Evelyn Kappeler Director HHS Office of Adolescent Health
Office of Adolescent Health What Are the Primary Federal
Activities related to preventing preterm birth?
Evelyn KappelerDirector, Office of Adolescent HealthOffice of
the Assistant Secretary for Health U.S. Department of Health and
Human Services
Secretarys Advisory Committee on Infant MortalityAugust 10, 2015
12AgendaOverview of OAH Introduction to OAH Programs and
ActivitiesNational, Evidence-based Teen Pregnancy Prevention
ProgramPregnancy Assistance Fund ProgramQ and A
Q & A
2HHS Office of Adolescent Health (OAH)Vision - To Advance Best
Practices to Improve the Health and Well-being of Americas
Adolescents Key ActivitiesCoordinate adolescent health initiatives
across HHSConvener of Adolescent Health: Think, Act, Grow
(TAG)Administer and support Teenage Pregnancy Prevention (TPP)
ProgramPregnancy Assistance Fund (PAF) National Resource
CentersTPP, Pregnancy Assistance and HIV/AIDS Prevention Among
AdolescentsSeveral National TPP Evaluations3 3OASH Organizational
ChartSylvia Mathews BurwellSecretaryRegional
HealthAdministratorsRegions I-X
Office of Assistant SecretaryNational Vaccine Program Office
Executive Officer
Office of the Surgeon General
Office of Disease Prevention and Health Promotion
Office of Population Affairs
Office on Womens Health
President's Council on Fitness Sports and Nutrition
Office of Research Integrity
Office of HIV/AIDS and Infectious Disease Policy
Office of Minority Health
Office of Commissioned Corps Force ManagementDeputy
AssistantSecretary for Health
Office of CommunicationsDirector
Office of Adolescent Health
Office for HumanResearch Protections
Assistant SecretaryKaren B. DeSalvo, MD, MPH, MSc
4 4Tier 1 Replication of program models proven effective through
rigorous evaluation
Tier 2 Demonstration programs to develop and test additional
models and innovative strategies
TPP Program Support Programmatic Training & Technical
AssistanceMedical Accuracy ReviewPerformance MeasuresEvaluation
Training & Technical AssistanceStaffing and Overhead
OAH Teen Pregnancy Prevention Program5 581 New TPP Grantees
(July 1, 2015 June 30, 2020)Serving close to 300,000 youth each
year and 1.2 million youth over five-years across 38 States and the
Marshall Islands
Capacity Building to Support Evidence-Based TPP Programs (1A) 8
granteesBuilding capacity in communities with high teen birth rates
(47.7 112 per 1,000); focus on reaching youth in foster care and
juvenile detention, homeless youth, and young parents
Replicating Evidence-Based TPP Programs to Scale (1B) 50
granteesImplementing evidence-based TPP programs to scale in
multiple settings in communities with especially high teen birth
rates (40 - 136.1 per 1,000)Focusing on engaging the entire
community and ensuring a well coordinated approach
Supporting Early Innovation to Prevent Teen Pregnancy (2A) 2
granteesSupporting technology-based innovations and
programmatic-based innovationsHosting a national competition to
select innovators who will receive funding and support
Rigorous Evaluation of New or Innovative Approaches (2B) 21
granteesEvaluating new interventions designed to fill gaps in the
current evidence-based for TPP, including interventions for males
(5), Latino youth (1), American Indian youth (1), youth in foster
care (2), incarcerated youth (1), LGBTQ youth (2), clinic-based
interventions (4), intervention for families and caregivers (1),
technology-based interventions (3), and new school and
community-based interventions (6).
More information available at
http://www.hhs.gov/ash/oah/oah-initiatives/tpp_program/cohorts-2015-2020.html
Overview of New TPP Grantees6 6 Pregnancy Assistance FundPatient
Protection and Affordable Care Act (Public Law 111-148) sections
10211- 10214
Authorizes $25 million for each of fiscal years 2010 through
2019
Authorizes the Secretary of HHS to establish and administer a
Pregnancy Assistance Fund to award competitive grants to States and
Tribes to assist pregnant and parenting teens and women
7 . 7 Pregnancy Assistance FundPurposeProvide expectant and
parenting teens, women, fathers and their families with:
A seamless network of services to help them complete high school
or post secondary degrees
Gain access to health care, child care, family housing, and
other critical supports
Improve services for pregnant women who are victims of domestic
violence, sexual violence, sexual assault, and staking
8 The PAF program emphasizes health, education, and social
services to provide a comprehensive supportive network for
expectant and parenting teens, women, fathers, and their
families.
Assist participants in getting access to necessary services
whether health care, child care, prenatal care, or housing as
examples.
89Funding Categories1.Providing support for expectant and
parenting students in Institutions of Higher Education (IHE)
2.Providing support for expectant and parenting teens, women,
fathers, and their families in high schools and community service
centers
3.Improving services for pregnant women who are victims of
domestic violence, sexual violence, sexual assault, and
stalking
4.Increasing public awareness and education of services
available for expectant and parenting teens, women, fathers, and
their families
910
10Pregnancy Assistance FundProgram activities emphasize health,
education, and social services for expectant and parenting teens,
women, fathers, and their families
All services provided in categories 1, 2, and 3 should be
evidence-based or evidence-informed and culturally and
linguistically appropriate11
PAF grantees use a range of approaches which include a mix
of
Home Visiting Academic Support Group-based support Referrals
Health care services Child care Fatherhood programs Job
training
The PAF can play a role in assisting in the prevention of
pre-term births in that grantees are expected to provide a range of
services, either directly or through referrals, and act as a major
source of assistance with health care needs.
Spacing births is strategy to prevent preterm births. We know
that the interval between first and second pregnancy strongly
impacts preterm birth risk. Currently, nearly 1 in 5 births to
teens, ages 1519, are repeat births. American Indian and Alaskan
Natives, Hispanics, and black teens are about 1.5 times more likely
to have a repeat teen birth, compared to white teens. Infants born
from a repeat teen birth are often born too small or too soon,
which can lead to more health problems for the baby.
We see the PAF program as an opportunity to education expectant
and parenting young women (and men) about preconception and
interconception care. And, one of the priorities of PAF grantees is
the prevention and timing of a second a pregnancy.
It is also in opportunity to teach pregnant and parenting young
families about the important of healthy behaviors while pregnant
and before pregnancy.
1112Pregnancy Assistance FundDisseminate information about the
availability of and eligibility for health coverage under federal
and state programs, such as:MedicaidChildrens Health Insurance
ProgramHealth Insurance MarketplacesProvide application assistance
and enrollment in these services for expectant and parenting
students and their children.Demonstrate collaboration among
relevant State agencies and leverage other resources or links to
existing support services 13Key HighlightsCollection of a common
set of performance
measureshttp://www.hhs.gov/ash/oah/oah-initiatives/tpp_program/program-guidance/Assets/2014-paf-performancemeasures.pdfGrantee
level evaluation and plans for Federal evaluation
Development of a sustainability
planhttp://www.hhs.gov/ash/oah/oah-initiatives/paf/training/sustainability.html
13
Use OAHs Award Winning
Websitewww.hhs.gov/ash/oah/www.hhs.gov/ash/oah/oah-initiatives/paf/www.hhs.gov/ash/oah/oah-initiatives/tpp_program/
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