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13

CHAPTER
Planning and Carrying Out
a Teen Pregnancy Prevention
Project
Introduction

If you have completed a needs • choose a sound strategy;


assessment, you have uncovered
• write a plan;
a host of new information. You
now understand more about the • create an organization;
teen pregnancy problem in your
community, and you have uncov- • begin your activity; and
ered resources that can con-
• establish systems of
tribute to prevention activities.
accountability.
You may have a reasonably good
idea of what you want to do and
The remainder of this chapter
have probably assembled a core
describes each of these elements
group to begin the work. 49
in greater detail.

PLANNING AND CARRYING OUT A PROJECT


To accomplish the tasks that lie
ahead, your planning group will
need to:

Choose a sound strategy

Choosing a sound strategy is a plan and building your organiza-


crucial, early task for your plan- tion, your initial strategy will
ning group because it will form likely be refined and amended
the foundation for all of your several times.
thinking, decision-making, and
activities. By definition, a strategy Your strategy should be one that:
is the plan devised to achieve a
specific goal, in this case pre- • is based on sound information
venting teen pregnancy. It is (including your needs assess-
more than just what you will do; ment) and a thorough under-
it also incorporates the how, standing of the issues;
when, why, with whom, and to
whom elements as integral com- • reaches teens most at risk for
ponents. As you go through this early pregnancy;
phase of developing a solid work
BE SURE YOU HAVE COMPLETE
AND SPECIFIC INFORMATION
ABOUT YOUR COMMUNITY
• See Chapter 1 (Volume 1),
“Promising Approaches to needs assessment to come to
Preventing Teen Pregnancy,” general agreement on three
for a discussion of why teens
questions:
get pregnant.
• See Chapter 12 (Volume 3), • Where are the largest concen-
“Tailoring a Program to Your
trations of teen pregnancy?
Community Through Needs
Assessment,” for a discussion • What factors contribute to the
of data that indicate teen
high rates among those teens?
pregnancy risk.
• What prevention strategies
• focuses on reducing at least will the community most
MAKING IT HAPPEN

one risk factor that leads to readily support?


early pregnancy among those
Where are the largest
teens; concentrations of teen
• is consistent with community pregnancy?
values and priorities and is Your prevention effort will be
50 more successful in reducing
something the community will
support; rates of teen pregnancy if you
focus on the teens and young
• inspires passion and engage- people most at risk. Pay special
ment in your group; attention to areas where the
teen pregnancy rates are
• draws on your group’s com- increasing. Look for:
parative advantages;

• has readily identifiable allies Geographic clusters of teen


births. Are there a few neigh-
who are in a position to make
borhoods with unusually high
things happen;
rates that are driving up your
• draws on resources that are community’s overall rates?
readily available; and
Age groups among which teen
• is a good candidate for funding. births are high. Is there an age
group that has a particularly
The following activities will help
high—or increasing—rate of
you develop and refine your
teen pregnancy?
strategy.

Ethnic/racial groups with high


Agree on the lessons
learned from your needs or increasing rates. Are there
assessment specific communities whose
high rates contribute signifi-
Your group should use the infor-
cantly to the overall rates?
mation gathered from your
Pockets of poverty connected What prevention strategies
with high teen pregnancy rates. will the community most
Teen pregnancy is also related to readily support?
poverty and social disorganization. You will get more support for
Are high rates of teen pregnancy your work if it taps into deeply
concentrated in communities with held values and clearly expressed
a lot of social stress? needs in the community. For
example, in one midwestern
Focusing first on areas with the neighborhood, the residents
highest level of adolescent clearly felt that parental involve-
births is a good way to reach ment with their children was a
teens most at risk. As new major concern. The teen preg-
resources are identified, you can nancy initiative being designed
extend your program to other in that neighborhood responded
areas within the community. by creating a prevention program
that centered on parent-child
What factors contribute to activities and communication.
the high rates among 51
those teens? Spend some time discussing

PLANNING AND CARRYING OUT A PROJECT


Make sure your strategy what you have learned about the
addresses the factors that con- community in which your target
tribute to high rates of teen population of teens resides or
pregnancy. This can be challeng- attends school. Be sure to focus
ing. The causes of teen pregnancy on four things:
are complex and interrelated,
and many people have their own • what teens think;
theories about what will need to
• what parents think;
happen to bring rates down.
Before your group makes a deci- • what community residents
sion on the strategies it will think; and
pursue, try to reach agreement
about the factors that matter for • what important local leaders
your target group of teens. Your think.
needs assessment will be of
help here. Remember to ask Be honest about whether teen
local experts what they think, as pregnancy is among the commu-
well as parents and teens them- nity’s list of concerns. If there
selves. Many of the resources are other major worries (e.g.,
listed at the end of this chapter drugs or gangs), consider how
discuss contributing factors. to integrate teen pregnancy pre-
vention into community efforts
that address those issues.
The results of your needs adolescent pregnancy prevention.
assessment may point to several Identify your organizational
clear goals, but your community assets and generate ideas on
may be ready to take only some how to use these assets to carry
of the steps needed to reach out your priorities. Brainstorm
those goals. Be sensitive to the with members of your planning
extent to which the community group to identify the organiza-
is willing to act. tional strengths represented by
your group. Examples:
Agree on what motivates
your group • familiarity with adolescents in
MAKING IT HAPPEN

What is your planning group the community;


passionate about? You have a
• ability to partner with other
vast range of choices for action.
organizations;
Choose one major theme that
excites your group. Your goal is • connections to policymakers;
to find something that people
52 will stay with over several years, • involvement of informal
and that will attract more people leaders in the community;
to replace members who leave—
• ability to raise money;
and that will attract money, too.
• in-depth knowledge of the
Review your strategy to make strengths and gaps in services
sure it responds logically to currently existing in the
the needs identified in the community;
community. For example, if new
immigrants are at greatest risk • creativity and commitment to
in your area, be sure your strate- the issue;
gies are culturally appropriate
and responsive. • influential organization and
leadership;
Identify your comparative • participation of local employers;
advantage
Consider the unique strengths • participation of local faith
that you bring to the issue of communities;

• involvement of the school


MAKE YOUR STRATEGY system;
COMPELLING
• It will increase your chances of • financial resources in the
creating an effective initiative. form of in-kind contributions,
• A compelling strategy that is grants, or access to similar
popular with the community sources; and
insulates itself from controversy.
EXAMPLES OF NATURAL
ALLIES
• school officials
• elected representatives
• willing volunteers. • foundation staff
• agency staff
Think about what strengths
make your group uniquely able • civic groups
to contribute to teen pregnancy • newspaper editors
prevention in your community. • local businesspersons
Build your strategy around your • clergy leaders
strengths. • parents
• teens
Find your natural allies
Outside of your planning group,
what other support exists for Identify available
your prevention effort? You may community resources
have met—or learned about— Your needs assessment will have
school officials, elected represen- helped document the types of
tatives, foundation staff, agency resources, as well as gaps, that
staff, civic groups, newspaper exist in the community. For
editors, business leaders, clergy example, you may have found 53
leaders, parents, and teens who that while schools currently
want to work with you. You also

PLANNING AND CARRYING OUT A PROJECT


offer education about sexuality,
have identified programs and pregnancy, and parenthood, such
existing networks and committees education is offered only once
designed to address youth issues. and relatively late in the school
These groups can assist you in curriculum. Or, you may have
putting your prevention program found that too few students have
in place. the opportunity to participate in
community service activities or
Depending on the strategy you school-to-career activities.
choose, you may need new or
different partners. For example, What have you learned about
if you choose to strengthen fam- resources that could be used in
ily life education in the schools, your prevention effort? You may
your organizational partners have identified potential meeting
will be different from those you places or in-kind services. Make
would work with if you chose to a list of all the possible resources
focus on the job readiness of that could be put in place for
teens. Make sure that you have your program.
the right mix of allies to support
your strategy. Identify likely funding
sources
Are there immediate sources of
funding you can go after? Make
a list of what you have learned
FUNDING SOURCES
• government grants
• non-governmental grants
• corporate donations
require substantial time and
• individual donations
effort, so be sure that you are
working on several funding
FOR MORE INFORMATION options simultaneously. You may
See Chapter 14 (Volume 3), seek help from foundations that
“Raising Funds for Teen sometimes provide planning
Pregnancy Prevention.”
grants of between $10,000-
$25,000 to help groups get
in your needs assessment about started.
sources of support.
Prepare alternatives in case
MAKING IT HAPPEN

The community may feel ready your initial requests for funding
to adopt a wide variety of preg- are not successful. You may also
nancy prevention strategies, but want to explore ways that your
its funds, including in-kind con- community can better use the
tributions, may be too limited to resources it already has to
work on all fronts at the same reduce teen pregnancy. For
54 time. Assessing the costs required example, school-based health
for different interventions may clinics originally began because
help establish what funding local health providers estab-
strategies to pursue first. The lished services in school settings
most financially accessible goal so that they could best reach
is often the right place to start. the population they were man-
dated to serve.
Resource development is key to
the success of your community’s You may also want to invite sev-
efforts. Recognize that it can eral of the potential funders into
the planning process so that their
ideas and suggestions can help
shape your work.
KEYS TO SUCCESSFUL
RESOURCE DEVELOPMENT
Be alert for opportunities to link
• recognize that many funding
options require substantial time
teen pregnancy prevention to
and effort to develop other issues and funding streams.
For example, some government
• be sure to devote adequate atten-
tion to this issue
agencies are beginning to focus
on school-to-work and community
• pursue several funding options
volunteer service opportunities,
simultaneously
many of which can help to reduce
• take advantage of in-kind contri-
teen pregnancy.
butions
• work on lower-cost initiatives
In-kind support can provide a
while you are applying for sup-
bridge as you explore different
port for other program efforts
funding options. It also can These roles also can be relevant
compensate for restrictions that for the work of individual teen
may exist on the use of grant pregnancy prevention programs:
funds. Together with funds, in-
kind contributions can sustain a Advocate for teen pregnancy
comprehensive array of services prevention. This role involves
over a long period of time. For supporting and encouraging pro-
example, expenses for food are grams and strategies that affect
often not covered by a tradition- adolescent sexuality, pregnancy,
al state or federal grant, yet, and parenting. You may work for
without this small incentive, few specific policy changes with
teenagers may attend an after- elected officials, schools, social
school program. Donations of services, medical providers,
snacks that appeal to teens can community groups, religious
help ensure the long-term suc- organizations, corporations, and
cess of a program. the media.

Agree on your main Catalyst for service develop- 55


strategy ment. As a catalyst, you could

PLANNING AND CARRYING OUT A PROJECT


After looking at all the angles, develop pilot programs that are
choose a main strategy for your tested by established groups.
group. It could focus primarily You could develop materials,
on educating teens, their parents, such as directories, to provide
and the community, or improving an overview of all prevention
services, or working to change efforts around the community or
policies that bear on teen preg- state. You could also help agen-
nancy prevention. The role you cies improve their services by
choose will depend on the mem- providing case consultation,
bership of your planning group joint intake and assessments,
and their interests, the needs and co-located services.
that emerged from your assess-
ment, the resources available Facilitator of communication
to you, and the extent to which among service providers. In this
you work in partnership with role, you could serve as a
other groups. resource and referral center for
the community. For example, you
If you are creating a formal com- could organize a series of meet-
munity coalition—or even work- ings of key providers and commu-
ing with partners on a more nity representatives to develop an
informal basis—you may want to action plan related to adolescent
consider one or more of the fol- pregnancy prevention. Sharing
lowing roles typically played by program information, enhancing
coalitions (Huberman, 1994). professional networking, and
sharing facilities and other agency staff can refer clients to
resources are also aspects of other agencies, and develop
this role. joint program goals and objec-
tives with partners.
Coordinator of multi-agency
efforts. As a coordinator, you Community educator. Educators
could facilitate and assist provide information concerning
providers in prevention efforts. adolescent sexuality, pregnancy,
For example, you could coordinate and parenting to the community.
educational and service efforts For example, you could provide
by different youth-serving agen- information to groups such as
MAKING IT HAPPEN

cies, family life educators, and religious youth group directors,


health care providers to ensure campus ministries, women’s and
that adolescents in need of serv- men’s clubs, university or college
ices have access to them. You campuses, medical societies,
could monitor activities to health care providers, county
assess the progress being made commissions, city councils,
56 by each group or member. You school boards, PTAs, and
could also work to establish schools.
cross-referral networks where

Write a plan

Good ideas become good pro- into a realistic and clear


grams through sound planning. roadmap for action.
Writing a plan will challenge
and clarify your thinking. It will Develop a statement of
transform your general ideas purpose or mission
A mission statement reflects the
community’s commitment to
A MISSION STATEMENT... reducing the incidence of ado-
• presents a broad vision of lescent pregnancy. It should be
your community’s commitment clear, direct, and motivating.
GOALS... Make it broad enough that a
• describe how you will achieve wide group of audiences—ado-
your mission lescents, parents, volunteers,
agencies, the business sector,
OBJECTIVES...
and others—will understand
• explain the “how” in specific,
and support your intent.
measurable, realistic, and
time-framed terms
From vision to reality: Transforming
a mission statement into
measurable, time-framed objectives
Mission Statement
To reduce the teen pregnancy rate in our community by providing teens with a
greater knowledge of the work and education opportunities available to them and
by strengthening policies and programming.
Goals Objectives
• To reduce the number of teenagers who • By January 2000, 500 additional ado-
are sexually active. lescents in need of family planning
services will gain access to care through
• To increase the number of sexually
a system of coordinated clinics in the
active teenagers who are able to access
community.
family planning care.
• By January 2000, 350 students will
• To increase the number of businesses
be matched to mentoring and job
and other community groups who partner
shadowing opportunities in the
with local schools so that students have
community.
increased access to mentoring and work
experiences, as well as to an increased
number of college scholarships.

Determine your goals measurable, realistic, and time-


Goals bring your mission down framed. They should be stated in
to earth. They describe how you such a way that you can meas- 57
will carry out your mission and ure and monitor them over time

PLANNING AND CARRYING OUT A PROJECT


address the problems identified to assess whether you have
in your needs assessment. Goals achieved them.
should be clear and achievable.
The example above shows how a
Define your objectives group’s vision for reducing teen
Objectives are the specific ways pregnancy rates in its community
and means for achieving your can be transformed into goals
goals. They define the activities and objectives that are clear
you will pursue over time. and specific enough to effectively
Objectives should be specific, guide its activities.

Examples of state coalition


mission statements
• “To provide leadership in adolescent pregnancy preven-
Washington state to reduce tion information and education
adolescent pregnancy and to throughout the state; to serve
promote coordinated services as the primary source of infor-
for pregnant and parenting mation for professionals in
adolescents.” California working with preg-
• “To strengthen policies and pro- nant and parenting teens and
gramming related to adoles- to act as a liaison with similar
cent pregnancy, prevention, efforts nationwide; to address
and parenting in Minnesota.” the needs of pregnant and
• “To lower the pregnancy rate parenting teens.”
in California by providing
Create a work plan and you have enough to pay for:
budget
Once your goals and objectives • a staff person, if necessary;
are clear, you will be ready to • your ongoing work; and
develop a work plan and budget.
When you start, focus most on a • new plans and activities.
limited number of high priority
objectives; include regular mile- Revisit your work plan and
stones and make sure that you budget on a semi-annual basis
can achieve them. to be sure that you are taking
the necessary steps to accom-
MAKING IT HAPPEN

Give adequate attention to your plish each of your objectives.


financial resources. Make sure The box below provides ques-
tions that can help you.

58 Create an organization

As you develop your plan of what types of individuals and


action, consider the type of organ- skills you will need to add to
ization, network, or coalition your “organizational home” in
required to implement your plan. order to ensure that the individ-
uals in leadership positions best
Create a governance fit this stage of development.
structure and choose
leaders Leadership qualities that are
Review the leadership that especially important for getting
brought you to this point. Ask if work done include:
you need new leaders for the
tasks that lie ahead. Consider • professional expertise;

Assess your work plan


• Is it based on the results of a • Does it include multiple strate-
needs assessment? gies aimed at pregnancy pre-
• Does the plan have activities vention?
geared to specific individuals, • If it involves a coalition, does it
agencies, and/or community- coordinate program activities
wide efforts? and encourage joint planning
• Does it set out specific steps? among partners?
• Does it include age-appropriate • Does it incorporate support
activities for the adolescents from multiple funding streams?
involved?
Brindis et al., 1996
FOR MORE ON THE SEVEN
MAIN TYPES OF ORGANIZA-
TIONAL STRUCTURES...
See Chapter 11 (Volume 3),
“Getting Your Community
• strong standing in the Involved in a Teen Pregnancy
community; Prevention Project.”

• expertise in planning and


implementation; rotate off your board at any one
time as you engage new mem-
• ability to manage and super- bers. Consider ways to involve
vise staff; and former members. For example,
use their expertise to plan a
• ability to represent the organ-
special event.
ization to the media, public
officials, funders, and other
If you are working within a for-
audiences.
mal coalition, one organization
is probably acting as “lead
Create a list of the various lead-
agency” to direct and coordinate
ership roles and committees you
the work of the various mem-
will need to carry out your work.
bers. Even in less formal net-
Be sure to set term limits and
works, one organization may
identify and prepare the next 59
take a leading role. The check-
generation of leaders. Make
list on the next page summa-

PLANNING AND CARRYING OUT A PROJECT


sure that only a few individuals
rizes the qualities needed for
a lead agency. Use it as an

FIELD NOTES

Characteristics of a well-organized
teen pregnancy initiative
• adequate funding with diversi- working on youth health
fied revenues issues so that the connec-
• adequate staffing tions among teen pregnancy,
• clear mission and focus alcohol, sexual abuse, and
• long-range (5-10 years) plan in poverty can be recognized
place and addressed
• strong board chair • strong leadership that pro-
• diverse geographic and cultur- vides one voice on teen preg-
al representation on staff and nancy issues and that
board effectively disseminates facts
• strong partnerships with and dispels myths about teen
media, business, elected offi- pregnancy
cials, foundations, state agen- • good public awareness of
cies, voluntary organizations, organization among youth, cit-
religious institutions, and izens, and policy makers
other interested and affected • effective management of con-
groups troversy and opposition
• strong partnerships with
other statewide organizations Donna Fishman, MOAPPP
CHECKLIST

Checklist for a lead agency or


organization
Consider the resources and capabilities of your proposed
lead agency against the following criteria. Depending on
the results, you may decide that the agency fits the job,
or you may want to consider others.
Yes No
1. Has skilled staff (or willingness to hire ■ ■
additional staff) to carry out planned work.
2. Includes representatives on its board of ■ ■
MAKING IT HAPPEN

directors from the the public and private


sectors (e.g., government agencies,
businesses, foundations).
3. Can receive and allocate funds from ■ ■
both public and private sectors.
4. Has the support of appropriate levels ■ ■
60
of government.
5. Has technical expertise, either in-house
or through subcontract, to:
a. conduct research and report findings, ■ ■
as necessary
b. work with community members to ■ ■
establish priorities and action plans
based upon findings and community-
based consensus-building process
6. Has:
a. a strong, positive image in the ■ ■
community
b. a positive reputation among all ■ ■
sectors of the community
c. a good track record on adolescent health ■ ■
d. a history of community involvement ■ ■
e. expertise in designing and adminis- ■ ■
tering a community-wide initiative
7. Is able to:
a. serve as a liaison to the media ■ ■
b. help educate all sectors of the ■ ■
community regarding the needs of
adolescents in the community
c. mobilize a number of different ■ ■
community sectors in instituting
a plan of action
Brindis et al., 1991
IF YOU HAVE LIMITED
FUNDS FOR STAFF,
CONSIDER...
objective tool to determine who asking a collaborating
should lead your efforts. agency to provide a indi-
vidual for a percentage
of time as an in-kind
Revisit your membership
contribution.
policy
Although you have previously
dealt with issues pertaining to important that staff be multicul-
membership in the coalition, tural and multilingual (as appro-
board, or whatever your group priate), and experienced with
structure is, in this phase of community development and the
your efforts, consider in more subject of adolescent pregnancy
detail the skills you need to prevention.
implement your plan. For exam-
ple, if media strategies are an While it may not always be pos-
important priority, then you will sible to find the ideal individual,
need to recruit individuals who it is important to choose staff
have specific types of media who feel a personal commitment
expertise. You may want people and passion on the subject of 61
who can develop public service youth, youth development, and

PLANNING AND CARRYING OUT A PROJECT


announcements, or create media the role that postponing having
packages and news releases, or a child can have in influencing
buy airtime, or be spokespersons. young people’s future. While lim-
Be as clear as you can about ited funding may preclude hiring
the skills you need. a full staff, explore the possibili-
ty of sharing staff and combin-
At the same time, be flexible. ing staff from different agencies.
Your needs will change as your Think broadly and creatively
effort expands. about the best ways to match
your needs with the skills and
Determine staffing needs interests of staff available to you.
and how to meet them
Selecting the most appropriate
and qualified staff is crucial to
the success of all of your efforts. WHEN MATCHING
Make sure that you have enough SKILLS TO NEEDS,
staff support to carry out your THINK BROADLY
plan. Consider what types of For example, an agency
staff your group will require. Be that focuses on immu-
sure that the staff mirror the nization may have staff
communities in which you are who could add teen
planning to work. Along with pregnancy prevention to
professional expertise, it is their outreach efforts
with young teen parents
and their babies.
CASE IN POINT

HEART of OKC (Healthy,


Empowered, and Responsible
Teens of Oklahoma City) creates a
governance structure
A major issue in developing a that emphasized positive
teen pregnancy prevention initia- perspectives; and
tive in a neighborhood or com-
munity involves establishing the • avoid establishing another
MAKING IT HAPPEN

type of governance structure(s) single-issue coalition.


that will be appropriate for the
initial planning and implementa- The community already had a
tion process. This structure must teen pregnancy coalition com-
also be effective in maintaining posed of more than 20 different
the effort over time. HEART of service providers working with
OKC is one of 13 Community pregnant and parenting teens,
Partnerships funded by the sexuality education, and specific
62 Centers for Disease Control and prevention curricula. The commu-
Prevention (CDC) as part of their nity was also home to numerous
special teenage pregnancy pre- statewide coalitions dealing with
vention initiative. The project is issues related to the health and
coordinated through a hub organ- well-being of children and youth,
ization, the Oklahoma Institute such as child abuse, tobacco use
for Child Advocacy, which works prevention, and substance abuse
with a variety of partnerships in prevention. Thus, HEART of OKC
central city neighborhoods with started by working through a
high needs. core steering committee repre-
senting the hub organization, the
At the outset of the project, university health sciences center,
HEART of OKC staff held two dis- and local agencies to provide
cussions involving a variety of project leadership in the selected
community leaders and represen- neighborhoods.
tatives of programs to determine
where the project might start, HEART of OKC placed teen preg-
how the program could link with nancy prevention within a larger
existing programs, and how to picture of youth development
structure the group so that and created a Prevention Program
“something real would happen Model that promoted an asset-
for teens” as a result of the activi- building approach to prevention
ties. The overwhelming response and linked eight key prevention
from the community representa- opportunities with specific activi-
tives was to: ties and various community sec-
tors. A part-time Community
• focus on changing the atti- Coordinator assisted each of the
tudes of policymakers and targeted central city neighbor-
community leaders toward hoods to assess their needs and
youth from one that focused assets and establish youth and
on punitive perceptions to one adult task forces that outlined
FOR MORE ON DEALING WITH
CONFLICT AND OPPOSITION...
See Chapter 17 (Volume 3),
“Moving Forward in the Face
of Conflict.”
Begin your activity

You don’t need a highly visible • look for additional opportuni-


launch to get your project ties to highlight the needs of
underway. Just begin at a logi- adolescents and the impor-
cal starting point. If you are tance of pregnancy prevention;
having difficulty getting started
due to differences of opinion or • work on multiple levels simul-
opposition, find ways to start at taneously; meetings alone
least some part of your plan. probably will not affect the
population you wish to serve;
The box on the next page gives a
dozen tips to help you get start- • seek the advice and counsel
ed and maintain momentum. of those who are more experi-
enced in the field in order to
As you build momentum, avoid approaches that have
continue to: failed in the past; and 63
• keep your sense of humor and

PLANNING AND CARRYING OUT A PROJECT


• share your results with others
in the community; dedication.

neighborhood youth develop- Center for Substance Abuse


ment plans based on the Prevention) to create a formal
Program Model. entity in the city that would oper-
ate under the auspices of the
At the community-wide level, Community Council to convene
HEART of OKC developed a and coordinate youth develop-
“Network of Opportunities” for ment activities and initiatives.
teen pregnancy prevention within
various community sectors and The structures and relationships
potential program settings. The that have evolved through HEART
“Network of Opportunities” focus- of OKC give the effort a way to
es on honoring and building involve neighborhood youth and
upon what is already available in adults in meaningful ways.
the community, then linking new Groups and individuals can move
allies and resources to fill unmet in and out of activities as their
needs. For example, HEART of time and interest permit, and the
OKC is currently working with program can quickly and flexibly
the OKC Community Council, the respond to new opportunities as
College of Public Health, and a they present themselves.
substance-abuse coalition (fund-
ed by the U.S. Department of Sharon Rodine, Project Director,
Health and Human Services’ HEART of OKC
Establish accountability systems

Your goal is to have a sound they know what you are doing
prevention program that helps and how it is progressing.
reduce teen pregnancy rates.
Pay close attention to the quality Develop internal and
of your work. Make sure that external reporting
those to whom you are account- relationships
able are connected to your In conducting your work, you
work, and that you make sure will need to consider to whom
MAKING IT HAPPEN

Tips for maintaining early


momentum
64 1. Pick concrete and “do-able” success. For example, find
activities that will help your ways that prevention efforts
group accomplish early suc- can be incorporated into and
cesses. coordinated with other com-
2. Be realistic in your timeline munity efforts.
and in what you will be able 9. Be sure that you have defined
to accomplish within a short specific implementation plans
period of time. and that the individual(s)
3. Build in 90-day action plans, selected to carry them out are
action agendas, and ongoing given appropriate support.
activity reviews to be sure 10. Schedule opportunities for
that you are not losing sight individuals to report on their
of your group’s major goals, current activities and the
objectives, and activities. ways in which they are imple-
4. Learn from what has worked menting the objectives for
along the way. Incorporate which they are responsible.
those lessons into your future 11. If several groups are working
efforts. concurrently on different
5. If you are not making steady objectives, be sure that each
progress, stop, look, and lis- is aware of what they others
ten. Diagnose what is hap- are doing in order to prevent
pening and assess if any of duplication of effort and to
the factors responsible are assure maximum coordina-
within your control. tion.
6. Continue to educate yourself 12. Twice a year, conduct an in-
regarding the issue of adoles- depth review of the progress
cent pregnancy prevention so being made, whether the
that you can be knowledge- objectives are still relevant
able about the subject. and appropriate, and whether
7. Celebrate your successes. the timelines are realistic to
8. Plan for the future by thinking the task.
about strategies to sustain
FOR GUIDANCE ON HOW TO
ASSESS YOUR PROGRESS IN
CHANGING BEHAVIORS AND
REDUCING PREGNANCY
you are accountable and who RATES...
will judge your efforts. Your fun- See Chapter 16 (Volume 3),
ders should receive a quarterly “Building Evaluation Into
or annual report covering the Your Work.”
progress you have made. Other
community groups, including
process will help you gauge the
parents and adolescents living
progress of your group’s efforts,
in the community, also will be
whether you are a large coalition
interested in assessing the
or a small network of agencies
progress you are making.
working in the health field.
Network partners, where appli-
cable, will also be interested, as
The following chart will help you
they will likely need to justify
track whether your organiza-
their participation in this effort
tional efforts are well-balanced
to their parent agency.
and proceeding as planned in
the early, middle, and mature
For each of these groups, differ-
stages of your work. Note that
ent types of information will 65
components from the early and
likely be of interest. Keeping
middle stages remain important

PLANNING AND CARRYING OUT A PROJECT


everyone informed also will
as building blocks to sustain a
help encourage partners and
mature organization. Mature
volunteers to live up to the
organizations should rate them-
commitments they’ve made.
selves on all three scales. Use
However, the bottom line for
these milestones to make sure
each will be whether or not your
that no one part of the organiza-
efforts are making a difference
tion lags behind. The following
in the lives of adolescents.
items can be applied to small or
large groups. Be careful about
Establish milestones for
the types of expectations and
organizational progress
outcomes you expect for a tem-
Establishing clear milestones porary group, in contrast to a
and setting up a periodic review larger, more formal coalition.
Milestones for organizational
progress
Phase I. Initial Organizing
(not at all) (fully)
1. To what extent are the following aspects
of the group in place?
a. a clear mission statement 1 2 3 4 5
b. goals, objectives, and activities that are
logically connected 1 2 3 4 5
c. a group or organizational chart 1 2 3 4 5
d. a system to gather information as needed 1 2 3 4 5
MAKING IT HAPPEN

2. To what extent is there a specifically designated


individual who serves as the coordinator or staff
for the group? 1 2 3 4 5
3. To what extent has the group conducted a needs
and assets assessment to establish what is needed? 1 2 3 4 5
4. To what extent has the group established a comprehensive
work plan based on relevant information? 1 2 3 4 5

66

Score each of the following items on the following scale, with (1) = not at all; (2) = as
recipients of information only; (3) = as providers of information and advice; (4) = as
implementers of decisions; and (5) = as full participants in the decision-making.
(not at all) (full participants)
5. How much do each of the following community
representatives (where relevant) participate in the
group’s activities?
a. younger adolescents (ages 10-14) 1 2 3 4 5
b. older adolescents (ages 15-19) 1 2 3 4 5
c. parents 1 2 3 4 5
d. religious leaders 1 2 3 4 5
e. business leaders 1 2 3 4 5
f. representatives of youth-serving organizations 1 2 3 4 5
g. health care providers 1 2 3 4 5
h. school teachers and administrators 1 2 3 4 5
i. representatives of the juvenile justice system 1 2 3 4 5
j. social service providers 1 2 3 4 5
k. representatives of arts and cultural organizations 1 2 3 4 5
l. representatives of the news media 1 2 3 4 5
m. local, county, and state government officials 1 2 3 4 5
Phase II. Middle Stage
Assess your group’s progress on the following milestones, where applicable.
(not at all) (fully)
1. To what extent does your group:
a. serve as a clearinghouse for information and resources? 1 2 3 4 5
b. provide a forum for joint planning and encourage
efforts to use existing and/or new resources to prevent
teen pregnancy? 1 2 3 4 5
c. identify different funding sources that it combines to
allow greater flexibility in meeting goals? 1 2 3 4 5
d. include in-kind contributions from its members, as well
as from other community groups as part of its funding plan? 1 2 3 4 5
2. How would you rate the group’s commitment to the following:
a. assisting parents in their roles as primary providers
to their children 1 2 3 4 5
b. providing adolescents with the education and skills
needed to be sexually responsible 1 2 3 4 5
c. providing an opportunity for different approaches to
be heard and accepted within the same community 1 2 3 4 5
d. providing opportunities to work with adolescents and
their families in shaping prevention strategies 1 2 3 4 5 67
Phase III. Established Stage

PLANNING AND CARRYING OUT A PROJECT


Rate your group on the following issues.
(not at all) (fully)
1. To what extent has the group been able to achieve:
a. support for its pregnancy prevention mission
within the community? 1 2 3 4 5
b. support for its specific pregnancy prevention
strategies within the community? 1 2 3 4 5
c. a credible reputation within the community? 1 2 3 4 5
2. Has the group been able to sustain its efforts through:
a. a diversified funding base? 1 2 3 4 5
b. a diversified membership base? 1 2 3 4 5

Adapted from Brindis and Peterson, 1996


Conclusion

The organization and plan you can best reduce teen pregnancy
create will grow and change rates in the community by
over time. Remain flexible and mobilizing a diverse group of
make changes as your needs individuals and organizations
change. The most important committed to improving the
thing to focus on is how you lives of youth.
MAKING IT HAPPEN

References

Brindis, C.D., Card, J.J., Niego, S., & Research, University of California,
Peterson, J.L. (1996). Assessing San Francisco.
68 your community’s needs and assets:
Brindis, C.D., Pittman, K., Reyes, P.,
A collaborative approach to adoles-
& Adams-Taylor, S. (1991).
cent pregnancy prevention. Los
Adolescent pregnancy prevention:
Altos, CA: Sociometrics Corporation.
A guidebook for communities. Palo
Brindis, C.D., & Peterson, J.L. Alto, CA: Health Promotion
(1996). Teen pregnancy prevention Resource Center Distribution
coalitions: A tool for assessing Center, Stanford University.
progress. Unpublished tool. San
Huberman, B. (1994). Unpublished
Francisco, CA: Center for
materials. North Carolina:
Reproductive Health Policy
Adolescent Pregnancy Prevention
Coalition of North Carolina

Programs mentioned in this chapter

Healthy, Empowered, and Minnesota Organization on


Responsible Teens of Oklahoma Adolescent Pregnancy, Prevention,
City (HEART of OKC) and Parenting (MOAPPP)
Oklahoma Institute for Child Advocacy Donna Fishman
Sharon Rodine, Project Director P.O. Box 40392
420 N.W. 13th St., Suite 101 St. Paul, MN 55104
Oklahoma City, OK 73103 (651) 644-1447
(405) 236-5437 Toll Free in MN (800) 657-3697
Fax: (405) 236-1690 Fax: (651) 644-1417
sjrodine@aol.com www.cyfc.umn.edu/moappp/
Useful resources on community
organization and coalition development

Each of these guides and books pro- Adolescent Pregnancy Prevention:


vides useful and practical advice on A Guidebook for Communities
beginning and maintaining a suc- Brindis, C.D., Pittman, K., Reyes, P.,
cessful group or program. They can & Adams-Taylor, S.
be obtained by writing or calling the Health Promotion Resource Center
addresses and telephone numbers Distribution Center, Stanford
provided here. Those without a listed University
price are available free. 1000 Welch Rd.
Palo Alto, CA 94304-1885
Marketing Workbook for Non-Profit (650) 723-003
Organizations Cost: Approximately $29.00
Strategic Planning Workbook for This 1991 book was written for groups
Non-Profit Organizations
that want to take action, and presents a
Amherst A. Wilder Foundation
step-by-step guide to all aspects of a suc-
919 Lafond Ave.
cessful program, from coalition-building
St. Paul, MN 55104
to fundraising, needs assessment to
(800) 274-6024 69
impact evaluation. It includes a resource
These two guides are excellent
directory and many charts/worksheets.

PLANNING AND CARRYING OUT A PROJECT


resources for use at the state or local
level. The workbooks are easy to read Building and Maintaining
and understand and are filled with action- Effective Coalitions
oriented activities for groups. Whether or Feigherty, E., & Rogers, T.
not your group chooses to use a consult- Health Promotion Resource Center
ant for marketing and strategic planning, Distribution Center, Stanford
read these resources first so you are University
familiar with the processes. You will also 1000 Welch Rd.
be more equipped to hire a consultant. Palo Alto, CA 94304-1885
(650) 723-003
Mobilizing for Action
Cost: Approximately $7.50
Brindis, C.D., & Davis, L. This 8-page “how-to guide,” published
Advocates for Youth
in January 1990, describes coalitions,
1025 Vermont Ave., NW, Suite 200
reasons for starting one, what functions
Washington, DC 20005
they can perform, the role of members
(202) 347-5700
and recruiting them, how to run and eval-
This book is Volume I of a five-volume
uate a coalition, and a helpful section on
series entitled Communities Responding
barriers that can cause coalition failure.
to the Challenge of Adolescent Pregnancy
It is available as part of the Community
Prevention. Other volumes, which can be
Health Promotion Kit: Section 5 “Building
purchased separately ($25 each) or as
a Team.”
part of the whole series ($115), are:
• “Building Strong Foundations,
Ensuring the Future” (Volume II);
• “Designing Effective Family Life
Education Programs” (Volume III);
• “Improving Contraceptive Access for
Teens” (Volume IV); and
• “Linking Pregnancy Prevention to
Youth Development” (Volume V).
What One Can Do: Resource sheets, samples, and worksheets that
Manual for Development of a have been developed and used by commu-
Community Council on Adolescent nities throughout the U.S. It can be used
Pregnancy Prevention at all stages of health promotion—from
Huberman, B. organizing your community to locating
Adolescent Pregnancy Prevention funding sources.
Coalition of North Carolina
REACH Resource Guide: Guide to
1300 Baxter St., Suite 171
Activating Your Advisory Group
Charlotte, NC 25804
Resources for Enhancing Adolescent
(704) 335-1313
Community Health (REACH)
This manual is extremely helpful for
Resource Center
both local and statewide coalitions.
Colorado Department of Public
Chapters cover issues such as local
Health and Environment
MAKING IT HAPPEN

council organization, board of directors


Adolescent Health Program
and board meetings, employees, program
4300 Cherry Creek Dr. South
planning and evaluation, finance and
Denver, CO 80222-1530
fundraising, legislation, statistics, and
(303) 692-2326
resources.
This helpful guide provides step-by-step
Building Communities from the Inside direction on how to form an advisory group
Out: A Path Toward Finding and (as applicable to coalition, task force,
70 Mobilizing a Community’s Assets. etc.). The authors drew from experience
Kretzmann, J.P., & McKnight, J.L. working with state and local agencies to
Center for Urban Affairs and form such groups. They have also culled
Policy Research information from the literature of several
Neighborhood Innovations Network disciplines on this topic. The guide is
Northwestern University written broadly and can be easily applied
2040 Sheridan Rd. to organizing a community-based adoles-
Evanston, IL 60208 cent pregnancy prevention effort.
(708) 491-3518
Collaboration Handbook: Creating,
Cost: Approximately $30
Sustaining, and Enjoying the Journey
This 1993 guide focuses on community
Winer, M., & Ray, K.
assets, rather than problems and defi-
Amherst H. Wilder Foundation
ciencies, and presents ways to identify
The Wilder Foundation
and best use the gifts, talents, and
Publishing Center
resources of individuals and organiza-
919 Lafond Ave.
tions for community change.
St. Paul, MN 55104
Community Health Promotion Kit (800) 274-6024
Division of Health Promotion Cost: Approximately $30
and Education This 1994 guide/workbook provides
Minnesota Department of Health details on, and examples of, collaborations
717 Delaware St. SE. and how to make them work successfully.
Minneapolis, MN 55414
(612) 623-5213
The Kit was created to help communi-
ties come together to discover ways to
promote health and prevent chronic dis-
ease, such as cancer or heart disease. It
can be easily adapted to adolescent preg-
nancy prevention. The Kit allows you to
pick and choose from a collection of
resources, tip sheets, tools, information
Together We Can: A Guide for
Crafting a Pro-Family System of
Education and Human Services
Melavill, A.I., et al.
Center for the Study of Social Policy
and the Institute for Educational
Leadership
Available from the U.S. Government
Printing Office, Superintendent of
Documents, Mail Stop: SSOP,
Washington, DC 20402-9328 (Stock
No. 065-000-00563-8, $11).
Developed by a group of researchers,
administrators, and practitioners, this
manual provides a practical guide for
improving the coordination of education,
health, and human services for at-risk
children and families. Divided into three
main sections, the guide leads readers
through a five-stage process of group col-
laboration.
71

PLANNING AND CARRYING OUT A PROJECT

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