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Unintended Teen Pregnancy, HIV, and STD Prevention Efforts


Encourage agencies to collaborate in addressing these issues ... do so in a cooperative fashion that includes representation from each member ... – PowerPoint PPT presentation

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Title: Unintended Teen Pregnancy, HIV, and STD Prevention Efforts

Unintended Teen Pregnancy, HIV, and STD
Prevention Efforts
  • Strengthening Communication and Collaboration
    Between Agencies

CDC Division of Adolescent and School Health
Presentation Overview
  • The issues HIV, STDs, unintended teen pregnancy
  • Why collaboration and communication between
    agencies is critical
  • Benefits of strengthening collaboration and
  • Common strategies
  • Collaboration in action
  • Moving toward collaboration

Presentation Objectives
  • Increase awareness of how HIV, STDs, and
    unintended teen pregnancy have overlapping causes
    and prevention factors
  • Encourage agencies to collaborate in addressing
    these issues
  • Benefits of working within a coalition
  • Outline strategies to build and sustain a
  • Show collaboration in action
  • Stress the importance of evaluation and
    assessment of a coalition before, during, and
    after its life span

Presentation Overview (Cont.)
  • These slides may be used as a template which
    individual users can modify to create their own
  • This may include
  • Adding STD, HIV, and unintended pregnancy
    statistics for a specific state
  • Including local, state, or regional resources and

The Issues
  • Data and Statistics

Unintended Teen Pregnancy
Each Year, American Youth Experience
  • Nearly 900,000 teen pregnancies
  • Approximately 9 million new cases of STDs
  • An estimated 15,000 new cases of HIV among those
    aged 15-24
  • Sources U.S. Teenage Pregnancy Statistics, Alan
    Guttmacher Institute, 2004, and Weinstock, H.,
  • et al., Sexually Transmitted Diseases in American
    Youth Incidence and Prevalence Estimates 2000

Despite of Widespread Efforts to Delay and
Discourage Sexual Activity Among Young People,
the Reality Is That One in Five Americans Have
Sex Before Their 15th Birthday. Source 14
and Under The Sexual Behavior of Young
Adolescents, National Campaign to Prevent
Teen Pregnancy, 2003
The Issues
  • A Closer Look

Unintended Teen Pregnancy
  • More than 9 million cases of STDs occur each year
    in young people aged 15-24
  • Half of all American youth will contract an STD
    by age 25
  • Rates of chlamydia and gonorrhea are higher in
    females aged 15-19 than in any other group
  • Lifetime medical costs associated with STDs in
    young people are estimated to be at least 6.5
  • Sources Weinstock, H., et al., and Chesson,
    H.W., et al., The estimated direct medical cost
    of sexually transmitted diseases among American
    youth, 2000

STDs Nearly Half of All New Cases Are Diagnosed
In Youth
Youth are only 25 of the sexually active
Source Weinstock, H., et al.
STDsIn 2000, lifetime medical costs associated
with STDs in young people are estimated to be at
  • 6.5 Billion
  • Source
  • Chesson, H.W., et al.

One-quarter of new HIV cases in youth are among
those 21 and under
Sources NIAID 2002, NCHS 2002, CDC Surveillance
Data, and Weinstock, H., et al.
  • HIV infections are especially increasing among
    young women and youth of color
  • 63 of HIV infections reported among 13-19 year
    olds are among women
  • African Americans account for 67 of HIV cases
    reported among 13-19 year olds

Source CDC Surveillance Data 1999, and
Weinstock, H., et al.
Unintended Teen Pregnancy
  • Approximately 900,000 teen pregnancies in the
    U.S. Each year
  • Aged 14 and under 20,000 pregnancies
  • Poor and low-income teens make up a
    disproportionate number of teen pregnancies
  • Although between 1991-2001 teen birth rates
    declined for every ethnic group, rates for
    African American and Hispanic women continue to
    be higher than those for other groups

Source U.S. Teenage Pregnancy Statistics, Alan
Guttmacher Institute, 2004
Pregnancy and Birth Rates for 2000 Among Women
Aged 15-19
Source Alan Guttmacher Institute, 2004
Benefits of Strengthening Collaboration and
Benefits of Collaboration
  • Inclusive
  • Provides a springboard for communication among
    researchers, policymakers, and practitioners
  • Creates a forum for professionals to develop a
    shared vision for addressing HIV, other STDs, and
    unintended teen pregnancy
  • Expands the base of support for developing
    effective policies and programs

Benefits of Collaboration
  • Practical
  • Promotes awareness that many of the same risk
    factors contribute to HIV, other STDs, and
    unintended teen pregnancy and the same protective
    factors may prevent them
  • Contributes to effective strategies to promote
    public health

Benefits of Collaboration
  • Cost Effective
  • Increases the pool of available resources to
    address these topics by bringing new players to
    the table
  • Conserves resources (from a programmatic
    standpoint), because it is more efficient to
    address HIV, STDs and unintended teen pregnancy
    simultaneously rather than individually

Common Strategies for Collaboration
  • Action Steps

Action Steps Front End Planning
  • Collaborations require needs assessments and gap
    analysis as part of preliminary planning
  • Be clear about what the coalition wants to
  • Think about the resources needed to do the job
    and compare that with what the members bring to
    the table

Action Steps Front End Planning (Cont.)
  • Coalition building involves identifying
    agencies that would be good members of the
    alliance and bringing them together. Members
    should join for the right reasons and offer value
    to the collaborative
  • Diversity strive for members who bring
    different perspectives, skills, and expertise
  • Build a leadership structure do so in a
    cooperative fashion that includes representation
    from each member
  • Conflict resolution decide up front how this
    will be handled. Set ground rules that are
    incorporated into your bylaws

Action Steps Crafting a Governing Document
  • Mission statement
  • Developing bylaws
  • Plan of action

Action Steps Mission Statement
  • This is the vision shared by the
    collaborative that defines what you seek to
    accomplish. Write down a concise, clear
    statement of your goals
  • Use common goals for example, do prospective
    members serve the same populations?
  • Develop shared objectives this helps members to
    buy in to the collaboration and helps to define
    who you are and what you will do

Action Steps Bylaws
  • Guidelines and procedures for the coalition
  • May include
  • A description of the membership
  • What types of agencies are involved? What is
    their common thread?
  • List of officers
  • e.g., Chairperson, Vice-Chairperson, Treasurer
  • Finances
  • Sources of revenue and fund-raising
  • How are funds accounted for? Who has oversight?

Action Steps Bylaws (Cont.)
  • Frequency, time, and location of meetings
  • Conflict resolution
  • How will disagreements be resolved?
  • Specifics about decision making
  • How many representatives from each agency may
    vote? Are decisions reached by a simple majority
    of those voting?

Action Steps Plan of Action
  • Create a plan that considers both your goals
    and the available resources of your
    collaborative, as identified in the needs
  • Objectives must be specific and realistic given
    the resources available
  • Establish time frames for the completion of
    specific tasks

Collaboration in Action
Collaboration in Action
  • Communication and process evaluation
  • Involving the community
  • Summary evaluation

Collaboration in Action
  • Communication and process
  • The evaluation process is ongoing, not something
    to be done only at the end build this into the
    coalitions work plan
  • This allows you to assess how well long- and
    short-term goals are being met
  • Periodically review how members network and
    interact to see who may be isolated or on the

Collaboration in Action
  • Involving the community
  • Educate policymakers
  • e.g., highlight the issues by providing HIV, STD
    and unintended teen pregnancy data for your city,
    state, or region
  • Educate and engage parents
  • Identify prominent organizations and individuals
    gatekeepers in the community where the
    collaboration works

Collaboration in Action
  • Summary evaluation
  • When the collaboration has run its course,
    evaluate your efforts
  • What worked? What didnt work so well?
  • Partners can work together on data collection
  • Others will benefit from your perspective as they
    build coalitions

Moving Toward Collaboration
What Does It Require?
  • Creative thinking
  • Flexibility
  • Exploring common ground
  • Examining current programming gaps
  • Commitment

What Is the Payoff?
  • Efficiency
  • Energizing effect of being part of a larger team
  • Opening lines of communication leads to expanded
    awareness of different approaches to common
  • Lighten the load through shared responsibilities

Those in Public Health Work Hard and Work Smart
Never more so than when working

For more on building and maintaining effective
coalitions see the booklet Essential Tips for
Successful Collaboration, developed by a joint
work group on school-based teen pregnancy,
comprised of 8 national organizations, funded by

CDC DASH http//www.cdc.gov/HealthyYouth/index.ht
  • The National Coalition of STD Directors (NCSD) is
    a partnership of public health professionals
    dedicated to the prevention of STDs. NCSD
    provides dynamic leadership to strengthen STD
    programs. We advocate for effective policies,
    strategies, and sufficient resources and strive
    to increase awareness of the medical and social
    impact of STD.
  • 1275 K Street, NW, Suite 1000, Washington, DC
  • www.ncsddc.org

  • The American Social Health Association (ASHA) is
    dedicated to improving the health of individuals,
    families, and communities, with a focus on
    preventing sexually transmitted diseases and
    their harmful consequences.
  • P.O. Box 13827, RTP, NC 27709
  • www.ashastd.org
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