About Us
Topics
BUDGET POLICY
CHILD CARE, EARLY
EDUCATION & HEAD START
CHILD WELFARE & CHILD ABUSE
EDUCATION
ELDERLY
FAMILY POLICY, MARRIAGE & DIVORCE
FOOD ASSISTANCE, SNAP & WIC
HEALTH CARE POLICY
INCOME & POVERTY
JOB TRAINING
LEGAL ISSUES
PAY FOR SUCCESS, PAY FOR RESULTS & SIBS
POLITICAL PROCESS
PROGRAM EVALUATION
SOCIAL POLICY
TEEN SEX & NON-MARITAL BIRTHS
WELFARE REFORM
Child Abuse Training
International Activities
Health Policy Collaboration
Rossi Award for Program Evaluation
UMD Capstone Courses
Publications
Mailing List
Contact Us




Can Intervention Programs Prevent Subsequent Births to Teenage Mothers?

Lorraine Klerman

Professor, University of Alabama at Birmingham


Differences In Population

  • Enrollment (voluntary/mandatory)

  • Age at enrollment (% of teenagers)

  • Race/ethnicity (% Caucasian, African-American, Hispanic)

  • Timing of first contact (during pregnancy/ already had infant or toddler)

  • Welfare status at enrollment (all/some)

 

Differences Between Programs Overall

  • Auspices (public health/welfare)

  • Principal contact (nurse/case manager)

  • Size of caseload (20-25 families/50-60 clients

  • Usual place of contact (home/case manager’s office)

  • Involvement of others (much/some)

  • Focus (health & maternal life course/move from welfare)

  • Approach (behavioral change/information & education

  • Financial incentives (no/yes)

Differences in Family Planning Components

  • Importance of family planning component (central/peripheral)

  • Integration with rest of program (high/low)

  • Family planning education (by nurse / in workshop)

  • Family planning counseling (directive / not directive)

Differences In Result

  • Elmira site follow-up- fewer pregnancies and births among home visited women at 46 month and 15 year

  • Memphis site - fewer pregnancies and births among home visited women at 24 month follow-up

  • Camden site - fewer pregnancies among case managed women at 29 month follow-up (but more births)

  • Newark and Chicago sites - more pregnancies and births among case managed women at 29 month follow-up

  • Elmira site - intervals between births longer among home visited women at 46 month and 15 year follow-up

Reasons For Greater Impact of
Home Visiting Program

  • Less difficult population (?)

  • Overall program approach

-- use of nurse
-- focus on home
-- attention to social supports
-- timing of first contact

  • Family planning component

-- an element in planning for the future
-- taught by same person in same places
-- directive approach


Back to top


HOME - PUBLICATIONS - CONFERENCES - ABOUT US - CONTACT US