Teen Prevention Programs-STATE OF NEVADA HEALTH DEPARTMENT

Post date: Apr 28, 2015 7:51:18 PM

Teen Prevention Programs-STATE OF NEVADA HEALTH DEPARTMENT

STATE OF NEVADA HEALTH DEPARTMENT

Teen Pregnancy Stats Facts Goals

Pregnancy Prevention Failure Rates for Male and Female Condoms

With typical use With perfect use

Male condoms 18% 2%

Female condoms 21% 5%

2. 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)

3. 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

4. TPP PROGRAM RETURN ON INVESTMENT Disease Teen Births Chlamydia Gonorrhea 10% case Average Estimated decrease Averted Cost Averted Cost 305 322.1 58.5 P&S Syphilis .60 HIV 7.8 TOTAL $3,040 $ 171 $ 206 $927,200 $ 55,079.10 $ 1,205.10 $ 572 $ 198,471 $ 343.20 $ 1,584,073.80 $2,567,901 ROI = 2.57

5. Maps created in partnership with: Jay Kvam, MSPH, State Biostatistician - Nevada State Health Division Eric Ingbar/Sandra Atkinson, Gnomon, Inc. – Carson City, NV http://new.gnomon.net/ Target Zip Codes 89101 89102 89106 89109 89115 89119 89030 Represent 23% of all teen births

6. Teen Birth Rates (2008) – Target Zip Codes 160 140 120 100 80 60 40 20 0 US Nevada 89030 89106 89101 89115 89102

7. 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

8. CORE PROGRAM - Sexual Health Education Youth at disproportionate risk for teen pregnancy – Youth in target zip codes – Youth in Juvenile Justice – Youth in Foster Care 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

9. CORE PROGRAM • Goal: By 2015, Reduce teen pregnancy/ STD/HIV rates by 10% from 2008 baseline. Programmatic Objectives Free STD/HIV Testing INCREASE ABSTINENCE & REFUSAL SKILLS PROTECT SELF, PARTN ER, COMMU NITY REDUCE RISK! REDUCE SEXUAL PARTNERS INCREASE CONDOM USE

10. SUSTAINABILITY EFFORTS 2) PREVENTION TAKES EVERYONE! SEXUAL HEALTH EDUCATION SCHOOLS LEGISLATION POP CULTURE MEDIA PARENTS COMMUNITY PEER-TOPEER

11. PARENTS COMMUNITY • Parent Focus Groups • Sexual health training workshops • DFS Caseworkers/Foster Parents • Big Brother/Big Sister Mentors • Parents • Parent/Teen PEER-TO-PEER

12. POP CULTURE MEDIA Target Audience – Sexually Active Teens Community Small Businesses Bus Shelters Digital Billboards Food Court – Boulevard Mall Online Text Blasts Radio

13. LEGISLATION August 2011 – NCSL Conference Assemblywomen Dina Neal – State Summit on Teen Pregnancy Prevention October 2011 – Board of Health - Teen Pregnancy Prevention Resolution # 01-12 SCHOOLS CCSD Representatives on Community Coalition & TPP Advisory Board Parental Involvement

14. HOW YOU CAN HELP • 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

15. 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 (1519 years) Counts and Rates, Clark County Residents, 2007-2008.