Programs Webinar
Thursday, February 23 at 3–4pm ET

Basic infertility services are a core component of providing quality family planning services within the Title X Program. This webinar will provide an overview of the scope of basic infertility services within Title X projects along with strategies that strengthen the provision of infertility services to support clients in their reproductive goals. Participants will also learn about the role of Title X projects in providing quality, accessible, and equitable basic infertility services as an important component of the broader system of care for fertility assistance and infertility services. Speakers will share resources from the RHNTC and the NCTCFP that can help family planning agencies and staff strengthen their provision of infertility services. Register for the webinar.

Supporting Telehealth Implementation: Office Hours for Title X Grantees 
Wednesday, March 15, 2023 at 3–4pm ET

Are you a Title X grantee looking to improve telehealth service delivery or use recently-awarded OPA funds to expand telehealth services? Join us for a one-hour session that will help you connect with your peers and with Telehealth Resource Center (TRC) representatives—experts who provide telehealth-related technical assistance—across the country! Bring your questions, challenges, and best practices to share. Register for office hours. 

This office hour is available only to Title X grantees and participants will be approved after registering through Zoom.

Understanding Vasectomy Services in Title X Family Planning Clinics

The NCTCFP is conducting a research study about vasectomy services in Title X family planning clinics. They are exploring models of care and assessing challenges and trends to better understand and address the vasectomy service needs among Title X entities.

If you are or know of a Title X entity that provides vasectomy services, either in the clinic or through referral, NCTCFP invites you to participate in a 75-minute small group interview. Participation in these interviews is voluntary and participants will be compensated $150 for their time.

Please complete this brief form to identify an interview time that works for you. Email Stephanie Spitz at with referrals and questions.  

Early Pregnancy Pain and Bleeding Resources 

The NCTCFP just released new resources on pain and bleeding in early pregnancy, including a virtual coffee break eLearning course (0.25 CNE available) and a clinical protocol template.

New Podcast Episode: The Gendered Burdens of Pregnancy Prevention 

In the fifth episode of the NCTCFP’s Reproductive Justice podcast series, the NCTCFP talks with Dr. Krystale Littlejohn, sociologist and author of the book Just Get on the Pill, about how pregnancy prevention is seen as gendered and how this creates an uneven burden on women. Episodes can be downloaded or streamed to your device. Listen to the podcast.

New Podcast Episode: Updates on Common Codes for IUD-Related Services 

In the latest episode of the NCTCFP’s Coding with Ann podcast series, Ann Finn provides updated guidance on common codes used when billing for IUDs and IUD-related services. Episodes can be downloaded or streamed to your device. Listen to the podcast.

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