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Teen Pregnancy Prevention Program

Comprehensive Sexuality Education Program

What is the Comprehensive Sexuality Education Program?

The Comprehensive Sexuality Education Program is part of a statewide teen pregnancy prevention initiative that supports community-based efforts to reduce teen pregnancy and sexually transmitted diseases among youth. The program promotes responsible decision making and skill building by providing community-based education for youth and parents. Contractors use evidence-based curricula and youth development programs that have been proven to delay sexual activity, improve contraceptive use among sexually active teens, and/or prevent teen pregnancy and the prevention of Sexually Transmitted Diseases including HIV/AIDS. Program services are provided in school, after school, in the community, and Juvenile Detention Center/Juvenile Probation.

Funding for the Comprehensive Sexuality Education Program comes from monies allocated to the Arizona Department of Health Services from the state lottery fund and from the federal Personal Responsibility Education Program (PREP). The funds are used to contract with local communities to develop culturally diverse programs and strategies designed to reduce the incidence of teenage sexual activity and sexually transmitted disease.

Currently there are programs funded with lottery funds located in Gila, Maricopa, Yuma, Pima, Graham, Greenlee, Apache, Navajo, Cochise, Coconino, La Paz, Mohave and Yavapai counties are being funded. The programs are managed by the County Health Departments in each of those counties.

The Personal Responsibility Education Program funding supports eight programs in Maricopa, Santa Cruz, and Pinal Counties.

Target Population:

The primary target populations of the programs are youth 12-18, youth that are involved in the juvenile justice system, youth living in foster care, and parents in general.

Why is this program needed?

Arizona's teen birth rate continues to be higher than the national average despite significant decreases in these rates since 1998. Arizona's decrease in teen birth rates is in line with a national trend. According to the Arizona Vital Statistics 2010, 10,980 teen women under 20 years of age became pregnant and 9,416 of these women gave birth. 150 pregnancies occurred among teens under 15 years of age and 105 of those teens gave birth. The repeat birth rates for teenagers who already had a child decreased by 36.9 percent from 181.3 in 2000 to 114.4 per 1,000 females 15-19 years old in 2010 who had a previous birth. 2009 Arizona Youth Risk Behavior Survey (YRBS) is a self-report survey of students in grades 9 through 12. This survey assesses behaviors among youth that contribute to the leading cause of morbidity and mortality during adolescence. The YRBS indicates that 48.5% of the youth surveyed have had sexual intercourse.

The teen pregnancy rates dropped to a historic low over the last three years in Arizona. Arizona dropped from 6th in the nation to 12th, with a drop of almost 30%. In 2010 the 18-19 age group had a greater percentage decline than 15-17 age group, 22.2% declined vs. 12.6% decline, respectively. Over the last five years the 15-17 age group had a bigger percentage decline than the 18-19 age groups, 35.2% declined vs. 21.7% decline, respectively.

According to The Impact of Chlamydia, Gonorrhea, Syphilis, and Genital Herpes on Arizona Adolescents, 2010, chlamydia, gonorrhea, and herpes are more frequently diagnosed in young females than in young males. Since 2004 the incidence of chlamydia among females and males ages 10-19 years old has increased and the incidence of gonorrhea has decreased. For teen males, the rates of syphilis have increased in the past six years however the rates for teen females decreased during this same period. In 2010, there were 8,453 reported cases of chlamydia among 10-19 year olds, corresponding to 928.7 cases per 100,000 10-19 year olds.

What are the goals of the program?

The goals of the program are:

  • Reduce the number of pregnancies to teenage girls age 15-19
  • Reduce the number of repeat pregnancies to teenage girls age 15-19
  • Reduce the incidence of sexually transmitted diseases among teenagers age 15-19

What has the program achieved?

Thirteen County Health Departments are providing comprehensive teen pregnancy prevention services with $1,667,973 in lottery dollars. The Inter-Tribal Council of Arizona receives $400,000 to serve tribes, and Navajo Nation was awarded $100,000. In 2010, these programs served 16,598 youth and parents.

Community-based Organizations, added in 2011/2012 to provide comprehensive teen pregnancy prevention services, received $825,801 in federal PREP funds. The Projects are expected to reach an additional 4,415 youth in more than 10 communities across the state.

Current Program Providers:

  • Yuma County Health Department
  • Gila County Health Department
  • Maricopa County Health Department
  • Coconino County Health Department
  • Pima County Health Department
  • Cochise County Health Department
  • Mohave County Health Department
  • Apache County Health Department
  • Graham County Health Department
  • Navajo County Health Department
  • LaPaz County Health Department
  • Greenlee County Health Department
  • Yavapai County Health Department
  • Arizona Youth Partnership
  • BJ Youth Foundation
  • Pima Prevention Partnership
  • Pinal Hispanic Council
  • University of Arizona Cooperative Extension Office, Pinal
  • University of Arizona Cooperative Extension, Maricopa
  • Worthy Institute
  • Mariposa Community Health Center