Teen Pregnancy Prevention Replication of Evidence-Based Program Models

The Office of Adolescent Health (OAH) is charged with implementing the Teen Pregnancy Prevention (TPP) grant program. In 2010, OAH awarded $75 million in cooperative agreement grants through a competitive process to support the replication of evidence-based program models effective at preventing teen pregnancy to 75 organizations in 32 states and the District of Columbia (grantee information current as of 3/20/2012). Awards ranged from $400,000 to $4 million per year for up to five years. An independent review of program evaluations identified more than 30 evidence-based models that had been proven, through rigorous evaluation, to be effective. As a result of this evidence review, projects based on effective program models were eligible for replication under the TPP Program. Seventy five grants were awarded.

Teen Pregnancy Prevention Research and Demonstration Programs

OAH supports research and demonstration programs to develop, replicate, refine, and test additional models and innovative strategies for preventing pregnancy. In 2010, OAH awarded $15.2 million in cooperative agreement grants to 19 organizations in 14 states and the District of Columbia through a competitive process (grantee information current as of 3/19/2012).  Awards range from $400,000 to $1 million per year for up to five years.   Projects focus on areas with high teen pregnancy rates and high-risk, vulnerable, and culturally under-represented youth populations, including youth in foster care, runaway and homeless youth, youth with HIV/AIDS, youth living in areas with high teen birth rates, delinquent youth, and youth who are disconnected from usual service delivery systems. Funded grantees will generate lessons learned so others can benefit from these strategies and innovative approaches.  Grantees operate in one or multiple sites across the country and include an emphasis on interventions that target impacts on key sexual behavioral outcomes.  All grantees will conduct rigorous evaluations that will produce outcomes to further enhance the knowledge base and field of teen pregnancy prevention.

Community-wide Teenage Pregnancy Projects

OAH, together with the Centers for Disease Control, provided $9.8 million in 2010 to support eight community-wide teenage pregnancy projects. As part of the Teen Pregnancy Prevention Initiative (TPPI), OAH is partnering with the federal Centers for Disease Control and Prevention (CDC) to reduce teenage pregnancy and address disparities in teen pregnancy and birth rates. The purpose of this program is to demonstrate the effectiveness of innovative, multicomponent, community-wide initiatives in reducing rates of teen pregnancy and births in communities with the highest rates, with a focus on reaching African American and Latino/Hispanic youth aged 15–19. A community-wide model is an intervention implemented in defined communities (specified geographic area) applying a common approach with different strategies. Community-wide approaches will be tailored to the specified community, and will include broad-based strategies that reach a majority of youth in the community (e.g., through communication strategies and media campaigns); and intensive strategies reaching youth most in need of prevention programming (e.g., through implementation of evidence-based programs and improved links to services).

Last updated: June 24, 2015