HHS is involved in several projects and programs that promote partnerships in communities interested in preventing teen pregnancy. Following are highlights and updates of HHS efforts to build and strengthen partnerships in communities across the country.
Get Organized: A Guide to Preventing Teen Pregnancy. The Department, in partnership with the National Campaign to Prevent Teen Pregnancy, developed a three volume guide for states and communities to use in their fight against teen pregnancy. The guide includes chapters on important topics such as: "Promising Approaches", "Involving Teen Boys and Young Men", "Involving Parents", "Involving the Faith Community", "Involving Health Care Professionals", and "Involving the Business Community." Other chapters address issues that often challenge community leaders in their efforts to prevent teen pregnancy such as how to conduct a community needs assessment, how to raise funds for prevention programs, how to create an effective teen pregnancy prevention message, and how to move forward in the face of conflict. The Guide is available through the National Campaign to Prevent Teen Pregnancy. The Campaign web site is http://www. teenpregnancy.org.
The Indian Health Service. The Indian Health Service (IHS) is a direct care organization with most efforts concerning teen pregnancy concentrated on providing appropriate prenatal and neonatal care. There is, however, a growing effort to work with various organizations — federal, state, and local — to develop and implement strategies that deal with all issues surrounding teen parenthood, including prevention.
Working with IHS, the Center for American Indian and Alaskan Native Health at Johns Hopkins University is currently providing outreach workers to tribal members of three Navajo units and the White Mountain Apache. The workers conduct a curriculum-based outreach program on healthy pregnancies and well-child care, which includes family planning on an individual basis. With partnerships and funding from the C.S. Mott Foundation and the Ford Foundation, they are now in the planning phase of a program expansion to include fathers and male outreach workers.
Girl Neighborhood Power! — Building Bright Futures for Success (GNP). This five year national demonstration program, begun in 1997, centers on involving communities as active partners in helping girls (9-14 years old) successfully navigate adolescence and reach their maximum potential. Currently, the program consists of four community partners (Girls Inc. of Memphis, TN; Crispus Attucks of York, PA; City of Madison, WI; and Youth & Family Services Inc. of Rapid City, SD) and a national leadership consortium (Healthy Mothers, Health Babies Coalition, Inc. of Alexandria, VA).
GNP encourages and supports partnerships at both the local and federal levels. To be eligible for funding, communities were required to demonstrate local commitment through a broad-based coalition of community agencies and parental involvement. In addition, GNP is supported by several HHS agencies, including the Centers for Disease Control and Prevention, the National Institutes of Health, the Public Health Service's Office of Women's Health, the Administration for Children and Families, and the Health Resources and Services Administration.
This year, the community partners focused on strengthening local coalitions and neighborhood site development. Many valuable partnerships formed at the community level, for example, partnerships with the Association of Retarded Citizens, local churches, community centers, mental health providers, and local justice agencies.
To reach its goal of promoting the well-being of girls, GNP will continue to build strong partnerships among a network of organizations and individuals in order to communicate positive messages and provide meaningful opportunities for girls. Additional information on the promising approaches being used by GNP can be found in the next section.
The Centers for Disease Control and Prevention (CDC) Community Coalition Partnership Programs for the Prevention of Teen Pregnancy. The CDC supports and works closely in partnership with thirteen communities with high rates of teen pregnancy. These demonstration projects, begun in 1995, are currently in their second phase. In this phase coalitions of local public and private agencies and community organizations are working together to implement their action plans, test promising interventions, build financial and programmatic sustainability, and conduct site-specific evaluations. CDC will continue to work with these innovative communities for the next several years. Further details about the promising approaches and evaluation efforts of this program will be discussed later in this report.
Building and Sustaining Partnerships Report. To better understand the potential of partnerships to enhance teen pregnancy prevention efforts, HHS published "Building and Sustaining Community Partnerships for Teen Pregnancy Prevention." This report, issued by the Assistant Secretary for Planning and Evaluation in July 1998, is based on an extensive literature review of various partnership relationships focusing on teenage pregnancy and other risk-taking behaviors. Research in the fields of violence prevention, substance abuse prevention, teen pregnancy prevention, youth development, community development, environmental protection, and general business enterprises were explored and reviewed. In addition, the report discusses the process of partnership development, including how to mobilize a community, organize, implement, and sustain a partnership, and provides models of community development and detailed case studies. By providing this publication, HHS hopes to assist in the development of teen pregnancy prevention partnerships across the country. Copies of this report are available at http://aspe.hhs.gov.
Preventing Pregnancy through Youth Development. Published by the Family and Youth Services Bureau (FYSB), "Preventing Adolescent Pregnancy: A Youth Development Approach", provides useful information and background on using a youth development approach with teen pregnancy prevention efforts. Topics discussed include: "Ideas for Getting Started" and "Building on Lessons Learned." This year, FYSB's National Clearinghouse on Families and Youth (NCFY) distributed over 5,000 copies of the guide to a diverse audience, including: federal, state, and local lawmakers, school representatives, private industry, non-profit organizations, and the academic community. In addition, NCFY produced an article based on this guide that was included in the December 1998 edition of the Preventing Pregnancy for Youth: An Interdisciplinary Newsletter (funded by the C.S. Mott Foundation). Copies of the book are available through the National Clearinghouse on Families and Youth at http://www.ncfy.com.