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Teen Pregnancy Prevention 2010–2015

Integrating Services, Programs, and Strategies Through Communitywide Initiatives (CWI): The President’s Teen Pregnancy Prevention Initiative

As part of the President's Teen Pregnancy Prevention Initiative (TPPI), CDC is partnering with the federal Office of the Assistant Secretary for Health (OASH) to reduce teenage pregnancy and address disparities in teen pregnancy and birth rates. The OASH Office of Adolescent Health (OAH) is supporting public and private entities to fund medically accurate and age appropriate evidence-based or innovative program models to reduce teen pregnancy. The purpose of CWI is to demonstrate the effectiveness of innovative, multicomponent, communitywide initiatives in reducing rates of teen pregnancy and births in communities with the highest rates, with a focus on reaching African American and Latino/Hispanic youth aged 15–19 years. A communitywide model is an intervention implemented in defined communities (specified geographic area) applying a common approach with different strategies. Communitywide approaches will be tailored to the specified community, and will include broad-based strategies that reach a majority of youth in the community (i.e., through communication strategies and media campaigns); and intensive strategies reaching youth most in need of prevention programming (i.e., through implementation of evidence-based programs and improved links to services).

Program goals are—

  1. Reduce the rates of pregnancies and births to youth in the target areas.
  2. Increase youth access to evidence-based and evidence-informed programs to prevent teen pregnancy.
  3. Increase linkages between teen pregnancy prevention programs and community-based clinical services.
  4. Educate stakeholders about relevant evidence-based and evidence-informed strategies to reduce teen pregnancy and data on needs and resources in target communities.

To achieve these goals for FY 2011–2015, nine state- and community-based organizations, including two Title X agencies, and five national organizations were funded through the cooperative agreement, Teenage Pregnancy Prevention: Integrating Services, Programs, and Strategies Through Communitywide Initiatives (CWI). These awards were made through two competitive funding opportunity announcements (FOA): one through a joint FOA from OAH and CDC, and one from a joint Office of Population Affairs and CDC FOA.

The national organizations provide training and technical assistance to all funded organizations within this initiative. The state- and community-based grantees provide training and technical assistance to youth-serving organizations and partners to implement the Key Components described below.

Five key components to be addressed through this program model are—

  • Component 1: Community Mobilization and Sustainability

    Engaging all sectors of the population in a communitywide effort to address teen pregnancy prevention. Community mobilization supports the sustainability of teen pregnancy prevention efforts by empowering community members and groups to take action to facilitate change. This component includes mobilizing necessary resources, disseminating information, generating support, and fostering cooperation across public and private sectors in the community.

  • Component 2: Evidence-Based Programs

    Providing teens with evidence-based teen pregnancy prevention programs, including youth development and curriculum-based programs that reduce teen pregnancy and associated risk factors.

  • Component 3: Increasing Youth Access to Contraceptive and Reproductive Health Care Services

    Ensuring clinical partners are providing teen friendly, culturally competent reproductive health care services that are easily accessible to all youth in the community, and establishing linkages between teen pregnancy prevention program partners and clinics that serve at risk youth from the target community.

  • Component 4: Stakeholder Education

    Educating civic leaders, parents, and other community members about evidence-based strategies to reduce teen pregnancy and improve adolescent reproductive health, including needs and available resources in the target community.

  • Component 5: Working with Diverse Communities

    Raising awareness of community partners about the link between teen pregnancy and social determinants of health, and ensuring culturally and linguistically appropriate programs and reproductive health care services are available to youth.

By addressing these core components, the following performance measures are expected within five years:

Youth outcomes:

  • Reduce teen birth rates by 10% in targeted communities.
  • Reduce teen pregnancies in targeted communities.
  • Increase the percentage of youth who abstain from or delay sexual intercourse.
  • Increase the consistent and correct use of condoms and other effective methods of contraception among sexually active youth.

Program, practices, and community support outcomes:

  • Increase the number and percentage of youth within the target community who receive evidence-based and evidence-informed programs to prevent teen pregnancy.
  • Increase the number and percentage of sexually active youth within the target community who are referred to and use clinical services.
  • Increase adoption of state, local, or communitywide health, education, and youth service strategies supportive of adolescent reproductive health by educating relevant stakeholders on evidence-based and evidence-informed teen pregnancy prevention approaches and environmental supports.
  • Through training and technical assistance, increase the capacity of the target community partners to select, implement, and evaluate evidence-based and evidence-informed programs with fidelity and with informed program adaptation as appropriate.

Funded partners are—

National Partners
Advocates for Youth
CAI Global
Healthy Teen Network
John Snow, Inc. and JSI Research & Training Institute, Inc.
National Campaign to Prevent Teen & Unplanned Pregnancy

Title X Partner
Alabama Department of Public Health

State- and Community-Based Partners

Adolescent Pregnancy Prevention Campaign of North Carolina
City of Hartford Department of Health and Human Services
AccessMatters, Southeastern Pennsylvania (administering agency of Title X funds)
New York City Department of Health and Mental Hygiene
Georgia Campaign for Adolescent Power & Potential
Massachusetts Alliance on Teen Pregnancy
South Carolina Campaign to Prevent Teen Pregnancy
University of Texas Health Science Center at San Antonio

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