Attachment B_RESEARCH QUESTION AND DATA SOURCE CROSSWALK

attachment B
RESEARCH QUESTION AND DATA SOURCE CROSSWALK

Research Question and Data Source Crosswalk for the Title X Implementation Study

Goal and Research Questions		Data sources
	1. Grantee web survey	2. Grantee interview topic guide			3. Listening visit topic guide for clinic administrators		4. Listening visit topic guide for clinic service provider	5. Listening visit topic guide for community partner and outreach staff	6.Client survey			7. Subject matter expert Topic Guide
Goal 1: Describe how Title X grantees ensure access to equitable, client-centered quality family planning services
1.1 What does a clinical encounter look like in different contexts?		X		X		X				X
1.2 What service delivery strategies are in place to ensure delivery of affordable, client-centered, quality family planning by Title X grantees and their sub recipients and/or service sites?	X	X		X		X		X				X
1.3 How do the types of Title X services vary by sub recipients and/or service sites?	X	X		X		X
1.4 What are the key client characteristics and needs among grantees, sub recipients and service sites?	X	X		X		X		X		X
1.5 What clinical, financial and/or administrative factors related to the Title X program facilitate or challenge delivery of services?	X	X		X		X				X		X
1.6 What societal, economic, physical, and structural factors facilitate or challenge delivery of services?	X	X		X		X				X		X
1.7 What additional topics or strategies would benefit from future research and/or documentation?		X										X
Goal 2 Describe the steps that Title X grantees take to provide clients from diverse communities equitable access to affordable, high-quality, client-centered health services
2.1 What strategies have grantees, sub-recipients and service sites used to reach diverse populations with delivery of, high quality, client-centered services (e.g. adolescents, LGBTQ+, indigenous communities, persons with limited English proficiency, remote and rural populations)?	X	X		X		X		X					X
2.2 What types of community engagement strategies do grantees, subrecipients and service sites implement to raise awareness in the community and to ensure that services are delivered in ways that are accessible to communities?	X	X		X				X
2.2.1 How do grantees, partners and clients characterize client-provider interaction. What suggestions do they have to improve client-provider communication?		X		X		X				X			X
2.2.2 How do they engage with clients and partners in diverse communities to raise awareness and to deliver services in accessible ways?	X			X				X		X
2.2.3 What strategies have been more successful, less successful and/or most challenging, and how do these vary by different contexts?				X		X		X				X
2.2.4 What clinical, financial, and/or administrative factors related to the Title X program facilitate or challenge grantees’ engagement with diverse communities?	X	X						X
2.2.5 What societal, economic, physical, and structural factors facilitate or challenge grantees’ engagement strategies?	X							X				X
2.3 What are key areas for improvement highlighted by Title X grantees, subrecipients, service sites and/or clients?	X	X		X		X		X		X		X
2.3.1 What concrete steps can Title X grantees, services sites, and their partners take to improve clinical encounters and increase delivery of client-centered care?		X				X		X		X		X
Goal 3: Describe pivots and accommodations made by Title X grantees and sub-recipients to provide care in recent years1, including during the pandemic
3.1 How did the COVID-19 pandemic affect grantees, subrecipients and service delivery sites?	X		X	X		X		X			X
3.1.1 What worked and what worked less well?			X	X				X			X
3.2 What innovations and possible solutions can inform efforts to provide equitable access to quality and client-centered family planning services?	X		X					X			X
3.3 What specific adjustments did grantees, sub-recipients and service sites make to foster equitable access and address challenges to continuous service delivery over the last several years, including those emerging as a result of the pandemic?	X		X	X						X
3.3.1 What worked and what worked less well?			X							X
3.4 Which of these adjustments have Title X grantees, sub-recipients and service delivery sites now integrated into standard practice?	X		X	X		X		X
Goal 4: Document grantees’ self-assessments of impact and highlight best practices
4.1 How do Title X grantees monitor and evaluate effectiveness for meeting clients’ needs for quality, affordable family planning services?	X		X	X		X		X
4.2 To what extent do grantees use FPAR data to assess their efforts towards achieving equitable access to quality family planning services?	X		X	X		X
4.2.1 In addition to FPAR, what other types of data or processes do Title X grantees rely on to assess their impact?				X		X		X
4.2.2 What is working and what is not working?			X	X		X
4.3 How do grantees, sub-recipients and service sites ensure federal quality of care standards are being met?	X	X		X		X
4.4 How do grantees, sub-recipients and service sites think data-gathering and evaluation efforts to document their work could be improved and supported by OPA?		X		X		X
4.5 What are key areas for improvement highlighted by Title X grantees, subrecipients, service sites and/or clients?		X		X		X		X			X

1 Data will focus on grantee and service site experiences starting in FY2022.