National Investments in Sexual Health Promotion and Teen Pregnancy Preventio Tier 2

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1 National Investments in Sexual Health Promotion and Teen Pregnancy Preventio Tier 1 Tier 2 Community Teen Pregnancy Prevention PREP Title V Pregnancy Assistance Fund DASH Title X State FY2011 FY FY2010 FY2010 City Amount City Amount City/County Amount Ab Only City Amount HIV/STI & TPP Adolescent Only Alabama Tuskegee 462,172 Mobile County 846, , , ,298 1,292,060 Alaska Arizona Anchorage Phoenix 599, , ,000 1,120, ,000 1,302, , , , ,000 1,152,360 Phoenix 859, , ,345 Arkansas 476, ,176 Little Rock 1,122, , ,140 San Luis Obispo 426,507 San Bernardino 458,565 6,454,368 Sacramento 2,000,000 1,364,503 3,982,660 Martinez 999,117 Los Angeles 500, , ,000 Tulare 562, ,402 California Los Angeles 954, ,530 San Leandro 965, ,026 San Diego 1,289, ,673 Merced 676,889 Colorado Littleton 901,604 Denver 808, , , , ,800 Aurora 924,543 Connecticut Hartford 900, ,877 Hartford 1,999, , ,980 Delware Wilmington 589, , , ,760 District of Columbia Washington 634,849 Washington 1,000, ,000 Washington 1,559,207 2,665, ,240 Miami 800,000 Tallahassee 891,533 2,787,643 1,318,607 2,522,300 Fort Lauderdale 998,500 Florida Miami Gardens 998,500 Clearwater 600,000 Orlando 477,790 Tallahassee 3,565,351 Columbus 628,900 Richmond County 1,500,000 1,757,161 1,859, ,519 1,050,060 Atlanta 1,500,000 Georgia Atlanta 555,667 Norcross 599,279 Jonesboro 847,517 Stone Mountain 652,045 Hawaii Honolulu 999,999 Honolulu 969, , , , ,460 Idaho 284, , ,640 Illinois Chicago 1,443,303 2,215, ,165 1,705,440 Chicago 3,943,607 Indiana Valparaiso 998,164 Indianapolis 2,000, , ,420 Iowa 502, , , ,740 Kansas 478, , , ,980 Kentucky Louisville 963, , , ,455 1,152,580 Alexandria 406,849 New Orleans 547, , ,185 70, ,940 Louisianna New Orleans 1,397,752 New Orleans 599,680 New Orleans 2,200,000 Maine 250, , ,280 Maryland Massachusetts Michigan Baltimore Roxbury Detroit 890, , ,981 Roxbury 961,478 1,728,394 1,000, ,147 Springfield and Holyoke 1,701,209 Sault Sainte Marie 665,448 1,144, , ,460 1,045,240 Boston 343,136 1,648,438 1,510, ,859 1,437,700 Allegany Boston Detroit 451, , ,856 Boston 408, ,516 Minnesota Minneapolis 3,287, , ,374 St. Paul 2,000, , , ,000 Mississippi Lambert 1,014, , , ,179 1,141,580 Hattiesburg 500,000 St. Louis 998, , , ,251 1,125,740 Missouri St. Louis 400,000 Independence 1,045,158 National Investments in Teen Pregnancy Prevention Tier 1 Tier 2 Community Teen Pregnancy Prevention PREP Title V Pregnancy Assistance Fund DASH Title X State

2 State FY2011 FY FY2010 FY2010 City Amount City Amount City/County Amount Ab Only City Amount HIV/STI & TPP Adolescent Only Montana 250,000 Helena 1,000, , ,560 Nebraska 295, , , ,580 Nevada Las Vegas 997, , , , , ,420 Las Vegas 559,821 New Hampshire 250, , , ,520 New Jersey Vineland 1,000,000 Princeton 965,522 1,407, , ,999 1,978,900 Lakewood 481,326 Farmington 988,184 Gallup 555, ,405 Sante Fe 1,300, , ,760 New Mexico 385, , ,047 New York 611,823 New York 976,408 Bronx 1,500,000 3,184,763 2,841, ,717 2,545,180 New York Yonkers 1,209,010 Rochester 1,499,705 Bronx 791,715 North Carolina Statesville 807,597 Gaston County 1,163,553 1,550,531 1,652,476 Raleigh 1,768, ,875 1,710,720 Raleigh 796,916 North Dakota 230, , ,320 Ohio Hamilton 405,575 1,923,338 1,912,235 8,335 2,000,680 Tulsa 431, , ,567 Durant 900, , ,300 Oklahoma 723, , , ,971 Oregon Pennsylvania Philadelphia 607,632 1,000, ,780 Philadelphia Salem 884, ,000 2,044, ,094 1,527, , ,545 2,043,580 Pittsburgh 263,698 1,480,578 Rhode Island 250, , ,160 South Carolina Columbia 1,469,480 Spartanburg/Horry Counties 1,486, , , ,997 1,548,580 South Dakota Rapid Citty 599,621 Rapid City 599, , , , , ,917 Mephis 800,000 1,025,530 1,144,936 Nashville 1,400, ,843 1,462,560 Tennessee Nashville 1,000,000 Knoxville 602,846 Morristown 600,000 Houston 3,000,000 Arlington 995,675 San Antonio 1,209,387 5,437, ,884 3,065,480 Texas Austin 585,000 San Antonio 851,450 Navasota 999,030 Utah 542, , ,000 Vermont Charlotte 600, ,000 Waterbury 934, , ,040 Virginia 828,200 Richmond 1,500,000 1,358, ,840 Washington Seattle 4,000,000 1,071,141 Olympia 1,567, , , ,000 West Virginia Hurricane 914, , , , ,200 Charleston 850,000 Wisconsin Madison 596, , , , ,140 Wyoming 250, , , ,160 Puerto Rico 736,858 1,776, ,816 Guam 51,213 95,000 Virgin Islands 250,000 Micronesia 250,000 47,492 Total Spending 73,915,690 15,178,938 10,634,114 50,573,273 37,552,565 27,000,000 19,403,149 50,121,940 Total Grantees 75 Grantees 19 Grantees 9 Grantees & 5 National Organizations 65 Grantees 37 Grantees 17 Grantees & 13 Tribal Grantees 52 Grantees 50 Grantees Shaded amounts are tribal grants

3 State Wise 2011 Alabama Alaska Arizona Arkansas California Colorado Connecticut Delware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisianna Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri

4 State Wise 2011 Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Guam Virgin Islands Micronesia Total Spending Total Grantees 8 Grantees

5 State Title X %, Adolescent Spending Alabama 5,873,000 1,292, Alaska 1,904, , Arizona 5,238,000 1,152, Arkansas 4,187, , California 18,103,000 3,982, Colorado 2,890, , Connecticut 1,909, , Delware 908, , District of Columbia 742, , Florida 11,465,000 2,522, Georgia 4,773,000 1,050, Hawaii 1,443, , Idaho 1,712, , Illinois 7,752,000 1,705, Indiana 4,461, , Iowa 3,217, , Kansas 2,459, , Kentucky 5,239,000 1,152, Louisianna 3,227, , Maine 2,124, , Maryland 2,993, , Massachusetts 6,535,000 1,437, Michigan 6,866,000 1,510, Minnesota 2,215, , Mississippi 5,189,000 1,141, Missouri 5,117,000 1,125, Montana 2,448, , Nebraska 1,789, , Nevada 2,661, , New Hampshire 1,566, , New Jersey 8,995,000 1,978, New Mexico 558, , New York 11,569,000 2,545, North Carolina 7,776,000 1,710, North Dakota 956, , Ohio 9,094,000 2,000, Oklahoma 2,865, , Oregon 2,547, , Pennsylvania 9,289,000 2,043, Rhode Island 1,328, , South Carolina 7,039,000 1,548, South Dakota 1,244, , Tennessee 6,648,000 1,462, Texas 13,934,000 3,065, Utah 1,600, , Vermont 832, , Virginia 4,372, , Washington 3,901, , West Virginia 2,310, , Wisconsin 3,187, , Wyoming 778, , Total 227,827,000 50,121,940.00

6 Tier 1 The Office of Adolescent Health (OAH) funds nearly totaling 75 million were granted to organizations and agencies to replicate teen pregnancy prevention programs that after rigorious evaluation have proven effective in reducing the rates, behavioral risk factors associated with teen pregnancy, or other risk factors. Tier 2 In fiscal year 2010, the OAH implemented 25 million grant program for research and demonstration programs. Nineteen grants totaling 15.2 million were given to areas with high teen pregnancy rates and high- risk, vulnerable, and culturally underrepresented youth populations. The grantees focus on interventions to impact specific sexual behaviors. Lesson plans are constructed to ensure others can benefit from strategies and approaches grantees take. Community Teen Pregnancy Prevention OAH in partnership with the Centers for Disease Control and Prevention (CDC) created a community- based teenage pregnancy prevention initiative in 9 states using the remaining 9.8 million from the 25 million grant program and additional funds from the CDC. Public and private entities recieved grants to use medically accurate and age- appropriate evidence- based or innovative program models to reduce teen pregnancy. Grantees are in communities with the highest teen pregnancy rates and emphasize reaching out to African Americans and Hispanic/Latino youth. Goals include: 1) Reduced pregnancy rates 2) Increased youth access to programs 3) Increased relationships between programs and community clinics 4) Educated stakeholders. In addition, 5 national organizations were funded to provide Technical Assistance to grantees. PREP The Personal Responsibility Education Program (PREP) aims to educate high risk youth, ages and 20 year- old pregnant and/or parenting youth on subjects including: healthy sexual behaviors, abstinence, contraception, STIs, healthy relationships, adolescent development, financial literacy, and parent- child communication. Title V Abstinence- only education grants given to states that apply. They are funded through welfare reform, Title V of Social Security Act. Pregnancy Assistance Fund This competitive state grant program through US Health and Human Services (HHS) provides pregnant and parenting teens and women with a wide array of services to support them. It was created for improvement in key outcomes such as graduation rates, maternal and child health, and parenting skills. Services focus on providing assistance to complete high school or postsecondary education and gaining access to services like health care, child care, and family housing. Grant funds can also be used on programs to stop violence against women. Tribal grants, which total 3 million and were given to 13 tribes, were given to tribal organizations, and urban Indian organizations. Specifics and names of tribal organizations were unavailable. DASH These federal funds are distributed to states for school health programs that include teen pregnancy and STD prevention. The total above is the amount that goes directly to the states for HIV/STI and teen pregnancy prevention. Title X Title X is federal funding for family planning services distributed to each state. Adolescents and women of low income are the service clients. Of the total clients served 22% are adolescents, which was used to calculate the amounts dedicated to teen clients. Total for all clients was over 317 million. However cities, tribes, and administrative costs were excluded, lowering the DASH total to 227 million. WISE Working to Institutionalize Sex Ed (WISE) is funded by the Grove Foundation, Packard Foundation, Ford Foundation, and the Hewlett Foundation. This national initiative focuses on institutionalizing school- based sed ed. It utilizes favorable public policy climate and provides specific funding for nonprofits and education and health agencies to implement and build sustainable capacity for programming of school- based sex ed. Successful models and lessons will become apparent and will be used for replication in additional areas. Grant amounts unavailable.

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