title: Teen Pregnancy Prevention: Implementation of a Multicomponent, Community-Wide Approach.
abstract: This article provides an overview and description of implementation activities of the multicomponent, community-wide initiatives of the Teenage Pregnancy Prevention Program initiated in 2010 by the Office of Adolescent Health and the Centers for Disease Control and Prevention. The community-wide initiatives applied the Interactive Systems Framework for dissemination and implementation through training and technical assistance on the key elements of the initiative: implementation of evidence-based teen pregnancy prevention (TPP) interventions; enhancing quality of and access to youth-friendly reproductive health services; educating stakeholders about TPP; working with youth in communities most at risk of teen pregnancy; and mobilizing the community to garner support. Of nearly 12,000 hours of training and technical assistance provided, the majority was for selecting, implementing, and evaluating an evidence-based TPP program. Real-world implementation of a community-wide approach to TPP takes time and effort. This report describes implementation within each of the components and shares lessons learned during planning and implementation phases of the initiative.
authors.affiliation: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: tmueller@cdc.gov.
authors.forename: Trisha
authors.initials: T
authors.lastname: Mueller
authors.affiliation: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Heather D
authors.initials: HD
authors.lastname: Tevendale
authors.affiliation: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Taleria R
authors.initials: TR
authors.lastname: Fuller
authors.affiliation: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: L Duane
authors.initials: LD
authors.lastname: House
authors.affiliation: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Romero
authors.affiliation: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Anna
authors.initials: A
authors.lastname: Brittain
authors.affiliation: DB Consulting Group, Inc, Silver Spring, Maryland.
authors.forename: Bala
authors.initials: B
authors.lastname: Varanasi
mesh_terms: D000293:Adolescent; D003153:Community Health Services / Q000379:methods*; D005006:Ethnicity; D019317:Evidence-Based Medicine / Q000379:methods*; D005260:Female; D006284:Health Plan Implementation / Q000379:methods*; D006801:Humans; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D012736:Sex Education / Q000379:methods*; D014481:United States
keywords: Adolescent sexual and reproductive health; Community-wide initiatives; Implementation; Interactive systems framework; Technical assistance; Teen pregnancy; Teen pregnancy prevention; Training