Clinic-based programs for pregnant and parenting teens
- 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)
Proven (highest tier)
Ranked as having the highest level of evidence by County Health Rankings and Roadmaps
Parents with children under the age of 5
$113 per participant (estimate)
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.