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HRD-77-42 1 (1977-02-28)

handle is hein.gao/gaobaabwu0001 and id is 1 raw text is: DOCUMENT RESOME 00506 - (108914561 Problems in Administration of Family Planning Programs in Region VIII. B-156518; HRD-77-42. February 28, 1977. Released march 3, 1977. 17 pp. + 3 appendices (18 pp.). Report to Rep. Timothy 9. Wirth; by Robert F. Keller, Acting comptroller General. Issue Area: Health Prograis: Early Diarnosis and Disease Control (1201). Contact: Human Resources Div. Budget Function: Health: Prevention and Control of Health Problems (553). Organization Concerned: Department of Health, Edn'ation, and V .lfare; Department of Health, Education, and Welfare: Office of Population Affairs; Health Services Ad ministration. Congressional Relevance: Rep. :mothy E. Wirth. Authority: Family Planning Services and Population Reseerch Act of 1970 (P.L. 91-572). Public Health Service Act, title X (42 U.S.C. 300). An investigation was conducted as to whether HEW Region VIII discouraged family planning or placed less emphasis on family planning than on other HEW programs. Other problems experienced by the region's family planning program were concidered, including inaccurate information forwarded to grantees about abortion, grantee funding reductions# and the discontinuation of the region's family planning trai.ing contract. Findings/Conclusions: Region VIII s fiscal year 1576 funding, staffing, and v4.sits to grantees did not indicate a decrease from fiscal year 1975 in the effort or emphasis the region placed on family ?lanning. During fiscal year 1976, the region made several changes in program management; the relion's grantees reacted negatively to these changes, and a strained relationship developed between the family planning staff and grantees. The awarding of grants in Wyoming and South Dakota was poorly administered. Administration of program funds, including notifications of budget cuts and grant awards, was not always timely. The region did not anticipate the restoration of previously reduced funds or plan for utilization of these funds. Incorrect information about abortion was disseminated by regional family planning officials. Bidding procedures for a 1977 family planning ccntract violated contract regulations, and alleged biases in the evaluation of proposals resulted in the cancellation of contract bidding. Recommendations: The Regional Health Administrator should debelop a specific plan of action that will: opon lines of comkunication and fcster good grantor-grantee working relationships; improve the contract award procedures to prevent future conflicts with contract regulations; improve the management of family planning funds; and improve communication and coordination with the lBueau of

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