Adolescent Pregnancy 5-Year Action Plan Sample



Deliverable Form D – 5-Year Action PlansAdolescent Pregnancy (For further instructions see separate document titled “Action Plan Guidelines”)MCAH SOW Goal X:Problem Category(ies)From Deliverable Form B of your Title V Needs Assessment.Problem Statement(s)From Deliverable Form B of your Title V Needs Assessment.Five Year Local Goal(s)Develop one or more five year local goal(s) that state the desired results of your interventions. Examples: Decrease repeat pregnancies among expectant and parenting teens (EPTS) (age 12-19), decrease first pregnancies among teens, increase condom use, increase coordination of local resources and agencies addressing adolescent pregnancy, implement positive youth development strategies in working with expectant and parenting adolescents and at-risk teens, and increase the number of teens participating in evidence-based or evidence-informed programs designed to prevent teen pregnancy.Risk/ Contributing FactorsList LHJ specific contributing factors using a problem analysis. Examples: Lack of access to teen friendly services such as family planning and healthcare, poor school performance, teen parent, sibling of pregnant or parenting teen, failure to use birth control effectively and consistently, cultural/ethnic/societal attitudes about pregnancy, cultural/language barriers, young age, older male partner, socioeconomic disadvantage, mental health issues, substance use, violence, stress/trauma, lack of alternatives for young people, lack of positive youth development, lack of positive role models, poor communication with parents, teens in places and situations that lead to sex, lack of system integration, lack of evidence-based or informed programs designed to prevent teen pregnancy, and lack of community understanding of positive youth development and needs of teens.Best Practice Strategies/ InterventionsList best practice strategies and/or interventions to address your problems. Examples: Community mobilization and sustainability: Educating stakeholders and the community about evidence-based/informed strategies to reduce teen pregnancy and the needs and resources of priority populations. Evidence-based and evidence-informed programs designed to prevent teen pregnancy.Activities to build a strong adolescent health work force and increase access to teen friendly reproductive health services. Positive youth development strategies that provide young people with skills that will help them succeed as adults and increase protective factors (knowledge, personal values, intention to use birth control and limit sexual activity, communication with parents/adults about sex, condoms, contraception, ability to avoid situations that lead to sex, refusal skills, life planning, vision for future).Increasing involvement of parents and other caring adults, male involvement, culturally relevant interventions.Increasing teen employment opportunities. Intervention Population(s)List the populations you will be intervening with for the next five years. Example: (Insert based on data) In California, teen pregnancy rates and childbirth are highest among non-Hispanic blacks, Hispanic/Latinos, and American Indians. Short and/or Intermediate Objective(s)1Inputs, including Community Partner InvolvementIntervention Activities to Meet Objectives Performance MeasuresShort and/or IntermediateProcess Description and Measure(s) including Data SourceOutcome Measure(s) including Data SourceFiscal Year 1 By June 30, 20XX,(X number) of (target population) will report increased awareness of (adolescent pregnancy, or how to access family planning services), or (available evidence-based teen pregnancy prevention programs)ORBy June 30, 20XX, in collaboration with partners, implement a community awareness campaign targeting (X population) to increase (awareness of adolescent pregnancy, how to access family planning services or evidence-based teen pregnancy prevention programs)(Choose a target population to focus campaign)MCAH Program staffPublic Health Department (PHD) staffFamily PACT ProvidersLocal schools or education servicesPrimary care providers (PCP)Social servicesNonprofit/community organizations addressing adolescent pregnancyYouthparents/family members(Insert LHJ specific partners and resources, such as funding)Choose the applicable activities: Identify community stakeholders—engage and recruit a diverse group, including in the target community and invite them to participate in meetingsPresent data on adolescent pregnancy, risk factors, protective factors, best practicesOffice of Adolescent Health: of Adolescent Health Evidence-Based Programs: Promising Strategies and Existing Gaps in Supporting Pregnant and Parenting Teens: Working withPregnant & parenting teens tip sheet: and Success: Programs that Work to Prevent Subsequent Pregnancy Among Adolescent Mothers: Adolescent Health Collaborative: adequacy of and need for additional resources and referral resource network for contraception and family planningElicit input on strategies to decrease teen pregnancyIdentify funding sourcesLeverage resources and use recommendations to increase adolescent pregnancy prevention in the communityIntegrate recommendations into MCAH program activitiesDevelop a method to track and measure awareness of adolescent pregnancy in targeted populationProvide training and/or materials on adolescent pregnancy to relevant health department and community programsPromote adolescent pregnancy information through social media, webinars, workshops, and presentations at conferences/professional meetings?To improve understanding of how to evaluate the effectiveness of community campaigns, review CDC “Evaluating Communication Campaigns”: Develop a plan to evaluate the outcomes of the community adolescent pregnancy awareness campaignExploring funding opportunities to sustain programBriefly describe or report:Stakeholders participating, including diversityObjectives, key activities, timelines, evaluation components, and barriers to implementation of capacity building programs/strategies Plan developed to evaluate outcomes of the community awareness campaignMaterials and resources created and/or identified Number of trainings and attendeesCommunity outreach efforts for distribution of materialsMeasures include:Number reporting increased awareness of adolescent pregnancy prevention/(X)Describe community awareness campaign for (X -insert target population)Number reporting increased awareness of adolescent pregnancy/Target populationPrograms that have added adolescent pregnancy information to their curriculaTrack number of clients informed, if applicable.Brief description of outcomes of the community awareness campaignBrief description of policy changes, if anyFiscal Year 2By June 30, 20XX, (X number of adolescents) in (specify at risk population) will obtain contraception and condoms and state intent to use in order to decrease repeat pregnancy and prevent STIs (May repeat in subsequent years depending on your capacity and the populations you are trying to reach)And/or: By June 30, 20XX, (X/X) staff at (specify location(s)) will demonstrate adequate knowledge of teen-friendly referral processes, including information on family planning, safer sex, and contraception (including use of long-acting reversible contraceptives) and intent to refer(May repeat in subsequent years with new locations or new staff)MCAH Program staffPHD staffPCPFamily PACT ProvidersNonprofit/ community organizationsLocal schools or education services(Insert LHJ specific partners and resources, such as funding)Perform the following:Identify and address barriers for consistent use of contraceptionReview the Family PACT website: the website : and implement policies/protocols to provide referrals for family planning for (at risk population)Develop a process to measure intent to use contraception and condomsProvide applicable training for providers and staff, including information on family planning, safer sex, and contraception (including use of long-acting reversible contraceptives)Develop and implement a Continuous Quality Improvement/Quality Assurance (CQI/QA) process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process and a plan to evaluate the impactPerform the following:California Adolescent Health Collaborative: to develop policies, procedures, and cultural support to implement intervention activities Develop a method to evaluate the effectiveness of trainings and intent to implement policies to refer adolescents for family planningProvide technical assistance as neededDevelop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process and a plan to evaluate the impactProvide technical assistance (TA) as neededBriefly describe or report:Collaboratives/partnerships formedReferral network and process developed and implementedNumbers referred for family planningProcess to measure intent to use contraception and condomsBarriers, challenges and opportunities reported Describe CQI/QA process developedBriefly describe or report:Number of staff trainedBarriers, challenges and opportunities reportedTrainings and number completing trainingProcess to measure knowledge change and intent to implement policies CQI/QA process developedTA provided Number of adolescents obtaining contraception and condoms/[x]Number of adolescents stating intent to use contraception and condoms/[x]Brief description of the referral policies/protocolsBrief description of outcomes of the CQI/QA process, including methods of measurements and resultsNumber of staff demonstrating adequate knowledge and intent to refer/(x)Brief description of knowledge change and report numbers intending to implement policies as a result of training Brief description of policies implementedBrief description of outcomes of the CQI/QA process, including methods of measurements and resultsFiscal Year 3By June 30, 20XX, (X/X) of siblings of expectant and parenting adolescents in (MCAH or other programs) will enroll in existing primary prevention programs MCAH StaffPHD staffPCPNonprofit/ community organizationsLocal schools or education servicesJuvenile justiceSocial services/ foster careBehavioral health(Insert LHJ specific partners and resources, such as funding)Perform the following activities:Engage existing community partners/collaboratives and share referral resource network Develop and implement policies/protocols to provide referrals for siblings of all adolescents in MCAH ProgramsOffice of Adolescent Health: of Adolescent Health Evidence-Based Programs: Promising Strategies and Existing Gaps in Supporting Pregnant and Parenting Teens: and implement policies/protocols that link adolescents to appropriate resourcesDevelop a method to evaluate the effectiveness of trainings and intent to implement policies to refer adolescents for primary prevention programsDevelop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process, and a plan to evaluate the impactProvide TA as needed Briefly describe or report:Existing and newly created resources and support groups for siblings of expectant and parenting adolescents Brief description of referral policies for siblings of expectant and parenting adolescents Number of siblings identified and referred/(X)Collaboratives/partnerships formedBarriers, challenges and opportunities reportedReferral process developed and implementedCQI/QA process developed TA providedMeasures include:Number of siblings enrolling in primary prevention program/number referredBrief description of policies implementedBrief description of outcomes of the CQI/QA process, including methods of measurements and resultsFiscal Year 4By June 30, 20XX, (X) organization(s) (specify) working with male expectant and parenting teens (EPTS) will implement policies that promote father involvement(examples of target populations are: providers, schools, sports and social clubs, foster care providers, juvenile justice system)(May be duplicated for multiple years, depending on your year capacity and the number of organizations you are trying to reach)MCAH StaffPCP and other providersBehavioral/mental healthSocial servicesAlcohol and Drug ProgramsSchoolsSport, social teen organizationsProbation/law enforcementMentor programs(Insert LHJ specific partners and resources, such as funding)Perform the following activities:Engage existing community partners/collaboratives or develop new relationships with organizations serving adolescents to develop or utilize existing policies to improve father involvementReview and develop understanding of the resources materials and frameworks for father involvement National Responsible Fatherhood Clearinghouse: of Adolescent Health: Fatherhood E-Leaning Module: Young Fathers: Strategies for Achieving Success: Resource Guide of Best Practices for Pregnant and Parenting Teen ProgramsTeen Father Services: HYPERLINK "" Teen Network: Resources for Young Men: Provide training for target populations or organizationsDevelop a method to evaluate the effectiveness of trainings and intent to implement policies Provide technical assistance to organizations implementing policies to improve father involvementDevelop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process, and a plan to evaluate the impactBriefly describe or report:Process of developing and implementing policiesBarriers, challenges and opportunities reportedBrief description of and number completing training Process to measure knowledge change and intent to implement policies Describe technical assistance provided CQI/QA process developedMeasures include:Number of [insert target organization(s)] implementing policies that promote father involvement/[x]Brief description of policies implementedNumber of (target organization(s)) demonstrating increased knowledge of methods to improve father involvement/Number trainedBrief description of staff knowledge change and report number intending to implement policies that improve father involvement. Brief description of outcomes of the CQI/QA process, including methods of measurements and resultsFiscal Year 5By June 30, 20XX, (X – specify organization(s)/school(s)) will implement policies or programs with a focus on positive youth development among (at risk population, expectant and parenting teens (EPTS), young teens, etc.) (Example (X) organization(s) are: schools, foster youth caregivers, ethnic/cultural organizations, probation/law enforcement)(Review your data to identify at risk population—EPTs, young teens, Hispanics, African-Americans, areas)Nonprofit/ community organizationsLocal schools or education servicesProbation/law enforcementSocial Services/ Foster CareBehavioral HealthMentor programs(Insert LHJ specific partners and resources, such as funding)Perform the following:Engage existing community partners/collaboratives and share resources or develop new relationships with organizations to develop or utilize existing policies or programs to build positive youth development Review and develop understanding of the resources materials and frameworks for positive youth development California Adolescent Health Collaborative: Office of Adolescent Health: Sexual Health Working Group (ASHWG) positive youth development principles: Family and Youth Services Bureau: resources, collaborate with partners and share information, activities and training opportunities to promote positive youth developmentDevelop policies, procedures, and cultural support to implement intervention activitiesTrain staff to implement policies and programs that promote positive youth developmentDevelop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process, and a plan to evaluate the impact Provide TA as neededBriefly describe or report:Existing and newly created relationships/resourcesRationale for intervention chosen to positive youth development in targeted organizationsBarriers, challenges and opportunities reportedTraining and number completing training Process to measure knowledge change and intent to implement policies or programs CQI/QA process developedTA provided Number (specify organization(s)/school(s)) implementing policies that promote positive youth development/(X)Brief description of policies implementedNumber of (specify organization(s)) demonstrating increased knowledge of methods to promote positive youth development/Number trainedBrief description of knowledge change and report numbers intending to implement policies as a result of training Brief description of outcomes of the CQI/QA process, including methods of measurements and results ................
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