Barfield Presentation.pdf

8/11/2019 Barfield Presentation.pdf

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CAPT Wanda D. Barfield, MD, MPH, FAAPDirector, Division of Reproductive Health

National Center for Chronic Disease Prevention and Health Promotion

May 10, 2011

Reducing Teenage Pregnancy:

Using Evidence and Collaboration for BetterOutcomes in Communities

U.S. Department of Health and Human ServicesCenters for Disease Control and Prevention


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One of CDCs top prioritieswinnable battle

Partnerships:Office of Adolescent Health

Office of Population Affairs

Administration for Children and Families

Health Services and Resources Administration/MCHB

Funding national and state-community based

organizations

Promoting adolescent reproductive health

research

CDC and Teen Pregnancy Prevention


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Purpose

To demonstrate the effectiveness ofinnovative, multi-component, community-

wide initiatives in reducing rates of teen

pregnancy and births in communities withthe highest rates

Emphasis on African American and Latino

youth (ages 15-19)


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Program Goals

1. Reduce the rates of pregnancies and birthsto youth in the target areas

2. Increase youth access to evidence-based

and/or evidence-informed programs toprevent teen pregnancy

3. Increase linkages between teen pregnancy

prevention programs and community-basedclinical services


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Key Components

1. Mobilize and sustain community

teen pregnancy prevention efforts

2. Increase contraception amongsexually active youth

3. Educate & motivate youth

4. Promote policies/policy change

5. Work with diverse communities


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Program Model

100+ Local

Organizations

8 State andCommunity-based

Organizations

1 Title X Provider

5 National

Organizations

Train and provide

technical assistance

Plan, implement and

evaluate interventions

Provide effective

services to youth


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2010-2015 Grantees

AL -Alabama Department of Public Health

CT - City of Hartford, Department of Health and Human Services

GA - Georgia Campaign for Adolescent Pregnancy Prevention

MA - The Massachusetts Alliance on Teen Pregnancy

NC -Adolescent Pregnancy Prevention Campaign of North Carolina

NY - The Fund for Public Health in New York, Inc.

PA - Family Planning Council of Southeastern Pennsylvania

SC - South Carolina Campaign to Prevent Teen Pregnancy

TX - The University of Texas Health Science Center at San Antonio

Funding path

OPA

State/ Community


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Outcome Evaluation

Proximal Outcomes

Intermediate Outcomes

Distal Outcomes


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Evaluation:

Proximal Outcomes Expansion of and improvements in TPP

and services in the target community,

including reaching youth from diversebackgrounds with culturally appropriateservices

Evidence-based and evidence-informed

prevention programsTeen-friendly reproductive health services

Linkages between programs and familyplanning services


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Evaluation:

Proximal Outcomes (cont.)

Reduction in barriers to effective

implementation of teen pregnancyprevention efforts

Evidence of steps toward sustaining theinitiative


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Evaluation:

Intermediate Outcomes

Number of youth who use/participate in

Evidence-based TPP programs

Family planning/clinical services

Increase in knowledge, attitudes, behaviors

and motivation consistent with reducing TP

risk in target youth

Number of high-risk youth served


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Evaluation:

Distal Outcomes Reduce risks/increase protective factors

Abstinence

Condom use

Contraceptive use

Reduce Teen Pregnancy

Reduce Teen Births


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Creating Better Paths
http://images.google.com/imgres?imgurl=http://ctparent.com/archive/images/NICU_baby.gif&imgrefurl=http://ctparent.com/archive/jan2007-article1.htm&h=600&w=906&sz=344&hl=en&start=10&um=1&usg=__YIpMAhODS_KOGFfCMS0hu2dbCpM=&tbnid=8qnp1ICfGXGDkM:&tbnh=97&tbnw=147&prev=/images?q=NICU&um=1&hl=en&rls=com.microsoft:*&sa=G


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www.cdc.gov/teenpregnancy

National Center for Chronic Disease Prevention and Health PromotionDivision of Reproductive Health
http://www.cdc.gov/about/winnablebattles.htm

Barfield Presentation.pdf

Documents

Transcript of Barfield Presentation.pdf