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
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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
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Child Watch
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October 1994
30 key community & business leaders
Speech – “Facts versus Myth of Teenage
Pregnancy”
Site Visits
Report – State of Teenage Pregnancy in
Hillsborough County
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Teen Pregnancy Prevention Initiative (TPPI)
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1995-1996 community planning
68 community agencies
Developed model for teenage pregnancy prevention
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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
SECONDARY
Positive Youth
Development Programs
TERTIARY
School Health
Mental Health  ESPDT
Curriculum
 Project Achieve
 ENABL
 Human Growth and Dev.
 AIDS Education
 Life Management
GED
Job Training
After School Programs
School Athletics
Early Sexual Abuse
ID and Intervention
SCHOOLS
Childcare
Care
Coordination
Education Support/
Tutoring Programs
Parenting
Mentoring Programs
Sibling Programs
Youth Shelters
Parenting
Early Substance Abuse
ID and Prevention
Male Responsibility Programs
Home Visitation Program
Healthy Start, etc.
Community-Based Medical
WIC
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Child Health Investment Project (CHIP)
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1996-1997 - advocacy
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Need to secure hub of model in school system
Involvement of same agencies as in TPPI
Nurse in every school
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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
Advocacy for TPPI/CHIP
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Briefing papers/proposals/presentations supported by
data and research
Written endorsements from 15 key agencies
Editorials in two major papers
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Presentations to key funders
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Tampa Tribune
St. Petersburg Times
School Board
County Health Plan
Board of County Commissioners
Local children’s services council – funding priority
Legislative Support
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Special local bill to fund school nurses - $500,000
Primary Prevention - 1998
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YMCA – Success Centers
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Four Success Centers
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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)
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Gender Specific (2625 contacts)
Developmental (4562 contacts)
Community Service (840 contacts)
Educational/Vocational (2676 contacts)
Progress Meeting (668 contacts)
Primary Prevention - 1998
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School System – Prevention Specialists
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Five prevention specialists in ten middle schools
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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)
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3095 contacts
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1091 individual contacts
– 2044 group contacts
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Gender Specific (536 contacts)
Educational/Vocational (584 contacts)
Developmental (1158 contacts)
Community Services (384 contacts)
Progress Meeting (210 contacts)
Secondary and Tertiary Prevention - 1998
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Healthy Start - Intensive Teen Parenting Program
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4 community health nurses + 1 social worker
Minimum of bi-weekly home visits or school visits
Services
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Served 356 pregnant and parenting teens (<= 16 years old)
6000 services provided
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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
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Reduction in Teenage Live Birth Rate
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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
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Funding Issues
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Workforce Alliance Board – 67% budget reduction
Local Children’s Services Council
County Commission
Advocacy
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Newspapers (press releases, editorials and Letter to the
Editor)
Elected officials
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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
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Empowerment Evaluation Model
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Evaluation Components – Logic Model
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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)
Key to advocacy and fundraising