OPA's 2021 Year in Review

Published January 2022

As 2022 begins, OPA is reflecting on the many accomplishments of our grantees and staff during the past year. In 2021, we welcomed ADM Rachel L. Levine as the Assistant Secretary for Health, and Jessica Swafford Marcella as the Deputy Assistant Secretary for Population Affairs and Director of the Office of Adolescent Health.

Highlights of Key Resources on OPA's Website

In the last year, OPA bolstered its website content on topics ranging from adolescent health and reproductive health to research and evaluation and OPA’s grant programs.

  • Adolescent Health Facts provides demographic characteristics of U.S. adolescents and fact sheets on health topics with federal data on adolescents in each state and select island territories.
  • Healthy Relationships in Adolescents provides information on healthy and unhealthy adolescent relationships and addresses dating, friendships, and relationships with parents or caregivers.
  • The Preventing HIV page has information about protecting yourself against HIV and increasing access to PrEP services in family planning clinics.
  • OPA’s PDF resource—Adolescent Development Explained—explores the different aspects of adolescent development and how youth-serving professionals, parents, and other caring adults can support young people as they mature.

Home Page Screenshot

OPA Grant Program Awards

Complex challenges related to the COVID-19 pandemic persisted in 2021 and OPA’s grant programs adapted in creative ways. OPA grants enable states, tribes, and local programs to prevent teen pregnancy, provide family planning services, and implement embryo adoption programs. Learn more about OPA’s grant programs and the impact our grantees have made in their communities.

  • OPA awarded $12.6 million for 13 new Teen Pregnancy Prevention (TPP) Tier 1 grants to organizations to improve the health of adolescents and reduce teen pregnancy and sexually transmitted infections in communities with the greatest needs and disparities by using a systems approach to replicate effective programs with fidelity.
  • OPA's Embryo Adoption Awareness (EAA) program funded three new grants—Embryo Connections, EM*POWER Donation, and Embryo Solution—to help increase awareness and facilitate the process of embryo adoption/donation.
  • OPA awarded $18.8 million in supplemental funds to current Title X grantees to assist grantees in enhancing telehealth infrastructure, preparing for Family Planning Annual Report (FPAR) 2.0, or expanding the provision of Title X services. 

OPA Program Updates and Accomplishments

2021 Title X Final Rule

OPA amended the Title X Family Planning regulations to restore access to equitable, affordable, client-centered, quality family planning services for more Americans. The new rule will strengthen the Title X program by ensuring access for all clients, especially low-income clients, creates opportunities for realigning the nation’s family planning program with nationally recognized standards of care, and will help to improve the health of communities that have been historically underserved.


2021 Title X Final Rule

TPP Tier 2B Evaluation Results

TPP Evaluation Tier 2B process


OPA’s TPP evaluation results identified seven innovative programs that experienced positive results such as increased knowledge, improved efficacy, and/or reduced sexual risk behaviors. OPA grantees presented their findings at a session at the American Public Health Association (APHA) 2021 Annual Meeting. Learn more about the TPP programs that have positive results

Youth Create!: A Collection of Youth-Created Content

Youth Create Image


Following NTPPM, OPA released Youth Create! – a call for videos, pictures, art, poems, essays, and other content from young people who are current or former participants in OPA TPP programs. Youth shared what has helped them get through the pandemic, how being in a TPP program impacted their lives, or what a healthy future means to them. OPA received submissions from grantees across the country in both English and Spanish and used them to create a compilation video. Individual submissions were also posted on the OPA website.

OPA Events

National Teen Pregnancy Prevention Month

In May, OPA celebrated National Teen Pregnancy Prevention Month (NTPPM) with youth and grantee programs across the country. NTPPM is a great reminder of the importance of supporting and celebrating youth as they plan for their futures. Teen pregnancy prevention efforts aren’t limited to teaching youth how to prevent teen pregnancy—OPA's TPP program grantees help youth build their self-confidence, develop healthy relationships, and realize their full potential.

During NTPPM, OPA hosted events to celebrate adolescent’s potential.

Title X Grantee Conference

OPA hosted the biennial Title X Grantee Conference in July with a theme of Access to Family Planning for Everyone. Everywhere. Close to 500 registrants participated in sessions featuring content on Title X requirements, current clinical trends, evidence-based research, and emerging best practices. 

OPA Hosted a TPP Training at 2021 AMCHP Annual Conference

OPA presented a training at a pre-conference session of the 2021 Association of Maternal and Child Health Programs (AMCHP) Annual Conference. This session trained State Adolescent Health Coordinators (SAHCs) on how to apply systems thinking to understand and address racial inequities impacting young people and their families.

Spread the Word with These Posts

  • Explore expanded content on @HHSPopAffairs’ website about #AdolescentHealth, #ReproductiveHealth, research and evaluation, and OPA’s grant programs. https://opa.hhs.gov/
  • In 2021, @HHSPopAffairs expanded equitable, affordable, client-centered, quality family planning services for more Americans. https://opa.hhs.gov/