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. While there has been great progress in reducing teen pregnancy, the teen birth rate of 17.4 per 1,000 females ages 15–19 in 20171 is still much higher than other Western industrialized nations.2 Young people ages 15–24 account for nearly one-half of all new cases of sexually transmitted diseases,3 and we continue to see disparities by race,1 ethnicity,1 and in the most vulnerable populations—including youth who are homeless, living in foster care, or involved with the juvenile justice system—compared to the general population.4-6 OPA invests in both the implementation of effective programs and the development and evaluation of new and innovative approaches to prevent teen pregnancy, prevent sexually transmitted infections (STIs) among adolescents, and promote optimal health. The OPA TPP program reaches adolescents, with a focus on populations with the greatest need to reduce disparities in teen pregnancy and birth rates.
Established in 2010 with a Congressional mandate to fund medically accurate and age-appropriate programs, the OPA TPP program currently funds 79 grants to communities. Funded grantees are:
- Implementing effective teen pregnancy prevention programs – those proven through rigorous evaluation to reduce teen pregnancy, behavioral risk factors underlying teen pregnancy, or other associated risk behaviors – to scale in communities with the greatest need;
- Building the capacity of youth-serving organizations to implement, evaluate, and sustain effective teen pregnancy prevention programs;
- Developing and testing new and innovative strategies to prevent teen pregnancy and promote healthy adolescence, especially among our most vulnerable youth;
- Rigorously evaluating new and innovative approaches to prevent teen pregnancy and STIs, and promote optimal health.
Since its creation in 2010, the OPA TPP program has served more than 1.4 million young people across 41 states, Washington D.C., Puerto Rico, and the Marshall Islands. Currently, the TPP program serves nearly 250,000 young people per year. This program has trained more than 23,500 professionals and established partnerships with more than 19,700 community-based organizations across the United States. The OPA TPP program has supported numerous rigorous, independent evaluation studies that significantly contribute to the field’s knowledge of where, when, and with whom programs are most effective. In September 2016, the American Journal of Public Health released a special issue focusing on findings from the TPP program. In March 2014, the Journal of Adolescent Health released a supplement on implementing evidence-based TPP Programs. In June 2019, the Office of Adolescent Health (OAH) merged with OPA. Learn more about the first five years of the program administered under OAH.
1 Martin, J.A., Hamilton, B.E., Osterman, M.J.K., & Discroll, A.K. (2020). Births: Provisional Data for 2019. Hyattsville, MD: National Center for Health Statistics. https://www.cdc.gov/nchs/data/vsrr/vsrr-8-508.pdf. back to top
2 Sedgh G, Finer LB, Bankole A, Eilers MA, Singh S. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolesc Health. 2015; 56(2): p. 223-30. back to top
3 Satterwhite, C.L., et al., Sexually transmitted infections among US women and men: prevalence and incidence estimates, 2008. Sex Transm Dis, 2013. 40(3): p. 187-93. back to top
4 Centers for Disease Control and Prevention. Teen Pregnancy in the United States. Reproductive Health: Teen Pregnancy. https://www.cdc.gov/teenpregnancy/about/index.htm. back to top
5 James, S., et al., Sexual risk behaviors among youth in the child welfare system. Children and Youth Services Review, 2009. 31: p. 990-1000. back to top
6 Sedlak, A.J. and C. Bruce, Youth's Characteristics and Backgrounds: Findings from the Survey of Youth in Residential Placement, U.S. Department of Justice, Office of Justice Programs, and Office of Juvenile Justice and Delinquency Prevention, Editors. 2010. back to top