Craft Lesley R, Brandt Heather M, Prince Mary
South Carolina Campaign to Prevent Teen Pregnancy, 1331 Elmwood Avenue, Suite 140, Columbia, SC 29201.
Department of Health Promotion, Education, and Behavior, Statewide Cancer Prevention and Control Program, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC 29208.
J Sch Health. 2016 Apr;86(4):258-65. doi: 10.1111/josh.12376.
To reduce teen pregnancy rates, prevention programs must be consistently available to large numbers of youth. However, prevention efforts have been historically conducted with little emphasis on ensuring program sustainability. This study examined the needs and barriers to sustaining teen pregnancy prevention (TPP) programming in schools after grant funding has ended, as identified by school leadership.
A total of 11 qualitative interviews were conducted between June and September 2012 with middle school leaders from 11 schools involved in current implementation of a TPP program in South Carolina. Interviews were audio-recorded, transcribed verbatim, and thematically coded.
Identified needs and barriers to sustainability varied across schools. Common barriers to program sustainability included: lack of materials and supplies, insufficient funding (at the school and district level), lack of support and/or parental opposition, and other school/district priorities. School leaders also identified several needs to continue TPP programming, including: continued funding, trainings, outcome/effectiveness data to support the program, and regularly updated curriculum.
Schools with greater perceived needs and barriers may be less likely to sustain. Knowledge gained through this research may be used to inform future interventions and sustainability planning efforts, allowing us to maximize prevention programming.
为降低青少年怀孕率，预防项目必须持续面向大量青少年提供。然而，以往的预防工作很少强调确保项目的可持续性。本研究调查了学校领导所确定的在资助结束后维持学校青少年怀孕预防（TPP）项目的需求和障碍。
2012年6月至9月期间，对南卡罗来纳州11所参与当前TPP项目实施的中学领导进行了11次定性访谈。访谈进行了录音，逐字转录，并进行了主题编码。
各学校确定的可持续性需求和障碍各不相同。项目可持续性的常见障碍包括：缺乏材料和用品、资金不足（学校和学区层面）、缺乏支持和/或家长反对，以及其他学校/学区优先事项。学校领导还确定了继续开展TPP项目的若干需求，包括：持续的资金、培训、支持项目的成果/有效性数据，以及定期更新的课程。
认为需求和障碍较大的学校维持项目的可能性可能较小。通过本研究获得的知识可用于为未来的干预措施和可持续性规划工作提供信息，使我们能够最大限度地开展预防项目。
