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Primary Prevention Initiative: Teen Pregnancy Prevention Module.

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Presentation on theme: "Primary Prevention Initiative: Teen Pregnancy Prevention Module."— Presentation transcript:

1 Primary Prevention Initiative: Teen Pregnancy Prevention Module

2 Objectives Upon completion of this module, learner will be able to: –Define levels of prevention –Describe how to select relevant topic, locate data, and identify an appropriate intervention 2

3 The Levels of Prevention PRIMARY Prevention SECONDARY Prevention TERTIARY Prevention DefinitionAn intervention implemented before there is evidence of a disease or injury An intervention implemented after a disease has begun, but before it is symptomatic. An intervention implemented after a disease or injury is established IntentReduce or eliminate causative risk factors (risk reduction) Early identification (through screening) and treatment Prevent sequelae (stop bad things from getting worse) ExampleEncourage exercise and healthy eating to prevent individuals from becoming overweight. Check body mass index (BMI) at every well checkup to identify individuals who are overweight or obese. Help obese individuals lose weight to prevent progression to more severe consequences. Adapted from: Centers for Disease Control and Prevention. A Framework for Assessing the Effectiveness of Disease and Injury Prevention. MMWR. 1992; 41(RR-3); 001. Available at: 3

4 Primary Prevention Initiative (PPI) Established by Dr. Dreyzehner in 2012 Goal is to focus the Department’s energy on primary prevention—eliminating risk factors for later problems Intent is for all TDH employees to engage in primary prevention efforts in their community Statewide Roll- out January, 2013

5 PPI Process –All counties participating in Primary Prevention Initiatives –County forms PPI Team –PPI Team meets to determine focus areas –Counties may utilize Community Health Assessments to determine priority topics –PPI Team submits PPI Proposal –PPI Team submits reports on each Activity –Process continues 5

6 Team Work Your county may have multiple teams working on different community activities Teams will spend 5% of their time working on PPI –Approximately ½ day every other week 6

7 PPI Teams Team members will be: –Catalysts –Encouragers –Resource providers –Data keepers/providers Team members are not sole workers –Teams will engage community partners to accomplish activities 7

8 PPI Teams Team size will vary –Teams of 3, 5, or 7 depending on health department size Team composition: –Include community members –Teams should be multidisciplinary (clerical, nursing, clinical, administrative) –Include Regional office staff i.e. Health Promotion Coordinator and/or Community Health Council Coordinator, county staff such as Health Educator, Health Care Provider, and administrative staff 8

9 Topics for PPI Activities –Tobacco –Obesity –Teen Pregnancy –Infant Mortality –Substance Use and Abuse –Immunizations –Suicide Prevention –Occupational Safety –Healthcare Associated Infections 9

10 Selecting a Topic There are so many things you could choose to work on—but time and resources are limited! You will need to prioritize your efforts based on the specific need(s) in your community Needs (and therefore, projects) will likely vary across the State 10

11 Selecting a Topic What can you use to help you prioritize? –Community Health Assessment Tools –County Health Council Priorities –Needs Assessments –Strategic Plans –Ranking/Report Card findings 11

12 Locating Data Once you’ve selected the topic on which you plan to focus, you will need to locate data that is relevant to the topic Data can help you: –Confirm “suspicions” or “hunches” –Sharpen your focus on a particular aspect of the topic –Identify baseline for measuring improvement 12

13 Locating Data Some Potential Data Sources: –Birth/death certificates –Hospital Discharge data –Health Information Tennessee (HIT) website –Behavioral Risk Factor Surveillance System (BRFSS) –Youth Risk Behavior Survey (YRBS) –Pregnancy Risk Assessment Monitoring Survey (PRAMS) –Data from community health assessments 13

14 Identifying An Intervention Once you’ve selected your topic and gathered appropriate data, it’s time to decide what you’re actually going to do There is no need to “re-invent the wheel” Explore what others have done, what has been tested, and what has been shown to work 14

15 Identifying An Intervention Some Sources for Identifying an Intervention : –Guide to Community Preventive Service –Healthy Teen Network Evidence-Based Resource Center –Promising Practice Network –SAMSHA National Registry of Evidence-Based Practices and Programs

16 PPI Proposal Once determined, submit PPI Proposal in PPI Proposal Survey Gizmo link: 16

17 PPI Proposal cont ains County Topic Objective Activities Team members Primary contact Community partners Estimated Start Date Estimated Completion Date 17

18 PPI Activity Reporting As the PPI Team completes each activity, report in PPI Activity Reporting Survey Gizmo link: 18

19 PPI Activity Reporting Contains County name Division/Office Topic Objective Activity description Key Partners/Contributions Start date of activity Facilitating factors of success Barriers encountered Plans to overcome barriers Unanticipated outcomes Impact measures- numbers served Stage of Change Success Stories 19

20 Applying Primary Prevention Principles to Teen Pregnancy

21 Tennessee Data: Adolescent Pregnancy Rates In 2012, the teen pregnancy rate among Tennessee girls aged years of age was 45.6 per 1,000 Nationwide, the teen pregnancy rate was 57.4 per 1,000 in 2010 Data Sources: 1) Tennessee Department of Health; Division of Policy, Planning and Assessment; Birth, Fetal Death and Induced Termination of Pregnancy Data Systems. 2) US Census. 3) Kost, K., & Henshaw, S. (2014). U.S. teenage pregnancies, births and abortions, 2010: National trends by age, race and ethnicity: Guttmacher Institute. Retrieved August 12, 2014 from

22 Tennessee Data: Sexual Activity in Youth Data Source: Centers for Disease Control and Prevention (CDC) High School Youth Risk Behavior Survey Data. Available at Accessed on 8/11/2014.http://nccd.cdc.gov/youthonline/

23 Tennessee Data: Sexual Activity in Youth Data Source: Centers for Disease Control and Prevention (CDC) High School Youth Risk Behavior Survey Data. Available at Accessed on 8/11/2014.http://nccd.cdc.gov/youthonline/

24 Proven Primary Prevention Strategies Example 1—Preventing Early Initiation of Sexual Activity Objective: Increase youth access to evidence-based and evidence-informed programs to prevent teen pregnancy. Activity: Conduct teen pregnancy prevention programs, utilizing approved evidence-based curricula, at established community-based organizations Contact and partner with community-based programs Review and select quality evidence-based programs Provide an informational workshop for parents/caregivers on program contents Establish a method of transportation for youth to access scheduled programs

25 Proven Primary Prevention Strategies Example 2—Preventing Early Initiation of Sexual Activity Objective: Increase the percentage of youth who abstain from or delay sexual intercourse. Activity: Provide peer education/mentoring services for adolescents attending community-based programs Identify community-based organizations that are receptive to utilizing peer educators Establish a peer education team to promote the importance of appropriate sexual decision-making Provide comprehensive training for qualified and approved peer educators Provide informational workshops for parents/caregivers on the advantages of implementing a peer mentoring program

26 Proven Primary Prevention Strategies Example 3—Preventing Early Initiation of Sexual Activity Objective: Increase # of youth that participate in community service-learning projects Activity: Identify and partner with community organizations to involve youth in local service projects Identify service learning opportunities using community resources Encourage community organizations to involve youth in promoting and participating in “acts of service” Distribute print materials and display posters promoting the importance of community service for positive youth development Provide media coverage at local service events to emphasize youth participation and community collaborations

27 Additional Resources Healthy Teen Network –http://www.healthyteennetwork.org/http://www.healthyteennetwork.org/ CDC Teen Pregnancy Prevention –http://www.cdc.gov/TeenPregnancy/PreventTeenPreg.htmhttp://www.cdc.gov/TeenPregnancy/PreventTeenPreg.htm The National Campaign to Prevent Teen and Unplanned Pregnancy –http://www.thenationalcampaign.org/http://www.thenationalcampaign.org/ TN Department of Education – Youth Risk Behavior Survey Results –http://www.tn.gov/education/yrbs/index.shtmlhttp://www.tn.gov/education/yrbs/index.shtml County Health Rankings –http://www.countyhealthrankings.org/#app/tennessee/2012/measures/factors/14/ map/http://www.countyhealthrankings.org/#app/tennessee/2012/measures/factors/14/ map/

28 Technical Assistance Resources Kimothy Warren –Teen Pregnancy Prevention and Abstinence Education Program Director – Kelly Luskin –Women’s Health Nurse Consultant –


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