title: Implementing Evidence-Based Teen Pregnancy-Prevention Interventions in a Community-Wide Initiative: Building Capacity and Reaching Youth.
abstract: OBJECTIVE
  To describe efforts to implement evidence-based interventions (EBIs) within multicomponent, community-wide initiatives to reduce teen pregnancy.
  
  
  METHODS
  During 2011-2014, we collected information about the capacity (i.e., knowledge, confidence, training, and experience) of state and community-based organizations to support implementation of the following: EBIs, number and characteristics of youth served by EBIs, type of EBIs implemented, EBI settings, hours of training, and technical assistance provided. State and community-based organizations reported these data annually; however, training and technical assistance was reported monthly. We used aggregated data from these annual and monthly reports to describe the implementation of EBIs in the community-wide initiative project.
  
  
  RESULTS
  From baseline in 2011-2014, state and community-based organizations increased their capacities to support program partners in delivering EBIs. They provided 5,015 hours of technical assistance and training on topics, including ensuring adequate capacity, process and outcome evaluation, program planning, and continuous quality improvement. Program partners increased the number of youth reached by an EBI in targeted communities by 349%, from 4,304 in the first year of implementation in 2012 to 19,344 in 2014. Most youth in 2014 received sexuality education programs (59%), whereas smaller percentages received abstinence-based, youth development, and clinic-based programs. Most youth were reached through schools (72%) and community-based organizations (16%), and smaller numbers were reached in other settings (e.g., faith-based organizations, health centers).
  
  
  CONCLUSIONS
  Building and monitoring the capacity of program partners to deliver EBIs through technical assistance and training is important. In addition, partnering with schools leads to reaching more youth.
authors.affiliation: Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: Lhouse1@cdc.gov.
authors.forename: L Duane
authors.initials: LD
authors.lastname: House
authors.affiliation: Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Heather D
authors.initials: HD
authors.lastname: Tevendale
authors.affiliation: Healthy Teen Network, Baltimore, Maryland.
authors.forename: Genevieve
authors.initials: G
authors.lastname: Martinez-Garcia
mesh_terms: D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000379:methods*; D005006:Ethnicity; D019317:Evidence-Based Medicine / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D015397:Program Evaluation / Q000379:methods*; D012736:Sex Education / Q000379:methods*; D014481:United States; D055815:Young Adult
keywords: Community-wide initiatives; Evidence-based interventions; Fidelity; Implementation; Teen pregnancy prevention