Roughly one in four teen girls become pregnant at least once by age 20 and fully half of all pregnancies in the United States are reported by women themselves as unplanned. Not too good.

By posting some intemperate thoughts about sex, love, relationships, pregnancy, childbearing, the media, public policy, our dogs, and other topics, we hope to spark a two-way discussion about how best to bring down the high rates of teen and unplanned pregnancy in this country. And who knows…from time to time, we might even offer up a few cogent thoughts that will be helpful.

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Federal Funding, Public Policy, State and Local
October 16, 2017

Recently there was a breakthrough on Capitol Hill—bi-partisan agreement.  On Sept. 7, the Senate Appropriations Committee voted 29-2 to pass a Labor, Health and Human Services and Education (LHHS) Appropriations bill for FY 2018 that maintained funding for the Teen Pregnancy Prevention (TPP) Program and the Title X Family Planning Program, as well as protecting the way these programs have traditionally been implemented. 

This overwhelmingly bi-partisan vote recognizes the value of these programs in meeting the shared goals of reducing unplanned pregnancy.  The Senate bill also recognizes what we at The National Campaign to Prevent Teen and Unplanned Pregnancy have long known—that controversy over these programs is mainly within the Beltway, not among the public.  More than 75% of adults support continuing the Title X Program and 85% favor continuing evidence-based teen pregnancy prevention programs, including TPP.  This support is strong across political party and geographic lines.  The public, like the Senators on the Appropriations Committee, are pragmatic. 

Every year more than 4 million low-income people depend on Title X for access to contraception.  Just as importantly, Title X provides access to the full range of contraceptive methods, including the most effective methods often unaffordable to those without insurance.  Researchers attribute recent declines in unplanned pregnancy to greater use of contraception, and, in particular, to the most effective methods.  In a single year, Title X clinics helped to prevent 904,000 unplanned pregnancies and 326,000 abortions.  All this while saving roughly $7 public dollars for every $1 public dollar invested in contraceptive services and supplies. 

Meanwhile, the TPP Program has been praised by experts as a high quality example of an evidence-based program, with results from the first round of grants well exceeding what is typical in such evaluations.  While the 41% decline in teen childbearing since the program’s inception cannot be attributed solely to the program, we should not ignore that the rate of decline has more than doubled since federal investments in evidence-based teen pregnancy prevention education began.  The culture of evidence that the TPP Program is helping to grow is changing the field of teen pregnancy prevention by helping to increase the menu of interventions that we know work, as well as helping us to learn what is effective with some young people and not with others. 

The recent report released by the bi-partisan Commission on Evidence-Based Policymaking, established by Congress, cited the TPP Program as an example of a federal program “developing increasingly rigorous portfolios of evidence.”  Yet despite this, in July HHS notified all TPP Program grantees that their grants would end after 3 years, instead of the planned 5 years.  In addition to the devastating impact on youth and communities, this means vital research and learning will be cut-off mid-stream—exactly the opposite of what a federal commitment to evidence looks like.

Senate appropriators clearly disagreed with the actions of HHS.  In their bill, they provided level funding for the program and instructed HHS to “continue funding grants to public and private entities to the same extent and in the same manner as those grants were funded in fiscal year 2016.”  It also includes language to protect both Title X funding and the current approach of that program.

Grants from the TPP Program serve some of the most vulnerable young people in communities around the country in both “Red” and “Blue” states.  They include communities in many of the states represented by these Senators, who know firsthand about the valuable work being conducted.  Similarly, empowering people to decide if, when, and under what circumstances to get pregnant by ensuring that all women—regardless of income—have access to the full range of contraceptive methods is not and should never be controversial.  This is especially important given that more than 19 million women still live in contraceptive deserts, or counties without reasonable access to the full range of contraceptive methods.

We applaud the bi-partisan manner in which Senate appropriators passed the LHHS bill.  Senators came together to protect and maintain programs that give people across the country the power to decide their futures, and in turn contribute to healthier and stronger communities.

As Congress works on a final deal for FY 2018 appropriations by the Dec. 8 deadline, it should include the bi-partisan Senate LHHS bill’s funding levels and language regarding the TPP Program and Title X.  Let’s hope this common sense and common ground approach becomes the new norm on Capitol Hill.

—    Ginny Ehrlich is CEO of The National Campaign to Prevent Teen and Unplanned Pregnancy

Authored by: Ginny Ehrlich

Ginny Ehrlich is the chief executive officer at the National Campaign to Prevent Teen and Unplanned Pregnancy. Prior to taking the helm at the National Campaign, Ginny directed the childhood obesity prevention portfolio at the Robert Wood Johnson Foundation, and led the Foundation’s efforts to establish a strategic direction for its $500 million investment in ensuring that all children achieve a healthy weight by 2025. Previously, Ginny spent eight years at the Clinton Foundation, where she served as the Founding CEO of the Clinton Health Matters Initiative and the long-time CEO of the Alliance for a Healthier Generation. During her tenure at the Alliance for a Healthier Generation, Ginny positioned the organization as a national leader on preventing childhood obesity and started the nation’s largest school-based obesity prevention program. Ginny started her career in the classroom as a health and sexuality educator, and has held several state and national leadership positions.

Ginny has dedicated her more than 20-year career to improving the health and wellbeing of children, adolescents, and families. Known for her abilities to build organizational strategic vision and foster partnerships of great purpose across the public, private and nonprofit sectors, Ginny was recognized in 2012 by Health Leaders as one of the nation’s top change agents in the health sector. Ginny has a breadth of experience working with businesses, community organizations, policymakers, schools, and government officials on a wide variety of social welfare issues.

Ginny holds a doctorate of education in education leadership and a Master of Science in Special Education, both from the University of Oregon, a Master of Public Health from Boston University and a BA in Community Health Education, from the University of Oregon. She lives in Washington, DC; she is an avid tennis player and runner.

Other Recent Posts

October 11, 2017
 Some bumps in life are unexpected. Tune in to TLC on Sunday, November 12th at 10/9c for the premiere of Unexpected, a new series following the journey of three pregnant teen couples and the parents who raised them.Here's who you'll meet:Lexus, 15, is 38-weeks pregnant and expecting a baby girl...
Media, Popular Culture, Teen Pregnancy, Teens, Unplanned Pregnancy
September 07, 2017
Authored by: Liany Elba Arroyo

Liany Elba Arroyo is the Senior Director of Health Equity at The National Campaign where she works to ensure an equity lens is applied to the organization’s work.  Previously she had served as the Director of Partnerships where she oversaw the development of programs and the dissemination of messages and resources tailored for the Latino and African American communities. 

Prior to coming to The National Campaign, Liany spent over 13 years working in the government and non-profit sectors developing programs and promoting public policies that aimed to improve the health status of Latino communities across the nation. Most recently, Liany was the Associate Director of the Education and Children’s Policy Project at the National Council of La Raza (NCLR), where she worked on advancing NCLR’s education priorities and policies affecting Latino children and youth. Liany has published several pieces on children and Latino health and has been cited by Spanish and English media, including The New York Times, Newsweek, and Univision.

Originally from Bridgeport, Connecticut, Liany currently resides in Chevy Chase, Maryland with her husband and daughter. She holds a BS in psychology from Wellesley College, an MPH from Columbia University, and is Certified in Public Health.



Liany Arroyo, Directora Senior de la Equidad de la Salud, habló con La Red Hispana y la Dra. Isabel sobre la Campaña Nacional para Prevenir los Embarazos Adolescentes y No Planificados y sobre lo que los padres pueden hacer para asegurar un mejor futuro para sus hijos. 
Contraception, Latino Initiative, Parents, Teen Pregnancy, Teens, Unplanned Pregnancy, Virginity
August 30, 2017
Authored by: Rachel Fey

Rachel Fey is the Director of Public Policy at The National Campaign where she is responsible for the organization’s health policy work, including implementation of the Affordable Care Act, Medicaid family planning, and the Title X Family Planning Program. She also focuses on health disparities and budget and appropriations, specifically funding for teen pregnancy prevention programs and public funding for family planning.

Prior to joining The National Campaign, Ms. Fey was Manager of Government Relations at the National Family Planning and Reproductive Health Association (NFPRHA) where she worked on key provisions of the Affordable Care Act and the Medicaid and Title X Family Planning programs. Recognized in 2013 by the Professional Women in Advocacy Conference as an Up and Coming Practitioner, Ms. Fey has over a decade’s experience working in the field of non-profit reproductive health, including for the Association of Reproductive Health Professionals (ARHP) and the Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs.

Ms. Fey holds a BA in International Studies from the Johns Hopkins University.  She lives in Washington, DC and stamps her passport as often as possible.

  The National Campaign's Director of Public Policy, joined All Sides with Ann Fisher on NPR Ohio to discuss the TPP cuts. Listen to the interview here and be sure you contact your members of Congress to share your support for continuing the Teen Pregnancy Prevention Program
Public Policy, Teen Pregnancy