Tpp state summit presentation

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  • In our cost analysis, we included the costs of HIV and Sexually transmitted infections. All three of these issues stem from the same cause, teens having sex and teens having unprotected sex. A conservative estimate puts that cost at about 112 million dollars per year for Nevada taxpayers with the majority of that cost being borne by Clark County residents. We felt that we could develop a program that would reduce all of these rates.
  • Our program receives a little less than a million dollars per year in grant funding. Our analysis shows that if we reduce the rates of teen pregnancy, HIV, and STDs by 10%, we would save approximately 2.5 million dollars, or a return on investment of $2.50 for every dollar spent. An additional benefit to Clark County is that the money spent is federal money, but the cost savings primarily goes to the state and local government.
  • The next thing we wanted to know was what did the teen birth rate in Clark County look like? So we partnered with the State and a company in Carson City called Gnomon to create some geocoded birth data maps. This one gives us a four year average of birth rates by zip code. The yellow areas are where the highest teen birth rates are located. From there, we selected seven zip codes that, together, represented 23% of all teen births in Clark County.
  • In each zip code, the birth rate was over double that of the Nevada rate in 2008, the year we used as the baseline for our grant proposal.
  • Zip codes are large geographical areas, so we also created birth density maps. The darkest gray areas of this map indicate the highest density of teen births. This map helps us to be efficient with our programmatic resources and to focus on specific areas within our targeted zip codes where teen births are most prevalent.
  • For our core program, we decided to focus on youth at the highest risk for teen pregnancy. We know from the research that youth involved in juvenile justice and the foster care system are at disproportionate risk for teen pregnancy regardless of where they live. But we also know that youth for our target zip codes are disproportionately represented in these systems. We partnered with Clark County Juvenile Justice Department of Family Services to implement our program in Juvenile Detention, Probation and Foster Care. This year we have partnered with the City of Las Vegas to implement our program through their youth development program called Batteries Included. We chose an evidence based curricula that focuses on males. Most of the work in teen pregnancy prevention focuses on females. When we look gender norms and in the body of literature on intimate relationships, we find that even when teen girls want to abstain from sex or use a condom, they often sublimate their needs to that of their intimate partner. We felt that if we could change cultural norms and behaviors of males around sex, relationships and condom use, we could have a significant impact on reducing teen pregnancy. In our program, about 70% of participants are males.

Transcript

  • 1. TEEN PREGNANCY PREVENTION PROGRAM Teen Pregnancy Prevention State Summit November 16, 2012 Presented by: Michelle Sotero, MPH, TPP Program Coordinator, SNHD
  • 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.