|Health Factors:||Sexual Activity|
|Decision Makers:||Local Government State Government Healthcare Professionals & Advocates Nonprofit Leaders Public Health Professionals & Advocates|
|Population Reach:||<1% of WI's population|
|Impact on Disparities:|
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Comprehensive programs for pregnant or parenting teens address the complex needs of teenage mothers. Programs include health care and family planning services, and help participants with non-clinical needs through case management, counseling, social support, and connections to social services. Services are often provided by both medical teams and social workers. Programs are often geared towards preventing rapid repeat pregnancy, a second pregnancy within 12-24 months. Teenage childbearing poses economic, social, and medical risks to mothers and their infants; risks are magnified by repeat pregnancies during adolescence (Rowlands 2010).
There is strong evidence that comprehensive clinic-based programs supporting pregnant and parenting teens reduce rapid repeat pregnancies among participants (Corcoran 2007, Akinbami 2001). Such programs also appear to promote clinic attendance and increase immunization completion among infants (Akinbami 2001).
Comprehensive programs based in large urban hospital and clinic facilities using multi-disciplinary teams have been shown to reduce repeat pregnancies among minority and low income adolescent mothers through 18 months post-partum (Corcoran 2007, Akinbami 2001). An assessment of the Health Care Program for First-Time Adolescent Mothers and their Infants at Philadelphia’s Children’s Hospital of Pennsylvania, for example, finds that participating black teenage mothers with Medicaid insurance are 58% less likely to experience a repeat pregnancy within 18 months than comparable peers (SPTW).
Integrated clinical and social services, combined mother and infant care, contraceptive education, and a multi-disciplinary youth-oriented approach appear to increase program effectiveness. Providing easy access to services and reaching young women at antenatal and postnatal consultations for their first pregnancy may also increase program effectiveness (Rowlands 2010).
Queens Hospital Center's Comprehensive Adolescent Program for Teenage Mothers and Their Children, and the Health Care Program for First-Time Adolescent Mothers and their Infants are examples of programs that provide comprehensive services within the clinical context (National Campaign-EPD).
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