A Community-Based Approach to Teenage Pregnancy Prevention

Leisa J. Stanley, PhD(c),MS
Associate Executive Director Healthy Start Coalition of Hillsborough County

CityMatCH Conference Pittsburgh, PA August 23-25, 2003

Project Partners   



Healthy Start Coalition ± Leisa J. Stanley, PhD(c), MS Associate Executive Director ± Pamela Sullins, RN, Director of Development ± John Harris, MPA, Information Systems Manager Hillsborough County School System ± Mary Ellen Gillette, RN, Former Director of School Health and Social Services Hillsborough County Health Department ± Faye Coe, RN, Assistant Community Health Nursing Director Tampa Bay YMCA ± Bobbi Davis, PhD, Grants Administrator ± Renee Rivera, Program Manager, Success Centers

Coalescing the Community ± What we did to make teenage pregnancy prevention a priority 

Child Watch
± ± ±

± ±

October 1994 30 key community & business leaders Speech ± ³Facts versus Myth of Teenage Pregnancy´ Site Visits Report ± State of Teenage Pregnancy in Hillsborough County 

Teen Pregnancy Prevention Initiative (TPPI)
± ± ±

1995-1996 community planning 68 community agencies Developed model for teenage pregnancy prevention 
 

Primary ± prevention of first pregnancy Secondary ± prevention of second pregnancy and healthy pregnancy outcome Tertiary ± finish school, child care, job training/placement

TPPI MODEL
Teenage Pregnancy Prevention Intervention

PRIMARY
Positive Youth Development Programs Curriculum  Project Achieve  ENABL  Human Growth and Dev.  AIDS Education  Life Management After School Programs School Athletics Early Sexual Abuse ID and Intervention Education Support/ Tutoring Programs Mentoring Programs Sibling Programs Youth Shelters Parenting Early Substance Abuse ID and Prevention

SECONDARY
School Health Mental Health  ESPDT

TERTIARY

GED

Job Training

SCHOOLS
Care Coordination

Childcare

Parenting

Home Visitation Program Healthy Start, etc. Community-Based Medical WIC

Male Responsibility Programs 

Child Health Investment Project (CHIP)
±

1996-1997 - advocacy 


Need to secure hub of model in school system Involvement of same agencies as in TPPI Identification of at-risk youth in school Referrals out to community-based agencies Contact for community to become involved in schools Linkage of students with health insurance/medical providers

±

Nurse in every school 
  

Advocacy for TPPI/CHIP 
 

Briefing papers/proposals/presentations supported by data and research Written endorsements from 15 key agencies Editorials in two major papers
± ±

Tampa Tribune St. Petersburg Times School Board County Health Plan Board of County Commissioners Local children¶s services council ± funding priority Special local bill to fund school nurses - $500,000 

Presentations to key funders
± ± ± ± 

Legislative Support
±

Primary Prevention - 1998 

YMCA ± Success Centers
±

Four Success Centers 

Location selected by zip code and school district based on teen birth rate in that area

± ± ±

After school program and all day summer program Served 297 youth in the 5th-9th grades Services/educational areas (11,378 contacts) 
   

Gender Specific (2625 contacts) Developmental (4562 contacts) Community Service (840 contacts) Educational/Vocational (2676 contacts) Progress Meeting (668 contacts)

Primary Prevention - 1998 

School System ± Prevention Specialists
±

Five prevention specialists in ten middle schools 

Same areas as Success Centers

± ±

Teach ENABLE curriculum to 2800 6th graders Provide individual and group counseling to 405 middle school students (6th-8th grades) 

3095 contacts
± ±

1091 individual contacts 2044 group contacts 

   

Gender Specific (536 contacts) Educational/Vocational (584 contacts) Developmental (1158 contacts) Community Services (384 contacts) Progress Meeting (210 contacts)

Secondary and Tertiary Prevention - 1998 

Healthy Start - Intensive Teen Parenting Program
± ± ±

4 community health nurses + 1 social worker Minimum of bi-weekly home visits or school visits Services 


Served 356 pregnant and parenting teens (<= 16 years old) 6000 services provided
± ±

± ±

2151 face to face encounters; 708 non face to face encounters Education provided included family planning, parenting education, breastfeeding education & smoking cessation Education and referrals regarding completing school/GED Securing subsidized child care ± Internet Parenting Class

Outcomes 

Reduction in Teenage Live Birth Rate
± ± ±

10-14 year old ± 35.5% reduction 15-17 year old ± 31.4% reduction Repeat Live Births ± 6.9% reduction 

 

Reduction in Low Birth Weight Births to Teens Reduction in Infant Deaths to Teens 5 pregnancies this past year for females enrolled in primary prevention programs. 1 dropped out of school.

Advocacy & Fundraising 

Funding Issues
± ± ±

Workforce Alliance Board ± 67% budget reduction Local Children¶s Services Council County Commission Newspapers (press releases, editorials and Letter to the Editor) Elected officials 
 

Advocacy
± ±

Presentations and office visits Presence at board and county commission meetings 

BOCC voted to fund 50% of need in partnership with local Children¶s Services Council funding other 50%

Evaluation Framework 

Empowerment Evaluation Model
± ±

Included all of our partners (continuous) Outlined data to collect and what to measure Process Indicators (demographics;services) Interim Indicators ± pilot this fall (attitudes; beliefs) Outcome Indicators (pregnancies; juvenile justice) 

Evaluation Components ± Logic Model
± ± ± 

Key to advocacy and fundraising

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