Learning from Peers to Improve Title X Policies in Rural Arizona
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The process shared through the Title X Policy Development and Implementation PLG has been invaluable. We were able to draw on decades of collective experience, which gave us a strong foundation to build from. It’s an ideal starting point for any program looking to strengthen its policies.Ray Posa, YCCHS Clinical Risk Manager and Compliance Officer
With limited local resources and few Title X peers nearby, staff at Yavapai County Community Health Services (YCCHS), a subrecipient of grantee Affirm, have struggled to find colleagues who can guide them in building clear, comprehensive Title X policies.
Going it alone is also tough. Located in rural Arizona, YCCHS operates with a small but dedicated team that juggles multiple responsibilities to keep services running smoothly. “In rural areas, people wear many hats,” Ray shared. “There just isn’t always time or capacity to support each other through complex processes like policy implementation.”
In spring 2025, YCCHS found the support they had been missing through the RHNTC’s Title X Policy Development and Implementation Peer Learning Group (PLG), which connected them with RHNTC experts and other Title X agencies.
The PLG enabled YCCHS to:
- Get critical insight into Title X program expectations and policy requirements, especially for newer team members
- Efficiently update and flesh out existing policies by leveraging PLG resources—including the RHNTC’s Title X policy templates, policy development worksheet, and checklist, plus examples of policies and procedures from other agencies
- Formalize their internal process for drafting, reviewing, and implementing Title X program policies—a structured approach to ensuring policies align with program expectations and support the provision of high quality family planning services
“Having a clear, written process not only helps us stay organized—it gave us confidence heading into a recent audit,” Ray shared. The team noted that connecting with and learning from their peers helped them navigate challenges more efficiently and avoid “reinventing the wheel.”