TEEN PREGNANCY PREVENTION PROGRAM

TEEN PREGNANCY PREVENTION PROGRAM

Teen Pregnancy Prevention State SummitNovember 16, 2012

Presented by: Michelle Sotero, MPH, TPP Program Coordinator, SNHD

PRESENTATION OBJECTIVES• Why is TPP Important in Clark County?

– Cost to Taxpayers– At Risk Youth

• TPP PROGRAM – Core Program– Sustainability Efforts

• NEED FOR ACTION

Program funded by: The Office of Adolescent Health (OAH) Cooperative Agreement Award No. 5 TP1AH000024-02-00

FY10 Teenage Pregnancy Prevention: Replication of Evidence-based Programs (Tier 1)

COST TO TAXPAYERS (Direct/Indirect-2008)

• TEEN PREGNANCY = $84 MILLION• 4,262 teen births in Nevada

• HIV/AIDS - $21 Million• Average life expectancy – 24.2 yrs• Lifetime Cost - $618,900• 823 people living with HIV diagnosed as teens

• STI/STD - $7 Million• 3,812 cases of teens with

Chlamydia/Gonorrhea/Syphilis

TPP PROGRAM RETURN ON INVESTMENT

Disease 10% case decrease

Average Averted Cost

Estimated Averted Cost

Teen Births 305 $3,040 $927,200

Chlamydia 322.1 $ 171 $ 55,079.10Gonorrhea 58.5 $ 206 $ 1,205.10

P&S Syphilis .60 $ 572 $ 343.20HIV 7.8 $ 198,471 $ 1,584,073.80

TOTAL $2,567,901

ROI = 2.57

Maps created in partnership with:

Jay Kvam, MSPH, State Biostatistician - Nevada State Health Division

Eric Ingbar/Sandra Atkinson, Gnomon, Inc. – Carson City, NVhttp://new.gnomon.net/

Target Zip Codes89101 8910289106 8910989115 8911989030

Represent 23% of all teen births

US Nevada 89030 89106 89101 89115 891020

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40

60

80

100

120

140

160

Teen Birth Rates (2008) – Target Zip Codes

Teen Birth Rates – Target Zip Codes

Source: Teenage birth rate by country, UNICEF. Retrieved from http://www.NationMaster.com/graph/peo_tee_bir_rat-people-teenage-birth-rate

Youth at disproportionate risk for teen pregnancy– Youth in target zip codes– Youth in Juvenile Justice– Youth in Foster Care

CORE PROGRAM - Sexual Health Education

Evidence Based Curricula • Designed for inner-city males• Small Groups – 13-18 yrs old• Culturally competent for Latino/AA youth

• HIV/STD/Pregnancy• Understanding Vulnerability• Condom Demonstration• Building Refusal Skills

REDUCE RISK!

PROTECT SELF,

PARTNER, COMMUNITY

INCREASE ABSTINENCE &

REFUSAL SKILLS

REDUCE SEXUAL PARTNERS

INCREASE CONDOM

USE

Free STD/HIVTesting

CORE PROGRAM

• Goal: By 2015, Reduce teen pregnancy/ STD/HIV rates by 10% from 2008 baseline.

Programmatic Objectives

SUSTAINABILITY EFFORTS

2) PREVENTION TAKES EVERYONE!SEXUAL HEALTH

EDUCATION

PARENTS

COMMUNITY

PEER-TO-PEER

POP CULTURE

MEDIA

LEGISLATION

SCHOOLS

PARENTS

• Parent Focus Groups• Sexual health training workshops

• DFS Caseworkers/Foster Parents• Big Brother/Big Sister Mentors• Parents• Parent/Teen

COMMUNITY

PEER-TO-PEER

POP CULTURE MEDIA

The Only Wrapper You Need 60.mp3

Target Audience – Sexually Active Teens Community Small Businesses Bus Shelters Digital Billboards Food Court – Boulevard Mall Online Text Blasts Radio

LEGISLATION

SCHOOLS

August 2011 – NCSL ConferenceAssemblywomen Dina Neal – State Summit on Teen Pregnancy Prevention

October 2011 – Board of Health - Teen Pregnancy Prevention Resolution # 01-12

CCSD Representatives on Community Coalition & TPP Advisory Board

Parental Involvement

• Be an advocate!• Integrate TPP into policy development• Help coordinate resources

– NCSL – State-wide Coalition

• Support TPP funding• Build community capacity• Business mentoring programs in high risk

communities• Entrepreneurial opportunities for teens• More youth development programs

HOW YOU CAN HELP

REFERENCES

Cost to Nevada Taxpayers over 112 million Dollars per year: 

• The National Campaign to Prevent Teen and Unplanned Pregnancy (2011). Counting It Up: Total Cost To Taxpayers Associated with Teen Childbearing, 2008. Retrieved at http://www.thenationalcampaign.org/costs/pdf/counting-it-up/table-total-costs.pdf

• Schackman, et al. (2006). The Lifetime Cost of Current Human Immunodeficiency Virus Care in the United States. Medical Care; 44(11):990-997 accessed at  http://www.rilin.state.ri.us/hiv/documents/lifetimecostofhiv.pdf

• Chesson, H., Collins, D. and Koski, K. (2008). Formulas for Estimating the Costs Averted by Sexually Transmitted Infection (STI) Prevention Programs in the United States. Cost Effective Resource Allocation; 6:10  accessed at  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2426671/?tool=pubmed

• Kaiser Family Foundation (1997) Estimates of the Direct Medical Costs of all STDs by State - Nevada (Data adjusted to 2008 dollars using CPI Index). Accessed d at http://www.kff.org/womenshealth/1447-std_rep3.cfm

•  CDC – HIV Cost Effectiveness. Cost of HIV (2009)  – Nevada .Accessed at  http://www.cdc.gov/hiv/topics/preventionprograms/ce/index.htm

 

Teen Pregnancy and Birth Rate Data

• USDHHS Office of Adolescent Health. Nevada Reproductive Health Facts – Teen Birth Rates accessed at http://www.hhs.gov/ash/oah/adolescent-health-topics/reproductive-health/states/nv.html

• Nevada State Health Department Office of Health Statistics and Surveillance (2011). Preliminary Report: Teen Pregnancy (15-19 years) Counts and Rates, Clark County Residents, 2007-2008.