Planned Parenthood of Greater Texas Impact Report 2023

Impact Report

Planned Parenthood of Greater Texas

Since 1935

Formore than 85years

Our Mission

Planned Parenthood of Greater Texas provides trusted, evidence-based sexual healthcare and education while advocating for reproductive justice, care without judgment, and access to healthcare for all.

Our Vision

A world in which everyone can access quality healthcare and information to live their lives fully, without judgment.

Our Commitment to Diversity

Diversity, equity, inclusion, and belonging (DEIB) are fundamental to who we are and what we do at Planned Parenthood of Greater Texas. We are an organization that values the communities and individuals we serve. Together with our supporters, partners, and team members, we foster a culture and engage in practices that promote diversity, equity, inclusion, and belonging. We work to eliminate disparities to build more equitable systems that improve access and health outcomes for all. We pledge to engage in meaningful and transformative action that improves the lives of the people of Texas and increases equity and justice for all.

Dear Friends of Planned Parenthood of Greater Texas,

Since 1935, Planned Parenthood has been a trusted resource for sexual and reproductive healthcare and education in communities across Texas. Texans count on Planned Parenthood and our shared vision — a world where everyone can access quality healthcare and information to live their lives fully, without judgement. Despite Texas’ extreme abortion ban blocking our health centers from providing abortions, we are providing much-needed healthcare for more patients than ever.

Planned Parenthood clinicians provided 21% more patient appointments last year compared to 2022. Expanded access to healthcare appointments is made possible by our health centers’ expanded evening and weekend hours, telehealth and, most importantly, donor support for our Health Equity Fund subsidizing costs of care for uninsured and low-income patients.

Texas’ abortion ban and other sexual and reproductive health barriers disproportionately impact minors, communities of color, rural, low-income, LGBTQIA+ and undocumented Texans. Texas’ maternal mortality rates highlight devastating health outcomes, especially for Black women. Texas has the highest rate of uninsured residents in the U.S. yet failed to expand Medicaid coverage to provide healthcare for the state’s most vulnerable populations. For more than a decade, Texas’ statewide elected officials have systematically blocked patients who count on public health programs from accessing healthcare at Planned Parenthood.

Texas’ controversial public health policies make our mission more timely and important than ever.

As this report outlines, we provided more than 113,000 essential healthcare appointments through telemedicine and health centers in Austin, Dallas, Denton, El Paso, Fort Worth, Lubbock, Paris, Plano, Waco, Tyler and surrounding communities in 2023. We reached more than 17,000 youth and adults with essential sex education while engaging the next generation of reproductive rights advocates through trainings and leadership programs for students and young adults.

With your support, we are here for the Texans who count on us.

Thank you for standing with Planned Parenthood.

Josette Ayres President & CEO Board Chair

STRATEGIC PLAN SUMMARY

DIVERSITY:

Planned Parenthood of Greater Texas is guided by a Strategic Plan built on four key pillars outlined below: Care, Culture, Community, and Sustainability. This strategic plan was developed though a year-long process implemented by the Planned Parenthood of Greater Texas Board of Directors with input from patients, volunteers, community partners, board members, staff and donors.

Build a diverse board, leadership, and staff with varied backgrounds, perspectives, and skills and reflect experiences of people who have been historically underrepresented and excluded.

EQUITY:

Build an equitable organization reflected through our core services and as a partner with other community organizations.

INCLUSION:

Nurture an "In This Together" inclusive culture for patients, staff, volunteers, and supporters to ensure everyone is respected, valued, engaged, and heard.

BELONGING:

Foster an organizational culture of belonging so that everyone can thrive, feel seen and heard, and live authentically.

CARE

Provide high-quality, culturally sensitive, patient-centered, affordable healthcare services and age-appropriate, culturally sensitive sex education. Advocate for equitable access to the full spectrum of reproductive and sexual healthcare focusing on health equity and removing barriers to care.

CULTURE

Create a workplace culture that emphasizes partnership and collaboration, values high performance and productivity, prioritizes staff engagement, retention, inclusion, and belonging and continued appreciation of donors, volunteers, supporters, and staff.

COMMUNITY

Enhance the participation, experience, and impact of supporters and create meaningful opportunities for connection and collaboration across PPGT communities. Prioritize relationships that advance health equity, shared values, and goals.

SUSTAINABILITY

Build our capacity to anticipate and respond effectively and proactively to changing circumstances and continue to thrive and innovate. Re-examine our assumptions about how, who, and where we provide services to meet the needs and goals of our communities.

https://www.plannedparenthood.org/planned-parenthood-greater-texas/who-we-are/our-mission-and-vision

OUR IMPACT

In 2023, Planned Parenthood of Greater Texas provided:

113,196

patient visits at Planned Parenthood health centers in Austin, Dallas, Denton, El Paso, Fort Worth, Lubbock, Paris, Plano, Tyler, Waco, surrounding communities and via telemedicine visits

58% of healthcare appointments provided via telemedicine 14%

of patients are uninsured and 41% earn incomes at or below $30,120/year ($15/hr 40 hours/wk)

74,733

167,691 68,012 10,924 4,744

16,093

Telehealth visits

unduplicated patients served tests and treatments for sexually transmitted infections (STIs), HIV tests, PrEP/PEP HIV prevention medication, and HPV vaccines to prevent cervical cancer, certain types of oral, anal, penile and vulvar cancers, and genital warts

birth control services to plan and space pregnancies and treat health conditions including endometriosis and polycystic ovary syndrome

breast and cervical cancer screenings, treatments to diagnose and prevent cancer at the earliest and most treatable stages, including colposcopy and LEEP (Loop Electrosurgical Excision Procedure), and referrals for mammograms at low or no cost

Gender Affirming Hormone Therapy (GAHT) appointments for transgender and nonbinary patients over the age of 18

Reaching More Texans in 2023:

21% more clinician healthcare visits

Despite Texas’ extreme abortion ban in place, Planned Parenthood of Greater Texas expanded access to essential sexual and reproductive healthcare, including birth control.

25% more sexually transmitted infection (STI) tests

With Texas’ rising rate of sexually transmitted infections (STIs) in Lubbock, Tarrant and other counties, our health centers expanded access to STI testing and treatment services.

28% more telemedicine appointments

To expand access to healthcare, we expanded telemedicine by launching the Greater Texas Virtual Heath Center and promoting the Planned Parenthood Direct app.

46% more appointments for gender

affirming

hormone therapy

With many LBGTQIA+ Texans fearful of negative interactions with the healthcare system due to discrimination and transphobia, our health centers expanded access to gender affirming healthcare, including hormone therapy for Texans age 18 and older.

Healthcare and health education directly in the hands of Texans

Planned Parenthood is committed to expanding access to healthcare and education. Digital and virtual options allow patients to access healthcare, education and other essential services directly from their home.

In 2023, we launched the Greater Texas Virtual Health Center. This virtual health center allows patients to connect with clinicians for gender affirming hormone therapy, birth control consultations and more. Other digital resources include the Spot On period and birth control tracking app, Planned Parenthood Direct app for birth control, emergency contraception and UTI treatment, and the chat/text program that answers sexual health questions 6 days a week with professional health educators.

Telehealth appointments available at ppgreatertx.org

Learn about all Planned Parenthood’s digital tools at plannedparenthood.org/online-tools

HEALTH SERVICES

Staff celebrating the 5th anniversary of the El Paso Planned Parenthood Health Center in October 2023.

“If I could see her for every doctor's visit, I would. She was so kind and comforting. She just really took the time to listen to me and explain everything to me.”

Austin Patient

South Austin Health Center

Trusted, Expert Healthcare

Planned Parenthood of Greater Texas is a public health provider that receives little-to-no public funding due to Texas’ political climate and ideologically driven policies that exclude Planned Parenthood from most government-funded programs. With generous donor and community support, and federal Title X funding at four health centers, Planned Parenthood is an essential part of Texas’ medical safety net.

Patients with and without health insurance choose Planned Parenthood for convenient, expert sexual and reproductive healthcare services provided in a shame-free, compassionate environment. All are welcome at Planned Parenthood health centers regardless of insurance or documentation status, income level, or who they love.

Planned Parenthood’s clinical expertise includes physicians, women’s healthcare nurse practitioners, family nurse practitioners, certified nurse midwives, physician assistants and other advanced levels of certification and licensure.

Planned Parenthood is among the most trusted reproductive healthcare providers in the U.S. 1 in 5 American women relies on Planned Parenthood at some point in her life.

Learn more and make appointments at plannedparenthood.org/health-center/TX

2023 Planned Parenthood healthcare services included:

• Annual wellness exams

• Birth control, including IUDs, implants and emergency contraception

• STI testing and treatment

• Gender affirming hormone therapy for transgender adults

• PrEP and PEP HIV prevention medication

• Breast and cervical cancer screenings

• Colposcopy and removal of abnormal cells to prevent cervical cancer

• Hormone therapy for peri- and menopausal symptoms

• Pregnancy testing

• Urinary tract and vaginal infection treatment

• Vaccinations for HPV and flu

*Abortion is not available due to Texas’ extreme statewide ban

Four of the most common healthcare services provided are:

• Testing and treatment for sexually transmitted infections (STIs) including HIV tests

• Birth control to plan and space pregnancies

• Gender-affirming hormone therapy for transgender adults

• Life-saving breast and cervical cancer prevention screenings

LUBBOCK HEALTH CENTER

Healthcare Disparities and Maternal Mortality Crisis

Texas is in a public health crisis as highlighted by Texas’ maternal mortality and unintended pregnancy rates. In Texas, Black women died at more than twice the rate of white women following pregnancy¹ and 54% of pregnancies in Texas are unintended², more than the national average of 45%.3 Unintended pregnancies increase the likelihood of negative health outcomes including delayed prenatal care, premature birth, and other health complications.4 Many Texans face barriers to healthcare access that further deepen health disparities. These disparities disproportionately impact uninsured, low-income, and undocumented Texans, communities of color, and LGBTQIA+ Texans.

Planned Parenthood health centers provide essential healthcare services that support sexual and reproductive health and include screenings for hypertension, anemia, intimate partner violence (IPV), and postpartum contraception.

1 Texas Maternal Mortality and Morbidity Review Committee and Department of State Health Services Joint Biennial Report 2022 2 The National Campaign to Prevent Teen and Unplanned Pregnancy, Texas Data, https://thenationalcampaign.org/data/state/texas. 3 Finer LB and Zolna MR, “Declines in unintended pregnancy in the United States, 2008–2011,” New England Journal of Medicine, 2016, 374(9):843–852, http://nejm.org/doi/full/10.1056/NEJMsa1506575 4 Kost, Kathryn, and Laura Lindberg. “Pregnancy Intentions, Maternal Behaviors, and Infant Health: Investigating Relationships With New Measures and Propensity Score Analysis.” Demography 52.1 (2015): 83-111

Learn about birth control and reproductive life planning at ppgreatertx.org/take-control

Patient-centered contraceptive counseling provided is comprehensive, high-quality and ensures that patients receive information about the full range of birth control methods and feel seen, heard and respected in their decision-making. - Page 7 YOUR PARTNER FOR A HEALTHY COMMUNITY 2023

Physical Health Center Locations

Austin/Travis County

Central Austin Health Center

Downtown Austin Health Center

North Austin Health Center

South Austin Health Center

Dallas County

Addison Health Center

Cedar Hill Health Center

Mesquite Health Center

North Dallas Shelburne Health Center

Denton Health Center

El Paso Health Center

Fort Worth/Tarrant County

Arlington Health Center

Bedford Health Center

Southeast Fort Worth Health Center

Southwest Fort Worth Health Center

Lubbock Health Center

Paris Health Center

Plano Health Center

Tyler Health Center

Waco Health Center

Telehealth appointments available at ppgreatertx.org

DALLAS FORT WORTH

DENTON

WACO

AUSTIN

EL PASO

LUBBOCK

HEALTH EDUCATION

Jocelyn, Community Educator, at Forth Worth health fair in fall 2023

“I really enjoyed this class! It made me happy to be a part of this group and learn more about something that's important to me: my body and reproductive health.”

High School Sex Education Workshop Participant Dallas, TX

Community Health Education

Texas has the ninth highest rate1 of teen births and the second highest rate of repeat teen births2 in the United States.

Planned Parenthood’s three-part approach to community health education engages parents, educators, and peers to reduce the rates of unintended pregnancy and sexually transmitted infections in Texas. Our signature education programs provide the skills and support individuals need to make well-informed decisions about relationships and sexual health.

Community health education programs are donor- and grant-funded, and available at no cost as a community resource for young people and adults.

Regardless of where young people live, they can access medically-accurate information about their health from professional education staff six days a week via the Planned Parenthood Chat/Text Program.

17,116

12,664 82% 83%

youth and adults participated in health education programs, including parent workshops in Austin, Dallas, El Paso, Fort Worth, Lubbock, Waco, and surrounding communities.

of parents surveyed were more likely to talk to their preteens and teens about sexual health after attending a Talk First! or ¡Hable Primero! parent education workshop.

people received information about healthcare and health education from health educators through Planned Parenthood’s Chat/Text program, which is available six days a week.

of participants surveyed demonstrated increased knowledge about preventing STIs and unintended pregnancy after attending a Planned Parenthood health education workshop.

Planned Parenthood’s Community educators hosted online and in-person workshops throughout 2023, such as the family fun day for LGBTQIA+ youth in Waco.

Parents

Teens who talk about sex with their parent(s) or another trusted adult are more likely to postpone having sex and make healthier decisions about sexual behavior. We get the conversation started through Talk First! or ¡Hable Primero! workshops.

Educators

Planned Parenthood's community health educators are trained to implement effective sex education interventions tailored to each group of adolescents or adults. Lessons and curriculums are selected to meet the needs of youth and adults in after-school programs, schools, community partnerships, detention programs, shelters, foster homes and other community settings.

Peers

The Teen Advocacy Board (TAB) is a program that empowers teens in Austin, Dallas, and Fort Worth to advocate for and educate their communities about sexual health. TeenAge Communication Theatre (TACT) is an award-winning health education program featuring high school volunteers performing interactive theater for other teens in the Dallas area to promote discussion and communication on sexual health issues. In 2024 TACT celebrates 40 years of providing peer education!

Learn more about Planned Parenthood of Greater Texas’ education programming at ppgreatertx.org/education-outreach

Teen Advocacy Board (TAB) and Teenage Communication Theatre (TACT) students participated in Lobby Day 2023 at the Texas Capitol, where they met with elected officials on important issues related to reproductive health.

COMMUNITY ADVOCACY

Cerena, Community Outreach Specialist, tabling at Austin Event in 2023

"I hope to use my experience at Planned Parenthood to continue reproductive health advocacy and find innovative ways to address and support LGBTQ+ identities and reproductive health in local government and communities.”

Lilly Leadership Program Spring 2023

Advocacy for Sexual and Reproductive Healthcare

Planned Parenthood Public Affairs staff engage Texans through events, trainings, and volunteer opportunities to develop and strengthen their advocacy skills, while advocating for sexual and reproductive healthcare, sex education, and restoring access to abortion in Texas.

Through Lobby Day at the Texas Capitol, regional book clubs and movie screenings, PRIDE, MLK and Juneteenth events, workshops on advocating for sexual and reproductive healthcare, and more, over 15,500 Texans connected with Planned Parenthood through nearly 400 community events in 2023

Supporters contributed more than 1,500 volunteer hours hosting community events, and assembling period and emergency contraception kits for local shelters and college campuses.

Community Advocacy Outreach Specialists, youth leaders and volunteers engaged and empowered thousands of Texans through nearly 400 events in Austin, Dallas, El Paso, Fort Worth, Lubbock, Tyler, Waco and nearby communities in 2023.

Join the movement at ppgreatertx.org/getinvolved

Investing in the Next Generation

Planned Parenthood of Greater Texas gave thousands of people the chance to learn, connect and engage on reproductive health, education and advocacy issues every day online. In 2023, Planned Parenthood sponsored 17 student leaders in Austin, Dallas, El Paso, Fort Worth, Lubbock and Waco. Each student leader conducted a “capstone” project by developing and hosting a community event of their own.

Planned Parenthood of Greater Texas digital spaces give thousands of people the opportunity to learn, connect and engage on reproductive health, education and advocacy issues every day. Partnering with our youth leaders to create content allows them to engage online with their peers to grow the next generation of advocates. Last year the Planned Parenthood of Greater Texas website received more than one million visits while thousands engaged with us daily on Facebook, Instagram, X, Threads, YouTube, and other digital spaces.

Social media content created by youth leaders engaged thousands of supporters in 2023

Follow us on social media @ppgreatertx

TX 78704

DALLAS: preferred mailing address 7424 Greenville Ave., Suite 206 Dallas, TX 75231

EL PASO: 1511 East Missouri Ave. El Paso, TX 79902

FORT WORTH: 6464 John Ryan Drive Fort Worth, TX 76132

LUBBOCK: 3716 22nd Place Lubbock, TX 79410

WACO: 700 West Hwy 6 Waco, TX 76712