The document discusses the problem of teen pregnancy in Native American communities, identifying lack of sexual education, early introduction to sex, sexual violence, and lack of contraceptive use as underlying causes. It proposes interventions like sex education in schools and education around sexual violence to improve short-term outcomes of educating Native American youth about sexual health and long-term outcomes of decreasing teen pregnancy rates and increasing ability to refuse sex. The teen birthrate among Native Americans is over two times the white teen rate, and cultural factors contribute to issues.