Seven Innovative Programs Shown Effective for Teen Pregnancy Prevention

Published November 2021

The Office of Population Affairs’ (OPA) Teen Pregnancy Prevention (TPP) program is a national, evidence-based program that funds diverse organizations working to prevent teen pregnancy across the United States. OPA also funds the development and rigorous evaluation of new or innovative TPP programs that strive to reduce disparities and specifically serve high-need populations.

OPA TPP grantees released research that identifies effective innovative approaches for teen pregnancy prevention. These programs join the ranks of TPP programs that have experienced positive outcomes when evaluated for effectiveness.

The seven TPP programs below target populations that experience disproportionately high levels of teen pregnancy, sexually transmitted infections (STIs), and sexual risk behavior. Their evaluation results provide insight into effective ways of engaging these specific high-need groups of youth, such as Black and Latinx youth, non-exclusively heterosexual female youth, and youth in rural areas. Because there have been historically fewer evaluations of programs prioritizing these groups, OPA expects that these evaluation results will fill in gaps in knowledge and drive significant change to improve equity in reproductive health.

Girl2Girl Text Messaging Program



Girl2Girl is a 20-week teen pregnancy prevention text messaging program for cisgender female youth ages 14 to 18, who identify as lesbian, bisexual, gay, or other non-heterosexual sexual identity (i.e., do not exclusively identify as heterosexual). The Girl2Girl evaluation found that participants who had been sexually active were more likely to use a condom after the intervention than those who did not participate.

High School FLASH Sexual Health Curriculum

High School FLASH is a 15-session comprehensive sexual health curriculum designed for classroom settings in grades 9 to 12 that is already widely used across the United States in classrooms in urban, suburban, and rural school districts. According to the FLASH evaluation, this program was found to be effective at reducing sex without a condom or birth control among sexually inexperienced youth. Additionally, all program participants had improved ability to refuse sex and self-efficacy to get and use condoms.



IN·clued – Inclusive Healthcare Program

Included Participants


IN·clued is the first evidence-based LGBTQ+-centered sex education program and addresses health disparities affecting LGBTQ+ youth across the country. The program consists of two workshops: one for clinical staff and one for LGBTQ+ youth. The IN·clued evaluation found that the program decreased sexual risk behaviors and increased knowledge of sexual health in LGBTQ+ youth, and self-efficacy to advocate for their needs with healthcare providers.

Linking Families and Teens (LiFT) Workshops

Linking Families and Teens (LiFT) is an innovative program designed for families and youth ages 13 to 19 in rural communities. It is a two-module curriculum workshop for youth and their parenting adults. Youth participants in LiFT were less likely to have ever been pregnant or caused a pregnancy. The LIFT evaluation also indicates it is one of a few programs with a significant parent component that have been identified as effective.


Mother and Daughter Hugging during LiFT

Peer Group Connection-High School Mentoring Program

Peer Group Connection Participants


Peer Group Connection-High School (PGC-HS) is a peer-to-peer group mentoring program for 9th grade students designed to facilitate the transition from middle school into high school. PGC-HS integrates into the school day and leverages existing resources within a school, setting it up for long-term sustainability. The Peer Group Connection-High School evaluation showed reductions in vaginal sex among participants as well as an increase in decision-making skills and connections with peers over one year.

Plan A Video Intervention

Plan A is a 23-minute video intervention designed for African American and Hispanic/Latinx women ages 18 to 19 that promotes effective contraceptive use, condom use for dual contraception and HIV/STI prevention, and HIV/STI testing. This is a low-resource, low-training intervention that can be quickly implemented in a clinic or similar settings. According to the Plan A evaluation, youth who watched Plan A were more likely to get tested for STIs and less likely to have sex without a condom in the follow-up months than those who did not watch the video.


plan A

Pulse Mobile App

Pulse Mobile App


Pulse is a web-based mobile health application that allows youth to access programing wherever they are, using their smartphones or other devices. Participants are Black and Latinx women ages 18 to 20. Pulse provides comprehensive, medically accurate sexual and reproductive health information, in English and Spanish, through engaging interactive and multimedia features. In the Pulse evaluation, participants had a statistically significant reduction in having sex without a hormonal or long-acting reversible contraceptive.

Spread the word with these posts:

  • OPA’s Teen Pregnancy Prevention (TPP) program is a national, evidence-based program that funds diverse organizations working to prevent teen pregnancy across the U.S. Learn more about @HHSPopAffairs’ new, innovative, and evidence-based TPP programs.
  • . @HHSPopAffairs funded the development and rigorous evaluation of new or innovative Teen Pregnancy Prevention (TPP) programs. Programs that demonstrate positive outcomes are eligible to be implemented by TPP grantees in communities with the greatest need.