Clinic-based programs for pregnant and parenting teens

Program basics

  • Comprehensive programming that includes family planning and other nonclinical needs such as case management and counseling
  • Clinical services provided by medical teams and social workers
  • Often aimed at preventing rapid repeat pregnancy (within 12–14 months) among adolescents
  • Education on the economic, social, and medical risks of repeated teenage childbearing

Strength of evidence

Evidence level: Proven (highest tier)

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Proven (highest tier)

Ranked as having the highest level of evidence by County Health Rankings and Roadmaps


Target population

Parents with children under the age of 5

Program cost

$113 per participant (estimate)

Implementation locations

  • Nationwide

Dates active

Not available

Outcomes and impact

  • Reduced incidence of rapid repeat pregnancies
  • Promoted clinic attendance and increased immunization completion for infants
  • Increased use of contraceptives among adolescents
  • Increased use of family planning services
  • Reduced public expenditures associated with teenage childbearing

Keys to successful implementation

  • Teen pregnancy prevention programs tend to be more effective when implemented at a community-wide level.
  • Providing pregnant adolescents with unbiased information about their pregnancy better equips them to make informed decisions about their health and that of their baby.
  • Staffing programs with culturally competent providers encourages effective communication and reduces bias, improving delivery fidelity and program retention.
  • Comprehensive programs that use both clinical and non-clinical approaches show larger impacts.

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