259105 Assessing access and delivery of adolescent reproductive health services: An evaluation of Year 1 of the Youth First initiative

Tuesday, October 30, 2012

Nazmim Bhuiya, MPH , Institute for Community Health, Cambridge, MA
Elisa Friedman, MS , Institute for Community Health, Cambridge, MA
Lisa Arsenault, PhD , Institute for Community Health, Cambridge Health Alliance, Cambridge, MA
Erica Fletcher, EdM , Massachusetts Alliance on Teen Pregnancy, Boston, MA
Leena Singh, MPH , Massachusetts Alliance on Teen Pregnancy, Boston, MA
Rachel Hallum-Montes, PhD , Cicatelli Associates Inc., New York, NY
Dawn Middleton, BS , Project Director, Cicatelli Associates, Inc., New York, NY
Jessica A. Waggett, MPH , Cambridge Health Alliance, Institute for Community Health, Cambridge, MA
The communities of Holyoke and Springfield have consistently had some of the highest teen birth rates and disparities among birth rates in Massachusetts. To address this issue, Youth First, a CDC funded, community-wide initiative was initiated in 2010. A critical component of the initiative is to ensure that all young people have access to quality, youth-friendly reproductive health services. Clinics providing reproductive health services present a key opportunity to reach and support adolescents in making healthy-decisions, potentially aiding in the reduction of teen pregnancies. As such, intensive partnerships with six local health clinics have been established.

To evaluate the initiative's effect on outcomes of adolescent access, quality and clinical care for the six engaged clinics, the evaluation team assessed the clinics' existing infrastructure, organizational capacities and clinical practices. A mixed methods approach was used for this evaluation.

In-person structured interviews were conducted with multi-disciplinary teams from each clinic at baseline. Clinics then engaged in a collaborative learning model focused on using continuous quality improvement efforts to increase the numbers of adolescent clients served and provision of contraceptives. One-year post data was collected to ascertain changes in clinics' practices and outcomes. Data was analyzed aggregately, using descriptive statistics for quantitative items and thematic coding for qualitative.

The data presented will include an overview of youth access, contraceptive coverage, referrals to care, youth-friendliness, and evidence-based reproductive health practices. Lessons learned will be useful for evaluators and practitioners working with clinics to enhance quality and delivery of adolescent reproductive health services.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Public health or related organizational policy, standards, or other guidelines
Public health or related research

Learning Objectives:
1. Describe an approach to conducting an evaluation of clinical adolescent reproductive health services. 2. Identify appropriate indicators to measure quality, youth friendly, adolescent reproductive health services.

Keywords: Teen Pregnancy Prevention, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an evaluator of the Youth First initiative.
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.

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