The Adolescent Pregnancy Prevention Campaign of North Carolina (APPCNC) has implemented Gaston Youth Connected (GYC). The 5-year GYC project is an intensive collaboration between APPCNC, local partners, and partners who can ensure long-term project sustainability. APPCNC works with multiple clinical and program sites to increase agencies’ capacity to provide evidence-based interventions and connect youth to clinic services. Evidence-based and evidence-informed programs are being implemented in at least 10 community sites. Programs include Making Proud Choices, Teen Outreach Program (TOP), Parents Matter!, and ¡Cuidate!. APPCNC has also worked with the community to develop three teams to provide project input and planning: a Core Partner Team to plan activities, a Community Advisory Panel, and a Youth Advisory Panel. A designated At-Risk Populations Coordinator focuses on reaching Latino/Hispanic teens, African American teens, and pregnant and parenting teens. Partners work together to connect more youth to adequate clinical services. The three primary partner groups and panels inform community stakeholders about the importance of effective prevention efforts, and work to ensure long-term program and project sustainability.
The Alabama Department of Public Health (ADPH) is the Title X Family Planning agency for the state. ADPH focuses its teen pregnancy prevention activities on Mobile County, Alabama. Mobile County has the highest teen pregnancy rate (65.6 per 1,000 population) of Alabama’s three largest metropolitan statistical areas, and more than 29,000 females aged 10–19 years. The Mobile County Health Department (MCHD) has established partnerships with 11 youth-serving organizations and 4 family planning health care providers at 8 sites to recruit teens into the program. MCHD created a Youth Leadership Team which helped design and launch an innovative and informative Web site, www.thinkteen.org. This teen-friendly Web site empowers youth by providing accurate information and resources to assist them in making responsible, informed decisions to avoid unwanted pregnancies and sexually transmitted diseases (STDs). The Alabama Campaign to Prevent Teen Pregnancy and Region IV Title X Training Center collaborates to train staff and educate stakeholders on the effective development and implementation of evidence-based and evidence-informed teen pregnancy prevention programs. MCDH health educators are implementing evidence-based interventions with teens, engaging community stakeholders, and conducting training of trainers to promote program sustainability. Program evaluation will be done in conjunction with staff from the University of South Alabama. As a result of these efforts, by 2015 ADPH expects a 10% reduction in birth rates among African-American females aged 15–19 in the target community.
The City of Hartford, Department of Health and Human Services (HHHS) coordinates Hartford’s communitywide teen pregnancy prevention initiative. The 5-year project serves low-income African-American and Hispanic teens aged 13–19 years in Hartford, and engages a majority of the city's youth-serving organizations, health clinics, the Hartford Department of Health and Human Services, the City of Hartford Youth Services Office (HOYS), the Hartford System of Schools, and other public and private sector leaders and cooperating organizations. This initiative builds on current services being offered to teens in Hartford and the unique experience of the Hartford Action Plan on Infant Health's “Breaking the Cycle”—one of the country's first citywide collaboratives to reduce teen pregnancy. HHHS works closely with the city's HOYS to implement evidence-based teen pregnancy prevention programs, connect youth to clinic services, educate stakeholders, and promote program sustainability. More than 10 youth-serving organizations, 6 community health clinics, the city's public school system, and private sector supporters will collaborate with HHHS, HOYS, and the Hartford Action Plan to meet defined objectives for each project components.
The Family Planning Council (FPC) aims to reduce teen birth rates 10% by 2015 in the predominately African American West Philadelphia community. FPC is a private, nonprofit organization responsible for administering public funding for Title X family planning services in southeastern Pennsylvania. The target community has high teen birth rates, poverty, and unemployment rates, and low high school graduation rates. The project goal will be achieved by increasing the number and percentage of youth aged 10–19 years who participate in evidence-based and evidence-informed teen pregnancy prevention programs, and increasing the number and percentage of youth who receive clinical care. FPC provides training and technical assistance to youth-serving agencies and clinics to select, implement, evaluate, and sustain evidence-based programs; provides training and technical assistance to clinics to increase accessibility and teen-friendliness; builds relationships between clinics and youth-serving agencies; expands the network of school-based health resource centers providing evidence-based teen pregnancy prevention programs; operates the CHOICE Hotline to increase teens’ awareness of clinical services; has established an on-site “Askable Adult Program” to serve as a reproductive health resource for youth at schools and other youth-serving organizations; holds an annual Community Summit; and disseminates information to stakeholders.
The Georgia Campaign for Adolescent Power & Potential (G-CAPP) works with youth-serving organizations and clinical service providers in Richmond County, Georgia, to implement a communitywide pregnancy prevention intervention designed to reach more than 16,000 African American and Latino youth aged 15–19 years. G-CAPP works to increase the number of youth receiving evidence-based teen pregnancy prevention programs, and increase the number of sexually active youth referred to appropriate services by conducting interventions informed by needs assessments in partner organizations and the target community. Project activities include working with 10 youth-serving organizations and 5 reproductive health clinics in Richmond County, Georgia, to reduce teen births by 10% by 2015. G-CAPP and its partners established a youth advisory panel, developed and implemented a community advocacy plan targeting stakeholders, and is using new and traditional media to increase awareness and linkages between programs and clinics.
The Massachusetts Alliance on Teen Pregnancy (MATP) launched the “Youth First” initiative to reduce teen birth rates in the communities of Springfield and Holyoke by 10% by 2015, with a focus on serving African American and Latino/Hispanic youth at high risk of teen pregnancy. MATP’s primary partner is the YEAH (Youth Empowerment and Adolescent Health) Network, a teen pregnancy prevention coalition. This initiative aims to reach 15,000 youth, and involves parents, youth-service providers, funders, and other stakeholders. This communitywide approach includes a core partner group of YEAH, community-based organizations, clinical service providers, city health departments, and school districts. Engaging “nontraditional” audiences is critical to this effort, including churches, parents of teens, business leaders, employers of youth, and professional organizations. Activities include providing technical assistance on program planning, implementation, evaluation and sustainability; supporting local partners who are currently implementing evidence-based programming; and engaging and mobilizing stakeholders statewide and locally to advocate for young adult-targeted health care plans that include prescription contraceptive coverage.
New York City Department of Health and Mental Hygiene, Bureau of Maternal, Infant, and Reproductive Health (NYCDOH) has implemented “Bronx Teens Connection,” a multicomponent, communitywide teen pregnancy prevention initiative in two community districts in the South Bronx. Key partners include the Bronx District Public Health Office, the Department of Education, the Administration for Children’s Services, private clinical service providers, and a number of minority- and youth-serving organizations in the community. Evidence-based teen pregnancy prevention curricula are being implemented in high schools in the target community, as well as for teens in foster care and out-of-school settings. Links to clinical services are being strengthened in school-based and community health centers. This initiative includes an innovative social marketing campaign using new media to educate community youth and stakeholders. NYCDOH provides training and technical assistance to community partners, including training on long-term institutional sustainability.
The South Carolina Campaign to Prevent Teen Pregnancy (SC Campaign) has implemented innovative, multicomponent, communitywide initiatives to prevent teen pregnancy in two communities, with a focus on reaching African American and Latino youth aged 15–19 years. SC Campaign works to reduce teen pregnancy among ethnic minority youth in Spartanburg and Horry Counties by increasing access to high quality, evidence-based and evidence-informed youth development and teen pregnancy prevention programs, and increasing linkages between these programs and community-based clinical services. Major activities include developing a Community Advisory Group with representatives from a Youth Advisory Panel and local clinics, educating leadership on evidence-based programming, and developing content for an Online Learning Center aimed at building capacity among local partner organizations.
The University of Texas Health Science Center at San Antonio (UTHSCSA) is expanding the San Antonio Sex Education Program (SEP) from middle schools into high schools on the south side of Bexar County. The target youth population is predominantly Latino/Hispanic. SEP provides communitywide, medically accurate, evidence-based teen pregnancy prevention programs, and creates and enhances linkages between the SEP and community-based clinical services. Major activities include implementing culturally appropriate, evidence-based teen pregnancy prevention programs with high school students and providing training and technical assistance to community-based clinical service providers to build organizational sustainability.