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Region X Infertility Prevention Project
History of the Region X IPP
The Region X Chlamydia Project has served as a national model for widespread
screening and treatment of women for Chlamydia trachomatis infection. Since
1988, uniform selective screening criteria have been implemented at Title X
family planning (FP) clinics in Public Health Service Region X (states of
Washington, Idaho, Oregon and Alaska). Beginning in 1993, the Project
expanded beyond selective screening in FP clinics to publicly funded STD clinics
throughout the four states in the region. In these STD clinics, universal screening
of male and female patients has been implemented. In 1994, the Project
expanded to other community agencies serving adolescents and women of
reproductive age. These agencies included community and migrant health
centers, prenatal programs, school-based adolescent centers, non-Title X FP
clinics, and juvenile and adult detention.
Due in large part to the success of the Region X Project, the CDC was able to
obtain funds from Congress to launch a National Infertility Prevention Program.
In 1992, the CDC, through the Office of Population Affairs (OPA), funded
regional demonstration projects in Regions III, VII, and VIII. In 1994, Regions IV,
V, and IX received development funds. In 1995, the remaining three PHS
regions, I, II and VI received development funds. These demonstration projects
funded through the Infertility Prevention Projects legislation, aim to reduce the
costly and destructive sequelae of chlamydia and other sexually transmitted
diseases which are responsible for unintended infertility in women.
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