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  • Title: The Northeast Adolescent Project: a collaborative effort to address teen-age pregnancy in Houston, Texas.
    Author: Opuni KA, Smith PB, Arvey H, Solomon C.
    Journal: J Sch Health; 1994 May; 64(5):212-4. PubMed ID: 8078317.
    Abstract:
    The Northeast Adolescent Project was launched in 1990 as a collaborative effort by the Houston Independent School District, Harris County Precinct One Commissioner's Office, Harris County Hospital District, and Baylor College of Medicine's Teen Health Clinics to address teenage pregnancy in Houston, Texas. Operating through ten high schools in the northeast quadrant of Houston, the program used a project director who coordinated public school staff to assist in case management and expedite medical referral of prenatal care. After obtaining informed consent, a registered nurse initiated case management services which included medical referral and follow-up, counseling, and transportation to the clinic. The Baylor College of Medicine's Teen Health Clinics provided comprehensive reproductive health services to participating teens, who were of low socioeconomic status and lived in inner-city Houston. To evaluate program impact, the pregnancy outcomes of 31 students who participated in the program during the 1990-91 and 1991-92 academic years were compared with the outcomes of 31 matched controls. Teens in the project experienced significantly better outcomes in the reduction of high-risk pregnancies, reduction of premature births, reduction of low birthweight infants, prevention of health problems of teen mothers and their infants, higher cooperation by teenage mothers with postpartum care, and lower pregnancy-related dropout rates. These outcome differences between the two cohorts confirm that comprehensive community coalitions can effectively motivate health applications to improve prenatal outcomes among sexually active, urban, minority adolescents. Persistent and caring project coordinator follow-up services facilitated program success.
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