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Training Essentials for Title X Grantees

Introduction to Title X Title X Program Management

Welcome to the Toolkit

This toolkit provides Title X grantees with a summary of resources they may use to train their networks. All of the training resources are available on the Title X Family Planning National Training Center (FPNTC) and the National Clinical Training Center for Family Planning (NCTCFP) websites. The FPNTC and NCTCFP provide free training, technical assistance, and resources that support Title X agencies in delivering high-quality family planning and preventive health services. NCTCFP is specifically charged with providing clinical training to nurse practitioners, certified nurse midwives, physicians, and physician assistants.

Title X grantees can get connected to the FPNTC and NCTCFP in the following ways:

  • Sign up for our joint newsletter and training announcements.
  • Create an account on the FPNTC website to save resources for later, register for eLearning courses, and track and share completed training. Clinical staff should also register for the NCTCFP Health eKnowledge system to participate in clinical training.
  • Reach out to their assigned FPNTC grantee “Liaison” who will also check in with grantees periodically to share information and discuss grantee training needs and priorities.
  • Contact FPNTC or NCTCFP with questions.


Illustration of a group meeting in a medical office.

Title X grantees can review the foundational training resources provided in this toolkit and may consider using the resources to orient staff at subrecipient agencies as needed. Grantees may use the training resources in this toolkit in any order. The toolkit includes resources on the following topics:

  • Overview of Program Requirements
  • Clinical Guidelines
  • Required Training Topics
  • Reporting for Title X


The Program Requirements for Title X Funded Family Planning Projects were developed to assist current and prospective grantees in understanding and implementing the family planning grants program authorized by Title X of the PHS Act (42 U.S.C. 300 et seq.). The program requirements cover the various requirements applicable to the Title X Program, as set out in the Title X statute and implementing regulations (42 CFR part 59, subpart A), and in other applicable Federal statutes, regulations, and policies.

NOTE: On March 4, 2019, the U.S. Department of Health and Human Services published a final rule in the Federal Register that revises the regulations governing the Title X family planning program. The Program Requirements document and related source materials are currently being updated to reflect the revised regulations.

Action Steps Supportive Resources

Review the Program Requirements for Title X Funded Family Planning Projects.

Program Requirements for Title X Funded Family Planning Projects

Provide staff training on Title X statutory and regulatory requirements.

Title X Orientation: Program Requirements for Title X Funded Family Planning Projects eLearning

Review strategies for operationalizing Title X statutory and regulatory requirements.


Title X Program Review Tool

Providing Quality Family Planning Services: Recommendations of CDC and the U.S. Office of Population Affairs (QFP) offers federal evidence-informed guidelines for the delivery of family planning services. The QFP provides guidance for all reproductive health and primary care providers in how to provide quality clinical services to support women and men in preventing or achieving pregnancy. The QFP and Program Requirements documents together comprise the Family Planning Guidelines.

Action Steps Supportive Resources

Review the QFP.

Providing Quality Family Planning Services (QFP)

Provide staff training and resources for operationalizing QFP recommendations.

Putting the QFP into Practice Series Toolkit

Encourage clinicians to download an app that supports service delivery in accordance with the QFP.


Title X grantees are responsible for developing training plans for their networks, and for ensuring that Title X staff at network sites receive appropriate and adequate training in order to deliver services in accordance with Title X policies. Grantee training administrators can create training lists with the supportive resources below and track staff completion of these and other trainings on using the Training Tracking System.

Action Steps Supportive Resources

Review a summary of Federal Title X Training Requirements and relevant training resources.

Federal Title X Training Requirements Summary

Provide staff training on the basic components of family planning services.

Family Planning Basics eLearning

Provide staff training on how to encourage family participation in adolescent decision making.

Encouraging Family Participation in Adolescent Decision Making Training Guide

Provide staff training on how to counsel adolescents to resist sexual coercion and abuse.

Counseling Adolescents About Sexual Coercion and Abuse eLearning

Provide staff training on how to be in compliance with state mandatory reporting laws.

Mandatory Child Abuse Reporting in Title X-Funded Family Planning Settings: Instructions for Customizing and Delivering a State-Specific Training

Provide staff training on how to identify victims of human trafficking in a family planning setting and link them to appropriate services.


Human Trafficking in The Family Planning Setting Webinar

Annual submission of the Family Planning Annual Report (FPAR) is required of all Title X family planning services grantees for purposes of monitoring and reporting program performance. Grantees should review the FPAR Forms and Instructions in preparation of submitting data into the FPAR Data System. In addition to FPAR, grantees are also expected to keep the Title X Family Planning Clinic Database current.

Action Steps Supportive Resources

Provide training for relevant staff about the FPAR reporting requirement, including key FPAR terms and definitions and the FPAR reporting tables.

Understanding the FPAR Reporting Requirement

Provide training for relevant staff about how to prepare and submit a report in the FPAR Data System.

Submitting the FPAR Using the FPAR Data System

Update the Title X Family Planning Clinic Database immediately after any changes occur. Read responses to FAQs about the Clinic Database.