This document is part of a Bridgespan Group research project that focused on the question: "How could a philanthropist make the biggest improvement on social mobility with an investment of $1 billion?" In answering this question, the authors have sought to understand "what matters most" for improving social mobility outcomes.…

This paper presents results from fiscal impact simulations of three national-level policies designed to prevent unintended pregnancy: A media campaign encouraging condom use, a pregnancy prevention program for at-risk youth, and an expansion in Medicaid family planning services. These simulations were performed using FamilyScape, a recently…

Project CHOICES developed an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. Settings included primary care, university-hospital based obstetrical/gynecology practices, an urban jail, substance abuse treatment settings, and a media-recruited sample in three large…

In 1981, the first grants for what later came to be called "abstinence-only" programs were authorized under the Adolescent Family Life Act (AFLA). Sponsored by congressional family planning opponents, AFLA was promoted as a "family-centered" alternative to contraceptive counseling and services to teenagers; instead, this…

Teen pregnancy has declined due to stagnating sexual activity rates and increases in contraceptive use. Still, between 800,000 and 900,000 adolescents become pregnant each year in America. Many who become parents during adolescence are unable to achieve positive health, economic, and social well-being outcomes, particularly around educational…

This survey analyzed the nature and level of services in adolescent pregnancy prevention in the developing countries of Latin America, Africa, and Asia. While focusing on programs to prevent adolescent pregnancy, many of the groups surveyed were also responding to the Acquired Immune Deficiency Syndrome (AIDS) epidemic in their work with youth.…

Argues that sexual activity and pregnancy has increased among adolescents in part because of government's role in subsidizing illegitimacy and abortion. The author offers solutions to the pregnancy problem by advocating parental notification laws when minors seek abortions, less government funding for birth control measures and abortion, and more…

The university health center and counseling center combined efforts to create a campuswide sex education program that included seminars, appropriate physical examinations, and personal peer counseling. The program includes an evaluation component that has provided continuous data to be used for program reconstruction. (LA)

This fact sheet addresses the issue of teenage pregnancy. Six factors contributing to the current attention focused on teenage pregnancy and parenthood are listed and teenage pregnancy and birth rates are discussed. Other areas covered include teenage nonuse of contraception, sex education by schools and parents, family planning services, and the…

Unintended pregnancies occur among young people who are sexually active and who do not take sufficient precautions to prevent pregnancy. Two major factors identified as contributing to unintended pregnancy are the lack of knowledge and skill in family planning and inconsistency in use of contraceptives. A pretest-posttest experiment was conducted…

Much of the practice of community health nurses is focused on health promotion. Nurse-client contracting has been used with clients experiencing hypertension, diabetes, or arthritis. A study was conducted to determine whether nurse-client contracting would be useful as a method for providing nursing care to assist sexually active young women to…

The Appalachian Adolescent Health and Education Project (AAHEP), in operation for 3 years, is a program designed to reduce adolescent pregnancy rates (prevention component) and provide care for pregnant teenagers (care component) in East Tennessee. Limitations in funding and service delivery prompted the AAHEP to modify its 15-county scope by…

In l970, the Board of Directors at Planned Parenthood at Alameda-San Francisco in California recognized the need for broader sex education programs for young people by giving top priority to community education as well as to clinic services. One of the stated educational objectives became encouraging and assisting school districts to develop…

This report is a first year summative and formative evaluation of the Appalachian Adolescent Health Education Project (AAHEP), a program designed to reduce adolescent pregnancy and provide care for pregnant teenagers in East Tennessee. It attempts to determine the impact of the project on teenage pregnancy in the 15-county target area and the…

This report evaluates the second year of the Appalachian Adolescent Health Education Project (AAHEP), a program designed to reduce adolescent pregnancy rates and provide care for pregnant teenagers in East Tennessee. Changes in the program, including the reduction in target area from 15 counties to 3 primary counties and 6 target high schools, are…