Prenatal Pilot Study

Sharon M. ThompsonR.N. BSCN, MPH (cand)Hastings & Prince Edward Health Unit

Introduction

Research

Teenage Pregnancy RatesOntario and Hastings & Prince Edward Counties, 1990-2001

(15-19 year old females)

0

10

20

30

40

50

60

70

Year

Ontario 38.26239604 38.77319705 44.68674748 46.30640439 47.17069323 47.43498124 44.77244983 40.04652709 38.41515128 35.25944411 32.74497902 30.46193851

HPECHU 45.40140296 43.82392864 49.17715392 49.59968756 48.34654806 55.00097867 49.47816003 46.83840749 45.12006197 40.74145588 43.08217878 40.00747803

MHPSG Goal 40 40 40 40 40 40 40 40 40 40 40 40

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001

Sources: Ontario Live Birth Data [1990-2001], Provincial Health Planning Database (PHPDB) Extracted: [J anuary 2005], Health Planning Branch, Ontario MOHLTC

Ontario Stillbirth Data [1990-2001], Provincial Health Planning Database (PHPDB) Extracted: [J anuary 2005], Health Planning Branch, Ontario MOHLTC

Ontario Therapeutic Abortion Database [1990-2001], HELPS (Health Planning System) Release: [J une 1999, May 2003, May 2004 & August 2004], Public Health Branch, Ont MOHTLC

Population Estimates [1986-2003], Provincial Health Planning Database (PHPDB) Extracted: [J anuary 2005], Health Planning Branch, Ontario MOHLTC

Teenage pregnancy rates are defined as the total number of live births, stillbirths and abortions per 1,000 females aged 15-19 years. Comparison of rates must be made cautiously as these data do have limitations (i.e. rates do not include miscarriages, ectopic pregnancies or pharmaceutically induced abortions; prior to 1992 clinic abortion data w as not collected; MOHLTC w arns that 1997 clinic abortion data appear to be low er that expected; 1996-2002 abortion data does not include spontaneous abortions, surgical abortion procedures conducted in private abortion clinics, incomplete therapeutic abortion procedures, medical abortion procedures, and procedures to uninsured clinic clients; MOHLTC w arns about the accuracy of 1991 stillbirth data).

Since a high in 1995, both Ontario and H&PE have seen an overall decline in teenage pregnancy rates. Ontario's rate decreased 36% over the past 6-year period, w hereas H&PE's rate only declined

Background

Prenatal Coalition

Prenatal Framework

C o -fa c ilita to rsO n ta rio E a rly Y e a rs

E C E

C o -fa c ilita to rC e rtif ied D o u la

C o -fa c ilito rS o c ia l S e rv ice W o rkerC o m m u n ity P a rtn e rs

F a c ilita to rsP u b lic H e a lth N u rse s x 7R .N . x 2

P re n a ta l C o -o rd in a to rP H N

P re n a ta l C oa lit ionH P E C

Background

Prenatal Co-ordinatorPrenatal CurriculumFacilitatorsCo-facilitatorsResourcesLocationsRegistration

Methodology

Qualitative MethodParticipatory ObservationPre and Post EvaluationsFacilitator

Logic Model Prenatal Education for Teens

Goals- Population BasedShort-term Objectives/Immediate and

Long-term ObjectivesProcess ObjectivesIndicatorsImplementationStrategies for Implementation

Logic Model Continued

Evaluation

Prenatal Pilot Project

Purpose GoalsProject’s MissionKey ObjectivesPerformance Indicators

Pilot Study

BackgroundTechniqueRecruitmentAnonymity and Confidentiality Informed ConsentHarm or Potential Risks/Benefits to ParticipantsDissemination of Results

Pilot Project Framework

H a s ting s & P rin c e E d w a rd H e a lth U n itD ire c to r o f N u rs ingP ro gra m M a na g er

P a rtic ip a n ts fro m H ig h S ch o o l G u id an ce C o u nse llo r C Y C 'sC h ild a n d Yo u th C o u nse llo rs

H P E C

C o -fa c ilita to rC h ild & Y o u th C o un s e llo r

H ig h S c h o o l

C o -fa c ilita to r

E a rly C h ildh o o d E d uca to rO n ta rio E a rly Y e a rs

L a w yerG u es t P re sen to r

F in a nc ia l P la n n er O n ta rio W o rks ' C o un s e llo rY o u th

C e rtif ied D o u la

C o m m itte e M e m b e rsT yp e t it le h e re

P H N 'SH P E C H U

T L CT e e na g e L ife s tyle C ho ices

F a c ilita to r

H a s ting s & P rin ce E d w a rd C o u n tyP re n a ta l C oa lit ion

Pilot Project Framework con’t

Issues and concernsSteering Committee

Program Dynamics

ClassesIncentivesMethodsPresentationsFood

Pre & Post Survey Questions

Indicators that the program was successfulPre and Post survey questionsFeedback from the survey

Pilot Study

• Results• Conclusions• Recommendations• Second series of Prenatal Classes• Future Policy Development