1. Prevention of Unplanned Pregnancy Project Larimer County, Colorado Kori Wilford, Health Educator Family Planning Program

2. Prevention of Unplanned Pregnancy Project Project Overview The Prevention of Unplanned Pregnancy Project (PUPP) is a unique partnership between The Larimer County Department of Human Services and the Department of Health and Environment. The Prevention of Unplanned Pregnancy Project (PUPP) is a unique partnership between The Larimer County Department of Human Services and the Department of Health and Environment.

3. Prevention of Unplanned Pregnancy Project Project Overview Larimer County Department of Human Services allocates TANF dollars to the Larimer County Department of Health for : Family planning program outreach, education, and for the purchase of highly effective (and often expensive) contraceptives. Family planning program outreach, education, and for the purchase of highly effective (and often expensive) contraceptives.

4. Prevention of Unplanned Pregnancy Project Project Overview Allocated TANF funds allow for outreach, health education, and family planning clinic services with a focus on reaching: Allocated TANF funds allow for outreach, health education, and family planning clinic services with a focus on reaching: Low-income, un-insured and under-insured women of childbearing age Low-income, un-insured and under-insured women of childbearing age Teens in need of reproductive health information and/or family planning services. Teens in need of reproductive health information and/or family planning services.

5. Prevention of Unplanned Pregnancy Project The Goal To promote self-sufficiency for women and families in Larimer County by: To promote self-sufficiency for women and families in Larimer County by: reducing unplanned pregnancies and thus; reducing unplanned pregnancies and thus; reducing the number of individuals in need of TANF. reducing the number of individuals in need of TANF.

6. Prevention of Unplanned Pregnancy Project Why Use TANF Dollars for Family Planning? Each public $1.00 to provide family planning services saves $3.80 for pregnancy related services and newborn care-most of which would be paid for by Medicaid. (Alan Guttmacher Institute) Each public $1.00 to provide family planning services saves $3.80 for pregnancy related services and newborn care-most of which would be paid for by Medicaid. (Alan Guttmacher Institute) Family planning can help reduce the need for more costly social services and interventions. Family planning can help reduce the need for more costly social services and interventions.

7. Prevention of Unplanned Pregnancy Project Why Use TANF Dollars for Family Planning? TANF dollars fill the gaps for women who: TANF dollars fill the gaps for women who: want highly effective, but often expensive, methods of birth control. want highly effective, but often expensive, methods of birth control. can not get the method they want paid for by any other source. can not get the method they want paid for by any other source.

8. Prevention of Unplanned Pregnancy Project Outreach and Education January 2000-present January 2000-present Health Department’s family planning health education program has reached nearly 15,000 people in Larimer County. Health Department’s family planning health education program has reached nearly 15,000 people in Larimer County.

9. Prevention of Unplanned Pregnancy Project Outreach and Education Community Organizations: Community Organizations: Provide resource information for access to clinics Provide resource information for access to clinics Provide sexual health presentations Provide sexual health presentations Provide condoms and sexual health information Provide condoms and sexual health information Schools: Schools: Provide school based sexual health presentations Provide school based sexual health presentations Assist with science based sexuality curriculum development or review Assist with science based sexuality curriculum development or review Provide teacher trainings and updates Provide teacher trainings and updates Advocate for comprehensive sexuality education Advocate for comprehensive sexuality education

10. Prevention of Unplanned Pregnancy Project Outreach and Education Professional Training: Professional Training: Provide resources and information about family planning clinic services and topics to individuals who work directly with low-income women and teens. Provide resources and information about family planning clinic services and topics to individuals who work directly with low-income women and teens. Advocacy and Presence in Community Advocacy and Presence in Community Speak Out! Speak Out! Young Women’s Journey Conference Young Women’s Journey Conference Northern Colorado Comprehensive Sex Educator’s Alliance Northern Colorado Comprehensive Sex Educator’s Alliance School District Health Curriculum Advisory Boards School District Health Curriculum Advisory Boards

11. Prevention of Unplanned Pregnancy Project Success of Project Increased knowledge and access to family planning services. Increased knowledge and access to family planning services. 2006-25% increase in total family planning clients 2006-25% increase in total family planning clients

12. Prevention of Unplanned Pregnancy Project Larimer County Birth Rates Nationally, teen birth rates have been declining over the last decade. Colorado did not see the slight national increase that the U.S. experienced in 2006. Nationally, teen birth rates have been declining over the last decade. Colorado did not see the slight national increase that the U.S. experienced in 2006. Larimer County: Larimer County: Birth rates for 15-17 year olds went from 18.9 [births per 1,000] in 2001 to a twenty year record low of 9.8 in 2003. Birth rates for 15-17 year olds went from 18.9 [births per 1,000] in 2001 to a twenty year record low of 9.8 in 2003. COAPPP, 2008

13. Prevention of Unplanned Pregnancy Project Success of PUPP Larimer County’s teen fertility rates have been consistently lower than the Colorado rates. Larimer County’s teen fertility rates have been consistently lower than the Colorado rates. Colorado: 21.0 (2002-2004) Colorado: 21.0 (2002-2004) Larimer County: 13.5 (2002-2004) Larimer County: 13.5 (2002-2004) Larimer County’s teen fertility rate currently meets the MCH Healthy People 2010 goal, with a 22% decline since 2000. Larimer County’s teen fertility rate currently meets the MCH Healthy People 2010 goal, with a 22% decline since 2000. Partnership between county departments has encouraged more opportunities to connect with each other to help clients. Partnership between county departments has encouraged more opportunities to connect with each other to help clients. Trends in MCH Performance Measures, 2006

14. Prevention of Unplanned Pregnancy Project Are TANF dollars available for your FP program? Quite possibly…ask! Quite possibly…ask! In many states and counties, TANF dollars can be allocated with much flexibility. In many states and counties, TANF dollars can be allocated with much flexibility.

15. Prevention of Unplanned Pregnancy Project Contact Kori Wilford, Health Educator Larimer County Department of Health and Environment (970) 498-6743, ext. 1 kwilford@larimer.org