2019 IMPACT REPORT
Planned Parenthood South Texas
Planned Parenthood South Texas
2020 BOARD OF DIRECTORS Elise Ring Boyan, Chair Merritt Clements, Vice Chair Catherine Payer, Treasurer Brian Steward, Secretary Kathy Armstrong, Immediate Past Chair Brooke Benson Laurie Greenberg, MD Alison Kennamer Ellen Lake
TABLE OF CONTENTS
Mina López Fernando Martinez, PhD Liz McFarland
On the cover: Suzy González We Rise Illustration, 2020 suzygonzalez.com
1 | Services We Provide 2 | Health Care Services in 2019
Don McRee, PhD
3 | Spotlight on… Long-Acting Reversible Contraception
Mayra Mendoza Patricia Morales Daniel Walker
4 | Spotlight on… Sexually Transmitted Infections
STAFF LEADERSHIP
6 | Who We Served in 2019
5 | Spotlight on… Stop Cervical Cancer
Jeffrey Hons, President & CEO Polin C. Barraza, RN, Senior Vice President & COO Angela Koester, Vice President for Community Engagement
7 | Habla Con Tu Hermana and Telehealth 8 | Our Values and Engaging Our Communities 9 | Health Care at Rio Grande Valley Health Centers 10 | Health Care at San Antonio Health Centers
Mission Statement: We provide and protect the
health care and information people need to plan their
Thank you to the following funders The work of Planned Parenthood South Texas is made possible through heroic philanthropy and community support, including:
families and their futures.
A grant from the Beulah M. and Felix J. Katz Memorial Trust and John L. Santikos Charitable Foundation of the San Antonio Area Foundation
www.ppsouthtexas.org
| 800-230-7526
Health Care Services GYNECOLOGY Pelvic exams; tests and treatment for vaginal infections and urinary tract infections; clinical evaluation of menopause and hormonal replacement therapy when indicated; clinical breast exams that can detect abnormalities, including the early signs of breast cancer; mammogram referrals.
PREGNANCY TESTING Urine, blood-based testing, and human chorionic gonadotropin (HCG) based testing (a critical test that helps diagnose an ectopic pregnancy).
ABORTION CARE The abortion pill and in-clinic procedures. In 2019, 74% of the abortion care we provided was medication abortion, and 94% of all abortion care was in the first trimester. We opened a second health center to offer abortion care just north of downtown San Antonio at 920 San Pedro Ave. in February 2019.
MALE SEXUAL HEALTH EXAMS Examination of the genitals and perianal region, including hydrocele, varicocele, and signs of sexually transmitted infections; clinical examination of the testicles to screen for abnormalities that could become cancer and patient instruction on performing self-examination.
GENDER-AFFIRMING HORMONE THERAPY Estrogen or testosterone for patients who are transgender, non-binary or gender-nonconforming. This service is available for patients 18 years old and older at all of our health centers.
BIRTH CONTROL Our focus since our founding in 1939. Includes condoms, several types of birth control pills, long-acting reversible contraceptives (IUDs and implants), the birth control shot, the vaginal ring, the hormonal patch, and emergency contraception.
STI TESTING AND TREATMENT Testing and treatment for sexually transmitted infections, including the latest rapid-based testing for some of the more frequently requested tests that can provide results at the time of visit.
STOP CERVICAL CANCER Pap tests to check cervical cells for abnormalities that may indicate cancer; human papillomavirus (HPV) tests to check cervical cells for the sexually transmitted infection that causes most cases of cervical cancer; the HPV vaccine; clinical evaluation of abnormal Pap test results; medical treatments to remove precancerous cells; patient navigation to immediate oncological care for women with invasive cancer.
REFERRAL FOR PRENATAL CARE AND ADOPTION Planned Parenthood respects all decisions by patients regarding their pregnancies. We provide patients who decide to continue their pregnancy with information and referrals for prenatal care and adoption services.
WELLNESS SCREENING Because we know that for many of our patients we are their only regular health care provider, all patients receive physical examination of chest, heart, lungs, abdomen, as well as testing for glucose (blood sugar), iron, and hypertension, as indicated.
PRE-EXPOSURE PROPHYLAXIS (PrEP) Prescription for daily medication to lower the risk of contracting the virus for people at higher risk of HIV infection.
FERTILITY SERVICES Diagnosis of common causes of infertility and provision of initial treatment options.
2019 IMPACT REPORT: HEALTH CARE SERVICES | 1
Planned Parenthood South Texas is one of the region’s leading providers of high-quality, affordable health care. People trust Planned Parenthood because we offer compassionate, expert care — without shame or judgment.
Health Care in 2019
20,722
23,527
our health centers
contraception
Patients served in
28,588 Tests for
sexually transmitted infections
Units of
provided
4,703 Pregnancy tests
32,988 Total visits to
our health centers
2,884
1,855
Stop Cervical Cancer
tests and procedures
METHOD
11,414
45,656
6 Vaginal ring 52 Hormonal shots 4,066 Hormonal implant 830 Copper IUD 154 Hormonal IUD 177 Total 23,527
24 208 48,792 215,800 96,096 64,428 473,754
Oral contraceptives (packs) Contraceptive patch
2 | 2019 IMPACT REPORT: HEALTH CARE & BIRTH CONTROL
TOTAL WEEKS OF PROTECTION
1,359 1,391
Emergency contraception
Different forms of birth control provide different amounts of protection against pregnancy. For example, a pack of pills provides four weeks of protection; the contraceptive shot provides three months of protection; the copper IUD provides up to 12 years of protection.
NUMBER OF UNITS
5,437 1,391
Condoms
Birth Control in 2019
Abortions
Spotlight on… Long-acting Reversible Contraception LARCs are growing in popularity among our patients because they
– last for years (5-12 years depending on the device) – are more than 99% effective
– don’t require a daily pill, so there’s little or no chance of user error – can be removed at any time.
THERE ARE THREE TYPES OF LARCs:
The hormonal intrauterine device (IUD) is a small, T-shaped device placed inside the uterus to prevent pregnancy by releasing small amount of hormones into the body.
The overall unintended pregnancy rate in the U.S. decreased substantially from 2008 to 2011, due in part to the use of highly effective contraceptive methods like LARCs (source: Guttmacher Institute). However, LARCs can cost up to $900, making them prohibitively expensive for many patients. We want patients to choose the contraceptive method that’s best for their bodies and their circumstances, not simply use the only method they can afford. With that in mind, we created patient assistance funds to help keep these contraceptives affordable for our patients. Support from donors and foundation partners allows us to give a greater measure of reproductive justice to women who are economically disadvantaged by helping them obtain LARCs on a sliding fee scale. Because LARCs are effective for such a long time, even though LARCs accounted for only 5% of the total contraceptive units provided in 2019, they offered 79% of the weeks of protection.
Actual size
The copper IUD is similar to the hormonal IUD but does not release any hormones. Instead, it uses copper wire to prevent pregnancy. Actual size
The implant is a small, flexible rod that goes under the skin of the upper arm and releases hormones into the body.
Actual size
2019 IMPACT REPORT: SPOTLIGHT ON...LONG-ACTING REVERSIBLE CONTRACEPTION | 3
Spotlight on… Sexually Transmitted Infections Across the nation, sexually transmitted infections (STIs) have been on the rise in recent years. Combined cases of the three most commonly reported STIs— syphilis, gonorrhea and chlamydia—reached an all-time high in the United States in 2018, according to the Centers for Disease Control and Prevention (CDC). Factors contributing to the overall increase, according to the CDC, include drug use, poverty, stigma, and unstable housing; decreased condom use among vulnerable groups, including young people and men who have sex with men; and cuts to STI programs at the state and local level. STI testing is one of the most accessed services at Planned Parenthood. We offer testing for gonorrhea, chlamydia, HIV, syphilis, herpes, HPV, and trichomoniasis at all our health centers. We process some STI tests at our health centers; we process others at our high-complexity lab at PPST’s headquarters at 2140 Babcock Road in San Antonio. We offer treatment for most STIs and provide referrals to the local health department (in Bexar or Cameron counties) or other providers for HIV and syphilis. TESTS Chlamydia Gonorrhea Trichomoniasis HIV Syphilis Herpes HPV Total STI tests
NUMBER
6,757 6,757 6,547 4,008 3,531 1,264 724 29,588
Testing and treatment for STIs is crucial in order to stop the spread of infections. Left untreated, STIs can put people at risk for severe, lifelong health challenges such as chronic pain and infertility, as well as problems with sexual functioning. STIs can also be passed on to a fetus in utero or during birth, causing severe health challenges. PPST is proud that testing for chlamydia, gonorrhea and syphilis — the most commonly reported STIs, which are on the rise — increased by a combined 7.6% from 2018 to 2019. In addition to testing and treatment, we provide education to patients and the community about STI prevention.
4 | 2019 IMPACT REPORT: SPOTLIGHT ON...SEXUALLY TRANSMITTED INFECTIONS
Spotlight on… Stop Cervical Cancer Stop Cervical Cancer is our effort to reduce deaths from cervical cancer. It includes: • V accines to prevent human papillomavirus (HPV), the STI that is the root cause of virtually all cases of cervical cancer • HPV tests • P ap tests to check cervical cells for abnormalities that may indicate cancer • C olposcopies (examination of the cervix using a magnifying instrument) and biopsies to detect and diagnose pre-cancerous cells • L oop Electrosurgical Excision Procedure (LEEP) to remove abnormal cells before they become cancerous • R eferrals and patient navigation for immediate oncological care when we identify women with invasive cancer. PROCEDURE Pap tests HPV tests Coloscopies HPV vaccinations Total SCC services
2019
1,836 724 104 220 2,884
Incidence rates for cervical cancer in the U.S. dropped by more than 50% in the last 50 years due in part to an increase in screenings. Unfortunately, disparities persist. The incidence of cervical cancer among Latina women in the United States is almost twice as high as the incidence among non-Latina white women, according to the National Latina Institute for Reproductive Health, because Latinas experience persistent systemic barriers to cervical cancer prevention, screening, and treatment. National guidelines regarding cervical cancer screenings have changed in recent years. In general, annual Pap tests are no longer recommended for everyone. How often a patient should receive a Pap test depends on age, medical history, and the results of the patient’s previous cervical cancer screenings. Many patients with normal test results are recommended for re-testing only every three to five years. The Pap test plus an HPV test (called co-testing) has been found to be more effective in detecting cervical abnormalities than Pap testing alone. Cotesting allows women to go longer periods of time between screenings. It ensures abnormalities will be detected in time to treat them while also reducing the detection of HPV infections that would have gone away on their own.
2019 IMPACT REPORT: SPOTLIGHT ON...STOP CERVICAL CANCER | 5
Who We Served in 2019
Total Patients Served by Health Center
MALE
12%
RIO GRANDE VALLEY HEALTH CENTERS 870 E. Alton Gloor Blvd., Suite B Brownsville, TX 78526-3364 (956) 546-4571
GENDER
1,751 patients
712 N. 77 Sunshine Strip, Suite 18 Harlingen, TX 78550-8897 (956) 423-8584
FEMALE
88%
2,242 patients
SAN ANTONIO HEALTH CENTERS 2140 Babcock Road San Antonio, TX 78229-4424 (210) 736-2262
30-44
25-29
26%
22%
AGE 18-24
43%
3,530 patients
45 or OLDER
5%
17 or YOUNGER
4%
RACE/ ETHNICITY
Anglo/ Non-Hispanic White
16% Black
Hispanic/ Latino
66%
2,830 patients
11514 Perrin Beitel Road San Antonio, TX 78217-2113 (210) 590-0202
3,169 patients
Did not report
6%
8725 Marbach Road, Suite 215 San Antonio, TX 78227-2378 (210) 674-2222
8%
Asian
2%
Other
2%
Gender and race/ethnicity are self-reported by patients based on how they identify.
6 | 2019 IMPACT REPORT: WHO WE SERVED & TOTAL NUMBER SERVED
920 San Pedro Ave., Suite 100 San Antonio, TX 78212-5838 (210) 736-2475
3,546 patients
920 San Pedro Ave., Suite 150 San Antonio, TX 78212-5838 (210) 806-0324
882 patients
2346 E. Southcross Blvd. San Antonio, TX 78223-3226 (210) 333-5454
2,772 patients
Our Habla Con Tu Hermana outreach and patient navigation program educates underserved Latina women in Cameron County about sexual and reproductive health and connects them with care at no cost to them. Three promotoras (state-certified community health workers) deliver educational presentations to groups throughout Cameron County. Topics include family planning, breast health, cervical cancer prevention, HIV and other sexually transmitted infections, and talking to your kids about sexual health and responsibility. Promotoras participate in health and resource fairs held by other community organizations, and they hold Clinica Festival health fairs outside Planned Parenthood health centers. The promotoras also serve as patient navigators to connect people to care. People who do not have the resources or insurance to pay for health care receive vouchers to cover the cost of services during a visit to our health centers in Harlingen and Brownsville. These vouchers allow patients to access care they might not otherwise be able to find or afford. ACTIVITY NUMBERS:
135 educational presentations
94 health fairs and other health promotion events 229 total events
¿Necesitas un examen?
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Número de tarjeta: Teléfono:
del centro de salud. so determinados por el gerente sustituida Los servicios que califican La tarjeta no puede ser Una sola vez se puede utilizar. en caso de pérdida o robo.
2,191 presentation participants 3,016 health fair participants 5,207 total participants 45 vouchers redeemed 2 51% redemption rate
Telehealth and Digital Education
More and more people are using Planned Parenthood’s mobile health app, PPDirect, to access birth control using their smartphone or other device. • T he app allows patients to request a prescription for birth control pills, the ring, or the patch for home delivery. • U sers also can request a prescription for UTI treatment to pick up at the nearest pharmacy, learn about different types of birth control, and make a health center appointment. • I n 2019, patients in South Texas used PPDirect about 600 times. These patients live throughout South Texas, in rural and urban areas. • T elehealth is the future, and Planned Parenthood is once again embracing innovation, leading by doing. For so many, Planned Parenthood is the only place young people can get accurate information about sex. In 2019, Planned Parenthood released Roo, a sexual health chatbot. The app allows users to find personalized information 24/7 anonymously. They also can be connected to additional resources, including live educators via Planned Parenthood’s chat/text program, as needed. Our own Planned Parenthood South Texas website (ppsouthtexas.org) offers a wealth of information about sexual and reproductive health. Planned Parenthood has also created a YouTube video series to model healthy communication for young people around consent, safer sex, and STIs, as well as other aspects of sexual health (youtube.com/user/plannedparenthood).
www.ppsouthtexas.org
2019 IMPACT REPORT: HABLA CON TU HERMANA & TELEHEALTH | 7
Our values and concerns
At Planned Parenthood South Texas, we believe that – birth control is a foundational aspect of planning a person’s future and creating a better life for every person and their family, now and for generations to come.
– everyone has a right to decide whether, when, and how many children to have. – everyone has the right to access high-quality prenatal care, adoption services, and abortion care.
– sexuality is a wonderful and beautiful part of being human, and sexual health care is essential to ensure a happy, fulfilling, and responsible love life.
– sexual health care must be provided with compassion and respect — no shame, no judgment. We also recognize that access to health care isn’t always enough for our patients to plan their families and their futures. Too often, our patients walk out of our clinics only to battle racism, sexism, and other forms of discrimination. Attacks on immigrants and the LGBTQ+ community are pervasive and unjust. Voter suppression limits the ability of citizens to make their voices heard. We recognize the inherent intersectionality of these values and concerns, and we commit to being a voice in support of patients, their overall well-being, and their dreams for a bright future. As such, we partner with community-based organizations to advocate for these issues because we know that we are in this together and we are stronger together. Together we fight for all.
Engaging our communities through advocacy and volunteerism PPST volunteers support our mission in many ways. They serve as safety aides for our patients, raise awareness of our work in the community, help at the reception desk and with administrative work, and serve as advocates for sexual and reproductive health care and rights. PPST volunteers represented Planned Parenthood at 72 events through San Antonio, Brownsville, and Harlingen and collected 3,018 supporter cards (far exceeding the 464 cards collected in 2018).
Volunteers allow PPST to extend its reach in communities and engage more supporters. In 2019, a total of 110 people volunteered at Planned Parenthood; together, they volunteered a total of 2,021 hours. The volunteer program was expanded to include the Rio Grande Valley (RGV) where 8 people volunteered in 2019. RGV volunteers and supporters made a significant show of public support for PPST by attending local meetings with city officials in both Harlingen and Brownsville. This public support was essential in helping PPST secure a grant from the City of Brownsville in 2019.
ADVOCACY Lobby Day: 66 advocates from San Antonio, Brownsville and Harlingen went to Austin to meet with lawmakers and show their support for reproductive health. They held 28 meetings with lawmakers and their staff. DIGITAL ADVOCACY # of Followers on: Facebook 5,857 (an increase of 16% in 2019) Twitter 1,061 (an increase of 11% in 2019) Instagram 1,162 (an increase of 87% in 2019) Social Media Engagement in 2019*: 38,119 * Engagement is an action taken, for example, a “like,” retweet, share, or comment on one of our posts
8 | 2019 IMPACT REPORT: PUBLIC AFFAIRS & HIGHLIGHTS
MALE
12%
HEALTH CARE AT RIO GRANDE VALLEY HEALTH CENTERS:
3,993 Patients served
GENDER
6,430 Total visits
FEMALE
88%
6,056
18-24
43%
Tests for sexually transmitted infections
974 Pregnancy tests Cervical Cancer 962 Stop tests and procedures
25%
AGE
nits of contraception 6,184 Uprovided
30-44
25-29
21%
45 or OLDER
9%
17 or YOUNGER
2%
Patient declined to answer
RACE/ ETHNICITY
24%
Other
1%
Hispanic/ Latino
75%
Brownsville health center 870 E. Alton Gloor Blvd., Suite B
Patients served in 2019
1,751
Harlingen health center
Patients served in 2019
712 N. 77 Sunshine Strip, Suite 18
2,242
2019 IMPACT REPORT: DETAILS OF RIO GRANDE VALLEY HEALTH CENTERS | 9
MALE
HEALTH CARE AT SAN ANTONIO HEALTH CENTERS:
16,729 Patients served 26,161 Total visits 17,343
13%
GENDER 87%
nits of contraception U provided
3,729 Pregnancy tests
top Cervical Cancer 1,922 Stests and procedures
1,855 Abortions
2%
RACE/ ETHNICITY
18-24
Anglo/ Non-Hispanic White
43%
45 or OLDER
4%
17 or YOUNGER
4%
21%
Native American
1%
Black
9%
Hispanic/ Latino
63%
27%
AGE
Patient declined to answer
ests for sexually 23,532 Ttransmitted infections
30-44
25-29
22%
FEMALE
Asian
2%
Other
2%
San Antonio health centers 2140 Babcock Road 8725 Marbach Road, Suite 215 11514 Perrin Beitel Road 920 San Pedro Ave., Suite 100 (family planning) 920 San Pedro Ave., Suite 150 (abortion care) 2346 E. Southcross Blvd.
10 | 2019 IMPACT REPORT: DETAILS OF SAN ANTONIO HEALTH CENTERS
Patients served in 2019
3,530 2,830 3,169 3,546 882 (opened
February 2019)
2,772
