Welcome to the Toolkit

The Quality Family Planning Recommendations (QFP), developed collaboratively by the Centers for Disease Control and Prevention (CDC) and the Office of Population Affairs (OPA), outlines how to provide quality family planning services, which include contraceptive services, pregnancy testing and counseling, helping clients achieve pregnancy, basic infertility services, preconception health services, and sexually transmitted disease (STD) services. The goal of the QFP is to support agencies in offering family planning services that will help women, men, and couples achieve their desired number and spacing of children and increase the likelihood that those children are born healthy, and improve their health if they choose to not have children.

The goal of this toolkit is to support staff at Title X-funded agencies to implement the QFP recommendations. Explore the QFP Training Package for additional training and resources about these recommendations.

 

The resources in this toolkit can be used in any order, according to needs and priorities. Title X grantees may consider including these trainings in their training plan for Title X staff. Title X service site staff, when logged into the FPNTC website, can obtain certificates of completion for many trainings in this series. The trainings and supplemental materials included in this toolkit support staff in the following tasks:

  • Determining the Client’s Need for Services
  • Discussing Reproductive Goals
  • Pregnancy Testing and Counseling
  • Contraceptive Counseling and Education
  • Support for Achieving Pregnancy
  • Basic Infertility Services
  • Preconception Health Services
  • STD Services

 

Family planning clients may need a range of services, in addition to their stated reasons for a visit. For clients seeking to prevent or achieve pregnancy, providers should assess whether they need other related services and offer them. When clients visit a health care provider for a reason not related to preventing or achieving pregnancy, the provider should address the client's primary reason for the visit but also assess the client's need for services related to preventing or achieving pregnancy and address those needs.

Action Steps Supportive Resources
  • Describe the QFP recommendations for determining the client’s need for family planning services
  • Transition from addressing the client’s stated reason for a visit to exploring the need for additional family planning or related preventive health services
  • Describe how the Clinical Pathway can be used as a framework to help determine the client’s needs for services

Putting the QFP into Practice Series: How to Begin—Determining the Client’s Need for Services Webinar

  • Determine the Clinical Pathway for family planning services for women and men of reproductive age

 

Clinical Pathway for Family Planning Services Chart

Discussing reproductive goals with all clients can help guide the provision of their care. For clients whose initial reason for seeking services was not related to preventing or achieving pregnancy, asking questions about their reproductive goals may help identify unmet reproductive health care needs. Asking the question, “Do you think you would like to have (more) children someday?” will likely lead to more discussion about options for preventing or achieving pregnancy.

Action Steps Supportive Resources
  • Describe the QFP recommendations for discussing the client’s reproductive goals during a family planning visit
  • Integrate reproductive life planning into clinical care in order to guide the provision of family planning services

 

Putting the QFP into Practice Series: Integrating Reproductive Life Planning into Your Family Planning Session Webinar

Pregnancy testing is a common reason for clients to visit family planning service providers. Family planning providers should offer pregnancy testing and counseling as part of core family planning services, in accordance with recommendations of professional medical associations, such as the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP). Options counseling should also be provided in accordance with recommendations from professional medical associations.

Action Steps Supportive Resources
  • Describe the QFP recommendations for pregnancy testing and counseling as part of core family planning services
  • Identify key elements of a quality pregnancy testing and counseling encounter
  • Discuss how to explain the options available for pregnant women

Putting the QFP into Practice Series: Pregnancy Testing and Counseling eLearning

  • Demonstrate how to explain the options available for pregnant women

Exploring All Options: Pregnancy Counseling Without Bias Video

  • Answer common questions about adoption
  • Describe how to make an effective referral for adoption support

 

Adoption as an Option in Family Planning Settings Webinar

A key component of family planning services is providing contraception to clients who want to prevent pregnancy to help women and men plan and space births. If the client wants to prevent pregnancy, the provider should counsel according to the QFP recommendations for quality counseling. A shared decision-making approach to contraceptive counseling allows clients and their providers to make health care decisions together that take into account best scientific evidence, as well as clients’ values and preferences. The goal is to support clients so that they can make informed and good decisions for themselves.

Action Steps Supportive Resources
  • Describe QFP recommendations for quality contraceptive counseling and education
  • Identify personal biases that could influence contraceptive counseling
  • Use client-centered counseling skills to help clients identify contraceptive methods that are in line with their preferences

Quality Contraceptive Counseling and Education: A Client-Centered Conversation eLearning

  • Explain key facts about each contraceptive method to clients

Explaining Contraception for Healthcare Providers eLearning

  • Support clients to identify contraceptive methods that meet their preferences and priorities

 

Birth Control Methods Options Chart

Clients who are not pregnant and who are trying to become pregnant should be offered services to help achieve pregnancy or basic infertility services, as appropriate. Providers should advise clients who wish to become pregnant in accordance with the recommendations of professional medical organizations, such as the American Society for Reproductive Medicine (ASRM).

Action Steps Supportive Resources
  • Describe the QFP recommendations for providing support for clients who want to achieve pregnancy
  • Describe key messages for counseling women and men to maximize their ability to achieve healthy pregnancies
  • Identify questions that help determine if the client or couple also needs basic infertility, preconception care, STD services, and/or other resources

 

Putting the QFP into Practice Series: Achieving Pregnancy: Assessment, Counseling and Education Webinar

Providers should offer basic infertility care as part of core family planning services in accordance with the recommendations of professional medical organizations, such as ACOG, ASRM, and the American Urological Association (AUA).

Action Steps Supportive Resources
  • Describe the QFP recommendations for providing basic infertility services as part of core family planning services
  • Discuss methods to maximize natural fertility, including ovulation monitoring and coital practices
  • Describe components needed to assess the need for basic infertility services in a family planning clinic for women and men

 

Basic Infertility Protocol Job Aid

Providers of family planning services should offer preconception health services to all clients in accordance with CDC's recommendations to improve preconception health and health care. Preconception health services are beneficial because of their effect on pregnancy and birth outcomes and their role in improving overall health.

Action Steps Supportive Resources
  • Describe the QFP recommendations for integration of preconception health services

Family Planning and Related Services in Health Centers Technical Assistance Resource

  • Describes the clinical components of preconception care

The Clinical Content of Preconception Care Article

  • Identify strategies for providing preconception care as part of daily clinical practice

 

Before, Between, and Beyond Pregnancy Website

Family planning services include providing STD testing and treatment to prevent tubal infertility and improve the health of women, men, and infants. STD services should be provided in accordance with CDC’s STD Treatment Guidelines and U.S. Selected Practice Recommendations for Contraceptive Use.

Action Steps Supportive Resources
  • Describe the QFP recommendations for providing STD services
  • Describe the five steps in conducting a sexual health assessment
  • Identify techniques for delivering high-intensity behavioral counseling

Putting the QFP into Practice Series: STD Services in the Family Planning Setting Webinar