Mueller Trisha, Tevendale Heather D, Fuller Taleria R, House L Duane, Romero Lisa M, Brittain Anna, Varanasi Bala
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
J Adolesc Health. 2017 Mar;60(3S):S9-S17. doi: 10.1016/j.jadohealth.2016.11.002.
This article provides an overview and description of implementation activities of the multicomponent, community-wide initiatives of the Teenage Pregnancy Prevention Program initiated in 2010 by the Office of Adolescent Health and the Centers for Disease Control and Prevention. The community-wide initiatives applied the Interactive Systems Framework for dissemination and implementation through training and technical assistance on the key elements of the initiative: implementation of evidence-based teen pregnancy prevention (TPP) interventions; enhancing quality of and access to youth-friendly reproductive health services; educating stakeholders about TPP; working with youth in communities most at risk of teen pregnancy; and mobilizing the community to garner support. Of nearly 12,000 hours of training and technical assistance provided, the majority was for selecting, implementing, and evaluating an evidence-based TPP program. Real-world implementation of a community-wide approach to TPP takes time and effort. This report describes implementation within each of the components and shares lessons learned during planning and implementation phases of the initiative.
本文概述并描述了青少年健康办公室和疾病控制与预防中心于2010年发起的预防青少年怀孕计划的多成分、全社区倡议的实施活动。全社区倡议通过对倡议的关键要素进行培训和技术援助,应用了传播与实施的互动系统框架:实施基于证据的青少年怀孕预防(TPP)干预措施;提高青少年友好型生殖健康服务的质量和可及性;向利益相关者宣传TPP;与青少年怀孕风险最高的社区中的青少年合作;以及动员社区获得支持。在提供的近12000小时的培训和技术援助中,大部分是用于选择、实施和评估基于证据的TPP计划。在现实世界中实施全社区的TPP方法需要时间和精力。本报告描述了每个组成部分内的实施情况,并分享了在该倡议的规划和实施阶段所学到的经验教训。