A rural teen pregnancy prevention program uses intensive engagement with teens and their families, as well as coordination with local agencies, to dramatically reduce teen births while increasing educational attainment.
In my community, Charleston
South Carolina, more teens get pregnant and
fewer graduate from high school than the average for the country as a whole. Teen pregnancy is especially high in the rural parts of
our county where there are few resources and lots of poverty. For example at Baptist
School, the small school that serves the Sea
Islands communities, each year about 30 out of 200 to 225 girls have
a baby. Think about those numbers; each
year 1 out of 7 girls has a baby. The
combination of teen parenthood and school dropouts in our community translates to another
generation of continued poverty.
Recognition of this problem, confirmed by a local needs assessment, spurred development of the Sea Island Teen Opportunity for Prevention Programs
(STOPP) in 2004, through generous support from the New Morning Foundation.
Initially you might think that reducing teen pregnancy
should be easy, just combine sex education and birth control. Turns out, it’s not simple. In fact most teen pregnancy prevention
programs don’t work. Those that do work
require intensive services over a long time to reach kids on an individual
level. One example is our school-based
program for teen mothers, the Second Chance Club, which reduced subsequent teen
births by half (resulting in cost savings of $19,097 per birth prevented) and
increased high school graduation. (See
The STOPP program at Baptist Hill
High School also uses
several other methods. For the past six
years the staff has worked diligently with the school to provide education in
the classroom and the community, individual care coordination, and medical
services. STOPP closely collaborates
with other organizations serving youth in the community such as the churches
and the community health center. The
program builds upon the community’s greatest asset, large extended families
with many generations caring for their young people.
It has been hard, difficult work but the results look
good. The number of teen pregnancies has
decreased each year. Last year only 3
girls had a baby, down from 30 a year before the program began. And more good news: instead of diagnosing
pregnancies, the STOPP clinic did a record number of college physicals! These young people are on their way to
building successful lives.
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As a pediatrician I am all about kids achieving their full
potential, from infancy through young adulthood. That’s why I hope that all babies will be
born to parents who are prepared to be good parents. That’s also why I hope that teens will be
able to focus on their own development tasks and postpone pregnancy until they
are adults. While difficult to achieve,
these goals are not impossible. Its
worth the effort when you think of what it could mean, empty jails and
overflowing colleges whose graduates are productive tax-paying citizens. Caring for teens through programs such as
STOPP is exhausting work but will pay off with long lasting benefits for many
generations. Our young people are worth
The author answers a few questions about preventing teen pregnancy.
If Donald Trump is looking for someone who, like himself, has problems with the truth, isn't inclined to rely on facts, has little to no concern for the health and welfare of the poorest, doesn't understand health care, and bases his decisions on discriminatory beliefs, then Pence is his guy.
This week, GOP presumptive presidential nominee Donald Trump is considering Mike Pence, among other possible contenders, to join his ticket as a vice presidential candidate.
In doing so, Trump would pick the “pro-life” governor of a state with one of the slowest rates of economic growth in the nation, and one of the most egregious records on public health, infant and child survival, and poverty in the country. He also would be choosing one of the GOP governors who has spent more time focused on policies to discriminate against women and girls, LGBTQ communities, and the poor than on addressing economic and health challenges in his state. Meanwhile, despite the evidence, Pence is a governor who seems to be perpetually in denial about the effects of his policies.
Let’s take the economy. From 2014 to 2015, Indiana’s economic growth lagged behind all but seven other states in the nation. During that period, according to the U.S. Department of Commerce, Indiana’s economy grew by just 0.4 percent, one-third the rate of growth in Illinois and slower than the economies of 43 other states. Per capita gross domestic product in the state ranked 37th among all states.
Income inequality has been a growing problem in the state. As the Indy Starreported, a 2014 report by the United States Conference of Mayors titled “Income and Wage Gaps Across the US” stated that “wage inequality grew twice as rapidly in the Indianapolis metro area as in the rest of the nation since the recession,” largely due to the fact “that jobs recovered in the U.S. since 2008 pay $14,000 less on average than the 8.7 million jobs lost since then.” In a letter to the editor of the Indy Star, Derek Thomas, senior policy analyst for the Indiana Institute for Working Families, cited findings from the Work and Poverty in Marion Countyreport, which found that four out of five of the fastest-growing industries in the county pay at or below a self-sufficient wage for a family of three, and weekly wages had actually declined. “Each year that poverty increases, economic mobility—already a real challenge in Indy—becomes more of a statistical oddity for the affected families and future generations.”
In his letter, Thomas also pointed out:
[T]he minimum wage is less than half of what it takes for a single-mother with an infant to be economically self-sufficient; 47 percent of workers do not have access to a paid sick day from work; and 32 percent are at or below 150 percent of the federal poverty guidelines ($29,685 for a family of three).
Despite the data and the struggles faced by real people across the state, Pence has consistently claimed the economy of the state is “booming,” and that the state “is strong and growing stronger,” according to the Northwest Indiana Times. When presented with data from various agencies, his spokespeople have dismissed them as “erroneous.” Not exactly a compelling rebuttal.
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As a “pro-life” governor, Pence presides over a state with one of the worst infant mortality rates in the nation. Data from the Indiana State Department of Health reveals a “significant disparity” between white and Black infant mortality rates, with Black infants 1.8 times more likely to die than their white counterparts. The 2013 Infant Mortality Summit also revealed that “[a]lmost one-third of pregnant women in Indiana don’t receive prenatal care in their first trimester; almost 17% of pregnant women are smokers, compared to the national rate of 9%; and the state ranks 8th in the number of obese citizens.”
Yet even while he bemoaned the situation, Pence presided over budget cuts to programs that support the health and well-being of pregnant women and infants. Under Pence, 65,000 people have been threatened with the loss of food stamp benefits which, meager as they already are, are necessary to sustain the caloric and nutritional intake of families and children.
While he does not appear to be effectively managing the economy, Pence has shown a great proclivity to distract from real issues by focusing on passing laws and policies that discriminate against women and LGBTQ persons.
He has, for example, eagerly signed laws aimed at criminalizing abortion, forcing women to undergo unnecessary ultrasounds, banning coverage for abortion care in private insurance plans, and forcing doctors performing abortions to seek admitting privileges at hospitals (a requirement the Supreme Court recently struck down as medically unnecessary in the Whole Woman’s Health v. Hellerstedt case). He signed a “religious freedom” law that would have legalized discrimination against LGBTQ persons and only “amended” it after a national outcry. Because Pence has guided public health policy based on his “conservative values,” rather than on evidence and best practices in public health, he presided over one of the fastest growing outbreaks of HIV infection in rural areas in the United States.
These facts are no surprise given that, as a U.S. Congressman, Pence “waged war” on Planned Parenthood. In 2000, he stated that Congress should oppose any effort to recognize homosexuals and advocated that funding for HIV prevention should be directed toward conversion therapy programs.
He also appears to share Trump’s hatred of and willingness to scapegoat immigrants and refugees. Pence was the first governor to refuse to allow Syrian refugees to relocate in his state. On November 16th 2015, he directed “all state agencies to suspend the resettlement of additional Syrian refugees in the state of Indiana,” sending a young family that had waited four years in refugee limbo to be resettled in the United States scrambling for another state to call home. That’s a pro-life position for you. To top it all off, Pence is a creationist, and is a climate change denier.
So if Donald Trump is looking for someone who, like himself, has problems with the truth, isn’t inclined to rely on facts, has little to no concern for the health and welfare of the poorest, doesn’t understand health care, and bases his decisions on discriminatory beliefs, then Pence is his guy.
Sen. Bernie Sanders (I-VT) seemingly signaled he is not yet ready to concede the nomination to Hillary Clinton, and he promised to help push for reforms within the party while working to keep presumptive Republican nominee Donald Trump from winning the White House.
Sen. Bernie Sanders (I-VT) isn’t bowing out of the race for the Democratic nomination after the close of the presidential primaries, and Hillary Clinton took to the Huffington Post to talk about campus sexual assault and whether women should have to sign up for the draft.
“The Political Revolution Must Continue”: Sanders Vows in Thursday Night Address to Push for Party Reform
Sanders addressed supporters Thursday night after the 2016 presidential primary season ended earlier this week. He seemingly signaled he is not yet ready to concede the nomination to Hillary Clinton, and he promised to help push for reforms within the party while working to keep presumptive Republican nominee Donald Trump from winning the White House.
“Election days come and go. But political and social revolutions that attempt to transform our society never end. They continue every day, every week, and every month in the fight to create a nation and world of social and economic justice,” Sanders said during the address, which was live-streamed online. “Real change never takes place from the top on down or in the living rooms of wealthy campaign contributors. It always occurs from the bottom on up, when tens of millions of people say loudly and clearly ‘enough is enough’ and they become engaged in the fight for justice. That’s what the political revolution we helped start is all about. That’s why the political revolution must continue.”
“The major political task that we face in the next five months is to make certain that Donald Trump is defeated and defeated badly,” Sanders continued, vowing to soon begin his role in ensuring the Republican doesn’t make it to the White House.
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“But defeating Donald Trump cannot be our only goal,” he added. “We must continue our grassroots efforts to create the America that we know we can become.”
Expressing his hope that he could continue to work with Clinton’s campaign, Sanders promised to ensure that supporters’ “voices are heard and that the Democratic Party passes the most progressive platform in its history and that Democrats actually fight for that agenda.”
That agenda included raising the minimum wage to $15 an hour, ending the gender pay gap, defending reproductive rights, and protecting marriage equality in the United States, among other things.
Sanders’ speech came just after campaign manager Jeff Weaver said the campaign is “not currently lobbying superdelegates” and doesn’t “anticipate that will start anytime soon” during an interview on Bloomberg Politics’ With All Due Respect Thursday. The next day, Weaver told the hosts of MSNBC’s Morning Joe that Sanders is still “an active candidate for president.”
Clinton Weighs in on Stanford Sexual Assault Case, Women Joining the Draft
Hillary Clinton took a stand on two notable issues during an interview with the Huffington Post this week, telling the publication that she supported a measure in the Senate torequire women to sign up for the draft and her thoughts about the Stanford sexual assault case.
“I do support that,” Clinton told the publication Wednesday when asked about the Senate’s approval of the National Defense Authorization Act, a military policy bill that would require women to sign up for the military draft once they turn 18, earlier in the week.
“I am on record as supporting the all-volunteer military, which I think at this time does serve our country well,” said Clinton. “And I am very committed to supporting and really lifting up the men and women in uniform and their families.”
As the New York Timesreported, under the bill, “Failure to register could result in the loss of various forms of federal aid, including Pell grants, a penalty that men already face. Because the policy would not apply to women who turned 18 before 2018, it would not affect current aid arrangements.”
Though the U.S. Supreme Court previously ruled that women weren’t required to register for the draft as they were not allowed to serve in combat, the Times continued, “since Defense Secretary Ashton B. Carter said in December that the Pentagon would open all combat jobs to women, military officials have told Congress that women should also sign up for the draft.”
The draft registry has not been used by the United States since 1973, but requiring women to sign up for it has nevertheless been an issue on the campaign trail this election season. Sen. Ted Cruz (R-TX) called requiring women to register for the draft “nuts” in February prior to dropping out of the race for the White House, while other then-Republican presidential candidates Sen. Marco Rubio (FL), New Jersey Gov. Chris Christie, and former governor of Florida Jeb Bush all signaled they would support it.
During her interview with Huffington Post, Clinton also voiced her support for the survivor at the center of the controversial Stanford sexual assault case, saying she was “was struck by” the “heartbreaking power” of the letter the survivor wrote detailing her experiences.
“It took great courage and I think she has done an important service for others,” Clinton said. “What I’ve heard about this case is deeply concerning. It is clear campus sexual assault continues to be a serious problem. And I’ve said before and I will continue to say it is not enough to condemn it. We must find ways to end it.”
The presumptive Democratic nominee had previously released a platform for addressing the national crisis of campus sexual assault, which promises to “provide comprehensive support to survivors;” “ensure fair process for all in campus disciplinary proceedings and the criminal justice system;” and “increase sexual violence prevention education programs that cover issues like consent and bystander intervention, not only in college, but also in secondary school.”
What Else We’re Reading
Trump’s “endgame” could be launching a “mini-media conglomerate,” Vanity Fair reports.
“He was always very open about describing women by their breast size,” a crew member for Trump’s reality show The Apprenticetold Slate of the presumptive Republican nominee. “Any time I see people in the Trump organization say how nice he is, I want to throw up. He’s been a nasty person to women for a long time.”
In the wake of the mass shooting in Orlando at an LGBTQ club, the Southern Poverty Law Center’s deputy legal director of the LGBT Rights Project, David Dinielli, noted that “candidates on the campaign trail-and even the presumptive nominee of the Republican Party-elevate radical anti-LGBT leaders.”
Fact-checkers at the Washington Post took on both Clinton and Trump’s speeches on national security after the massacre in Orlando over the weekend.
“Regardless of your politics, it’s a seminal moment for women,” said Oprah, who offered her endorsement to Clinton on Wednesday, when speaking about the presumptive Democratic nominee. “What this says is, there is no ceiling, that ceiling just went boom! It says anything is possible when you can be leader of the free world.”
CNN’s Jim Sciutto, Tal Yellin, and Ryan Browne offer a look into the implications of Trump’s proposed plan to “suspend immigration from areas of the world when there is a proven history of terrorism against the United States, Europe or our allies.”
Republicans may have fewer women in the House next year after the election season wraps up.
Texas has already spent $3.5 million fighting multiple lawsuits over the state’s restrictive voter ID law, in what an attorney helping plaintiffs in one of the suits deemed a “shameful waste of taxpayer money.”
Ohio Gov. John Kasich (R) moved to make voting in the state easier for some this week, signing legislation that will allow residents with driver’s licenses and state IDs to register to vote online. What’s the catch? According to ThinkProgress, “the option will not be available until early next year, after the presidential election, despite the Republican Secretary of State’s insistence that the Ohio could implement the policy immediately.”