tpp state summit presentation
TRANSCRIPT
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TEEN PREGNANCY PREVENTION PROGRAM
TEEN PREGNANCY PREVENTION PROGRAM
Teen Pregnancy Prevention State SummitNovember 16, 2012
Presented by: Michelle Sotero, MPH, TPP Program Coordinator, SNHD
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PRESENTATION OBJECTIVES• Why is TPP Important in Clark County?
– Cost to Taxpayers– At Risk Youth
• TPP PROGRAM – Core Program– Sustainability Efforts
• NEED FOR ACTION
Program funded by: The Office of Adolescent Health (OAH) Cooperative Agreement Award No. 5 TP1AH000024-02-00
FY10 Teenage Pregnancy Prevention: Replication of Evidence-based Programs (Tier 1)
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COST TO TAXPAYERS (Direct/Indirect-2008)
• TEEN PREGNANCY = $84 MILLION• 4,262 teen births in Nevada
• HIV/AIDS - $21 Million• Average life expectancy – 24.2 yrs• Lifetime Cost - $618,900• 823 people living with HIV diagnosed as teens
• STI/STD - $7 Million• 3,812 cases of teens with
Chlamydia/Gonorrhea/Syphilis
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TPP PROGRAM RETURN ON INVESTMENT
Disease 10% case decrease
Average Averted Cost
Estimated Averted Cost
Teen Births 305 $3,040 $927,200
Chlamydia 322.1 $ 171 $ 55,079.10Gonorrhea 58.5 $ 206 $ 1,205.10
P&S Syphilis .60 $ 572 $ 343.20HIV 7.8 $ 198,471 $ 1,584,073.80
TOTAL $2,567,901
ROI = 2.57
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Maps created in partnership with:
Jay Kvam, MSPH, State Biostatistician - Nevada State Health Division
Eric Ingbar/Sandra Atkinson, Gnomon, Inc. – Carson City, NVhttp://new.gnomon.net/
Target Zip Codes89101 8910289106 8910989115 8911989030
Represent 23% of all teen births
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US Nevada 89030 89106 89101 89115 891020
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Teen Birth Rates (2008) – Target Zip Codes
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Teen Birth Rates – Target Zip Codes
Source: Teenage birth rate by country, UNICEF. Retrieved from http://www.NationMaster.com/graph/peo_tee_bir_rat-people-teenage-birth-rate
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Youth at disproportionate risk for teen pregnancy– Youth in target zip codes– Youth in Juvenile Justice– Youth in Foster Care
CORE PROGRAM - Sexual Health Education
Evidence Based Curricula • Designed for inner-city males• Small Groups – 13-18 yrs old• Culturally competent for Latino/AA youth
• HIV/STD/Pregnancy• Understanding Vulnerability• Condom Demonstration• Building Refusal Skills
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REDUCE RISK!
PROTECT SELF,
PARTNER, COMMUNITY
INCREASE ABSTINENCE &
REFUSAL SKILLS
REDUCE SEXUAL PARTNERS
INCREASE CONDOM
USE
Free STD/HIVTesting
CORE PROGRAM
• Goal: By 2015, Reduce teen pregnancy/ STD/HIV rates by 10% from 2008 baseline.
Programmatic Objectives
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SUSTAINABILITY EFFORTS
2) PREVENTION TAKES EVERYONE!SEXUAL HEALTH
EDUCATION
PARENTS
COMMUNITY
PEER-TO-PEER
POP CULTURE
MEDIA
LEGISLATION
SCHOOLS
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PARENTS
• Parent Focus Groups• Sexual health training workshops
• DFS Caseworkers/Foster Parents• Big Brother/Big Sister Mentors• Parents• Parent/Teen
COMMUNITY
PEER-TO-PEER
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POP CULTURE MEDIA
The Only Wrapper You Need 60.mp3
Target Audience – Sexually Active Teens Community Small Businesses Bus Shelters Digital Billboards Food Court – Boulevard Mall Online Text Blasts Radio
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LEGISLATION
SCHOOLS
August 2011 – NCSL ConferenceAssemblywomen Dina Neal – State Summit on Teen Pregnancy Prevention
October 2011 – Board of Health - Teen Pregnancy Prevention Resolution # 01-12
CCSD Representatives on Community Coalition & TPP Advisory Board
Parental Involvement
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• Be an advocate!• Integrate TPP into policy development• Help coordinate resources
– NCSL – State-wide Coalition
• Support TPP funding• Build community capacity• Business mentoring programs in high risk
communities• Entrepreneurial opportunities for teens• More youth development programs
HOW YOU CAN HELP
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REFERENCES
Cost to Nevada Taxpayers over 112 million Dollars per year:
• The National Campaign to Prevent Teen and Unplanned Pregnancy (2011). Counting It Up: Total Cost To Taxpayers Associated with Teen Childbearing, 2008. Retrieved at http://www.thenationalcampaign.org/costs/pdf/counting-it-up/table-total-costs.pdf
• Schackman, et al. (2006). The Lifetime Cost of Current Human Immunodeficiency Virus Care in the United States. Medical Care; 44(11):990-997 accessed at http://www.rilin.state.ri.us/hiv/documents/lifetimecostofhiv.pdf
• Chesson, H., Collins, D. and Koski, K. (2008). Formulas for Estimating the Costs Averted by Sexually Transmitted Infection (STI) Prevention Programs in the United States. Cost Effective Resource Allocation; 6:10 accessed at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2426671/?tool=pubmed
• Kaiser Family Foundation (1997) Estimates of the Direct Medical Costs of all STDs by State - Nevada (Data adjusted to 2008 dollars using CPI Index). Accessed d at http://www.kff.org/womenshealth/1447-std_rep3.cfm
• CDC – HIV Cost Effectiveness. Cost of HIV (2009) – Nevada .Accessed at http://www.cdc.gov/hiv/topics/preventionprograms/ce/index.htm
Teen Pregnancy and Birth Rate Data
• USDHHS Office of Adolescent Health. Nevada Reproductive Health Facts – Teen Birth Rates accessed at http://www.hhs.gov/ash/oah/adolescent-health-topics/reproductive-health/states/nv.html
• Nevada State Health Department Office of Health Statistics and Surveillance (2011). Preliminary Report: Teen Pregnancy (15-19 years) Counts and Rates, Clark County Residents, 2007-2008.