TP1AH000310

True You Maryland: Reducing Teen Birth Rates, STI Rates, and Inequities in Rural Maryland

The Maryland Department of Health (MDH), in collaboration with Healthy Teen Network, Johns Hopkins University, and state and county partners, aims to address health inequities among youth in rural communities with historically high adolescent birth and sexually transmitted infection (STI) rates. This will be achieved by replicating evidence-based programs (EBPs) in multiple settings and with multiple age groups.

Through the True You Maryland (TYMD) initiative (formerly the Maryland Optimal Adolescent Health Program), we have worked closely with county partners over the past 3 years to establish and enhance adolescent sexual health infrastructure in two regions: Northwestern Maryland and the Eastern Shore. These regions comprise six Maryland (MD) counties with high teen birth rates. Our efforts have included the creation of local Youth Advisory Boards (YABs), the integration of the evidence-based, comprehensive Positive Prevention Plus (3P) curriculum into four local school districts, and the implementation of over 120 events, including community outreach, information sessions, youth community service, STI testing, food pantries, and parent workshops.

We have collaborated with over 100 partner organizations across TYMD counties, engaged over 4,100 youth, 230 caregivers, and 4,500 community members, and reached over 2,000 youth with EBPs. Our plan is to expand this reach to 6,245 young people annually through multi-session EBPs in additional middle and high schools and community-based organizations (CBOs), as well as single-session EBPs in school-based health centers (SBHCs) and family planning clinics.

TYMD will utilize an evidence-based and systematic approach to planning, implementation, evaluation, and sustainability. We will implement EBPs proven to positively influence sexual health in schools, clinics, and community settings. Additionally, we will leverage clinical connections to increase access to sexual health services and apply a systems-thinking approach to strengthen intersections and networks. We aim to engage youth, parents, and trusted adults to center their voice in our work and move closer to optimal health.

The project components were selected to impact the factors that put young people at risk of teen pregnancy and STIs. We will implement these components in settings that offer the greatest reach, include the most marginalized youth, and offer connections to critical resources and partners. Replication of EBPs will be at the center of this work, supported by community engagement and the implementation of support services and activities.

TYMD chose schools, CBOs, and clinics for EBP implementation based on their ability to reach young people where they live, learn, work, and play. These settings were selected based on their capacities to implement programs and the fit of potential EBPs. With schools as the centerpiece of our approach, the additional implementation settings will serve youth where schools do not currently have the capacity to implement at scale. These settings also have the added benefit of reaching youth with compounding risk factors.

Maryland Department Of Health

NOT APPLICABLE

93.297 - Teenage Pregnancy Prevention Program

HHS Office of the Assistant Secretary for Health (OASH) [HHS]

Office of Adolescent Health [HHS - OASH]

Baltimore, Maryland United States

City-Wide

Advancing Equity in Adolescent Health through Evidence-Based Teen Pregnancy Prevention Programs and Services (AH-TP1-23-001)

Amendment Since initial award the total obligations have increased 200% from $1,477,391 to $4,432,173.