# njm 3/127/04

# Other resources for teenage pregnancy in Indian Country

\-[Phoenix Indian Medical Center]{.underline} ( \> \> \> PIMC) has a
good teen pregnancy program, started several years ago with \> the \> \>
\> aid of a March of Dimes grant. They do show a decreased recidivism,
which \> \> \> is probably one of the more important measures. There is
good \> \> \> participation by multiple departments in supporting the
Teen program.

Since 1991, PIMC has had an Adolescent Pregnancy Program. We began with
a grant from March of Dimes but have maintained the program through
facility support and private donations. In a nutshell, the clinic meets
weekly on Monday afternoons, beginning at 1530 and ending at 1800 (or
whenever we're done!), allowing them to finish their school day. We have
a class each week at 4pm that patients and their accompanying guests
attend. A variety of topics are discussed including infant CPR, family
planning, STI's, parenting to name a few. One CNM coordinates this
program and we try to limit the involvement of additional CNM's/NP to
the same staff, allowing for continuity of care.

In the beginning we collected entry and outcome data designed by the
TPPCIS Program out of Washington but, to be honest, analysis required a
D-Base 4 system and this institution could not find the funds to invest
in that tool so we have been unable to look at results. Eventually, we
stopped collecting the data (but probably have at least 6-7 years
worth\...somewhere :)

That's it in a nutshell, if you would like more details please feel free
to the Program Coordinator, Diane Cortez, CNM at 602-263-1550.

Or contact

Whitecrane, Judy (PIMC) <judy.whitecrane@PIMC.IHS.GOV>

\-[\> \> Sells Service Unit]{.underline} has three nurse practitioners
that work in the \> \> schools and are there for exams and counseling,
with parents permission. \> \> Parents are asked if they want their
children to get "family planning" \> \> information and only two have
said no\...both for 12 year old \> \> boys\...Hence there is the full
range of services that would otherwise be \> \> available only in the
clinics. It works because the students get to \> \> know these providers
on a daily basis and learn to trust them. We have \> \> data that shows
the teen pregnancy rate is slowly coming down since the \> \> first NP
went to the first school. We have added two more the past two \> \>
years and look to see the rate decrease further\...but think it will be
\> \> at least a couple more years to really realize the potential. This
was \> \> presented at NCON and well received.

Steele, Lois F (TUC) <Lois.Steele@mail.IHS.GOV>

\> \> \>

\> \> \>

From the MCH web sites

<http://www.ihs.gov/MedicalPrograms/MCH/C/CHadol.asp#AbDta>

<http://www.ihs.gov/MedicalPrograms/MCH/M/MCHpreg.asp#TeenBirths>

February 1995 IHS Provider article

<http://www.ihs.gov/publicinfo/publications/healthprovider/issues/ihsprofeb.asp#pregnancy>

Focus on Women

<http://www.ihs.gov/MedicalPrograms/MCH/M/MCHprograms.asp#Women>

Focus on Youth (NB: big file)

<http://www.ihs.gov/nonmedicalprograms/ihs_stats/files/youth.pdf>

[http://www.ihs.gov/nonmedicalprograms/ihs%5Fstats/files/youth.pdf](http://www.ihs.gov/nonmedicalprograms/ihs_stats/files/youth.pdf)

Here is some related material from our MCH sites

<http://www.ihs.gov/MedicalPrograms/MCH/C/CHadol.asp#AdolTop>

<http://www.ihs.gov/MedicalPrograms/MCH/C/CHbehav.asp>

<http://www.ihs.gov/MedicalPrograms/MCH/W/WHviol.asp>

<http://www.ihs.gov/MedicalPrograms/MCH/M/MCHfamPlng.asp>

DV Compendium

<http://www.ihs.gov/medicalprograms/mch/w/whdownloads/famviocompendium.htm>