A Strategic Approach to Teen Pregnancy Prevention

Presenter: Gale E. Grant, M.A., Adolescent Health Coordinator gale.grant@vdh.virginia.gov 205.3902

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

200

400

600

800

1,000

1,200

552613

565527 521

543506 507

423

460425

470463

421

307

284

31 37 27 38 43 40 44 27 39 25 33 5221 21 11 9

295 284 271 284318 323

284

490

503

449 428384

432

381

306

309

878

934

863 849882 906

834

1,024965

934886

906

916

823

624

602

Richmond City Teen Pregnancy Trend by Pregnancy Outcomes(Age 10 - 19 Years)

Live Births Linear (Live Births) Fetal Deaths Intentional Terminations Teen PregnancyLinear (Teen Pregnancy)

The BIG Goal

By 2012, reduce the Richmond teen pregnancy rate for females ages 15 -17 to 25 per 1000 through the promotion and implementation of risk avoidance and risk reduction strategies. (Baseline 2007)

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120

20

40

60

80

100

120

91.7

81.386.5

93.2

92

98.5

85.9

92.388.6

75

86.285

61.555.4

37.8

35.3

33.4

32

28.5

27.1

26

25.2

25.3

25

24

22.2 18.8

Teen Pregnancy Data Trend Ages 15 - 17Goal: Decrease teen pregnancies in the 15-17 age group to no more than 25 pregnancies

per 1,000 by the year 2012

Richmond City Polynomial (Richmond City) VA State Power (VA State)Year

Tee

ns

Strategies Implemented• School-Based teen pregnancy prevention

sessions• Utilizing Social Networking• Health Promotion via school-based health fair

and promotion month events• Involving teens • Adolescent Reproductive Health Services

School-Based Program Implementation

HYPP Sessions

• Introduction to Teen Pregnancy in Richmond

• Sex and the City• Abstinence• The Cost of Teen

Pregnancy• Teen Parenthood• Sexually Transmitted

Diseases

• Getting and Using Protection

• Healthy and Unhealthy Relationships

• Interconnections of Risky Behaviors

• Refusal Skills• Sex and Technology• Next Steps: Plans for

the Future

Encounters Matter

2008 2009 2010 20110

2000

4000

6000

8000

10000

12000

135

1295 15432441

27 195 336 519296

3350

5728

9707

# Students # Sessions # Participant Encounters Power (# Participant Encounters)

HYPP School-based Implementation TrendNumber of Sessions Implemented, Students Served and Encounters

2008 - 2011 School Years

Involving Teens

AIDS Awareness Day 2012Teen Pregnancy Prevention Month Display

Teens Panel Discussion at Seminar

Healthy Living for Youth EventsApproximately 1200 students participated in 2012 health fair events!

Elementary and Middle School

5th graders• Abstinence• Puberty • Personal Hygiene• Media Influences• Peer Pressure• Refusal Skills

6th – 8th GradesEvidence-based abstinence education curriculum

Beyond the Classroom

411

Search – Richmond Adolescent Health Program

Reproductive Health Services

2007 2008 2009 2010 2011 2007 2008 2009 2010 2011 2007 2008 2009 2010 2011FAMILY PLANNING MATERNITY SEXUALLY TRANSMITTED DISEASE

0

200

400

600

800

1000

1200

436

714

878

963

1077

491 507 487

389

232

667

859

595

418 440

Richmond City Health DistrictTeen Clinic Visits by Year

Addressing Repeat Pregnancies

Resource Mothers Program – pairs pregnant teens with experienced mothers to improve pregnancy outcomes and delay subsequent pregnancies

Resource Mothers ProgramEnrollment and Repeat Pregnancy Prevention Trend

2008 - 2011

2008 2009 2010 2011

Teens Enrolled

103 79 73 65

2nd Pregnancy > 1 year after first birth

99 77 72 62

Teens and Sexuality

• Frequent exposure to sexually explicit material

• Inadequate role models

• Few opportunities to practice healthy behaviors with the necessary reinforcement

What Can You Do?

• Ask questions?– What do you think will happen if . . . ?– Have you thought about . . . ?– What will you do if . . . ?

• Provide opportunities for youth to practice healthy decision making and reinforce it.