By providing HIV pre-exposure prophylaxis, or PrEP (a single daily oral pill), in a primary care college health setting, clinical providers can make a dramatic contribution to the current and long-term health and well-being of the students they see. This viewpoint article describes the approach taken to instituting primary care PrEP services at…

With the goal of motivating a broader swath of philanthropists to make well-informed, actionable "big bets" to catalyze social change, The Bridgespan Group launched an ambitious research project in partnership with Bridgespan Fellow Jim Shelton. The intent: determine how private donors can best invest to increase upward social mobility…

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 work is part of a larger set of conversations on how philanthropic capital can better deliver potent results. This paper is intended for philanthropists and foundation staff who are interested in understanding not only which issues and interventions might put many more low-income people on an upward trajectory, but also how private donors can…

In the United States, an estimated 1.2 million people are living with HIV/AIDS, and approximately 50,000 new cases of HIV are diagnosed each year. Globally, it is estimated that 33.3 million people are living with HIV/AIDS. The role of mobile populations in the spread of STIs and HIV is well-documented in many countries around the world. Long-haul…

The United States has one of the highest unintended pregnancy rates of all industrialized nations in the world, with 13% of those occurring among the adolescent population. In 2005, the adolescent birthrate in the United States was 40.5 per 1,000 women and increased 3% in 2006 (Martin et al., 2009). Unintended pregnancy and motherhood can have a…

Young people ages 10-24 account for 25 percent of the world's population: a total of 1.8 billion, most of whom are living in low- and middle-income countries. They face significant challenges, including HIV, sexually transmitted infections (STIs), adolescent pregnancy, unsafe abortion, and gender-based violence. Youth have the right to lead…

Nearly one third of Nigeria's total population of 148.1 million is between the ages of 10 and 24. Nigerian adolescents' sizeable share of the population makes them integral to the country's social, political and economic development. Nigeria's development is compromised by the sexual and reproductive health issues afflicting its youth. Lack of…

Teen childbearing affects young people at both ends of childhood. When teens have children, their own health may be jeopardized and their chances to build productive lives are often diminished. Compared to women who postpone childbearing until they are older, teenage mothers are more likely to drop out of school and to live in poverty. At the same…

Science-Based Approaches (SBAs) have a number of specific characteristics. First, the development and implementation of an SBA must be fully informed by rigorous research. Second, an SBA must use strategies accepted in the scientific community as thorough and reliable. Third, the evaluation of an SBA must have shown it to be effective in achieving…

Isabel Sawhill, Adam Thomas, and Emily Monea believe that given the well-documented costs of nonmarital births to the children and parents in fragile families, as well as to society as a whole, policy makers' primary goal should be to reduce births to unmarried parents. The authors say that the nation's swiftly rising nonmarital birth rate has…

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…

Objectives: At the conclusion of this lesson, students will be able to (1) identify methods of contraception that are the least/most effective for HIV/AIDS prevention, (2) describe modes of HIV/AIDS transmission, (3) demonstrate proper condom use, and (4) describe the consequences of unprotected sexual behavior. Target Audience: Students enrolled…

Research has shown that the correct and consistent use of the male latex condom is the single most efficient, cost-effective way to reduce the sexual transmission of HIV and other infections. Yet information must be communicated in a way that is clearly understood and actually contributes to behavior change for both women and men. Anatomical…