247637 Increasing Teen Male Access to Reprodctive Health Services: Building capacity through systems change

Wednesday, November 2, 2011: 9:10 AM

William Alamo, BA , Programs, St. John's Well Child and Family Center, Los Angeles, CA
Rosalie Arguelles, MPH , Clinical and Community Health Programs, California Family Health Council, Inc., Los Angeles, CA
Michelle Cantu, MPH , Clinical and Community Health Programs, California Family Health Council, Inc., Los Angeles, CA
Maryjane Puffer, BSN, MPA , Clinical and Community Health Programs Division, California Family Health Council, Los Angeles, CA
Nomsa Khalfani, MFT , Policy and Support Services, St. John's Well Child and Family Center, Los Angeles, CA
Recent research indicates that adolescent males remain underserved. California 2010 Title X user data confirms this. If we are to meet Healthy People 2020 family planning objectives concerning sexually active males 15 to 19 years, agencies need to rethink institutional change to effectively increase access to services, screening and education.

Better service to young males requires institutional changes in clinic policy and practice specifically designed to reach young males. Man Up an innovative school-based program at Lincoln High School clinic, operated by St John's Well Child in Los Angeles, CA, is increasing access to reproductive health services among male students ages 14-18 years. Changes in clinic practice have led to significant increase in access for young males including services focused on protection, prevention, responsibility and communication.

The California Family Health Council analyzed the clinic's patient visit data and STD screening rates from 2007 to 2010. Man Up provided evaluation results on objectives and outcome measures and findings from student and parent pre/post tests and surveys.

Working with a 2007 baseline data of 85 male visits, clinic visits increased from 419 (2008) to 912 (2010). The number of clients screened for STDs increased from 0 (2008) to 652 (2010). Attendance in outreach and education activities increased from 0 (2008) to 1,956 (2010).

Results of the program show that system changes affecting policy and practice, fast tracking student appointments, expanding clinic hours and hiring male staff led the program to increases in students using family planning services, outreach and engaging parents.

Learning Areas:
Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Identify three strategies that address challenges and opportunities to improve access to male reproductive health services. Discuss monitoring activities required to ensure success in the implementation of a male outreach program. List three systems changes that positively influence increase use of reproductive health services by teen males.

Keywords: Adolescent Health, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am presenting because I am responsible for the research, development, and implementation of reproductive health services for adolescents.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.