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North Carolina Department of Environment, Health, and Natural Resources Division of Maternal and Child Health P.O. Box 27687 * Raleigh, North Carolina 27611-7687 James G. Martin, Governor William W. C. obey, Jr., Secretaw 30, 1991 Ann E Wolfe, M.D., M.EH. Director Kevin Ryan, M.D., M.P.H., Chief Wclmen's Health Section William Brown, Assistant Mead [~ Woman's Preventive Health Branch SUBJECT: Distribution of Family Planning Fur~ Rlle attached Cable shows the amount of FY92 Family Plannin~ expansion fur~g for your agency, along with Jordan-Adams increases not included in last sprir~'s FY92 b~4ge~ta~y, gt~ic~. Please initiate a Family Planning budget revision for a(n) $~'~ [~ imcrease in DE~NR funding, as shown above, after you _reoe__ive detailed guidanoe fr~u the Division of Ger~ Services. Blank budget forms will be included in that mailing, which will soon follow. ~ FY92 Family Planning expansion fttm4~ w~re part of the I31fant Mortality Reduction package enacting_ by the 1991 ~ As~iy. We feel it is very significant that the legislature ba~ D=o73~zed in tht~ way the oontribution family plannir~ services make to infant l~or4"Ality reduction. ~he fur~ have been di-~tribut~ using the "equity" process with irNolvement of the Local M~alth Directors' Association and Division of Matarr~l and Child F~mlth staff. We recognize that the demar~-~ on local health departments for family planning services are great. Most of yo~ could spend ~any times the arxalnt awarded here and still not fully ~t the ~ds of your population. In allocatir~ tb_~-~e funds, we a~k you to consider two factors. First, we feel there is a legislative rear-ate to use these funds to pl-~te the p~-uvision of family plannir~ services to those at highest risk for poor birth ~.. To do so would be to maximize the impact of these resources on infant morbidity and mortality. Interventions of this sort would include ~ore aggressive outreach to wc~en at higb~-_~-t ri~k for poor birth out___comes., expanded preoonceptioDal risk assessment and increased interconceptior~l counseling. Second, allocation of Title X dollars is based in large part on performar~e__~. In order to capture more Title X dollars, we must serve a higher percentage of the population in r~ of family planning servioes. Effective use of tb_~e fur~-~ to increase the number of patients served will allow us to pull down more Title X dollars and reverse the trend of recent years.