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011 Page 2 <br /> 300 W.Tr moot <br /> eet <br /> �1 N.C.27278 <br /> moil at 305 <br /> Sw <br /> HEALTH DE y y5 01 <br /> Durham be 688-7333 <br /> 688-7331 <br /> Carr MCI Md. Suds 225 <br /> 100 N.Coro Street <br /> Carrbom.N.C. 27510 <br /> 9424168 <br /> • Jetty Robinson, M.P.A. <br /> Director <br /> Teen Pregnancy Related Program Expansion <br /> - <br /> The State bud at supplement in MCH and Family Planning for FY '85-'86 will <br /> be used to focus preventive health services upon adolescents and teenagers who <br /> are at risk for pregnancy or. are pregnant. In Orange County a check of vital <br /> records data indicates that our target population for this effort are those <br /> females less than 17, with less than a high school education, who are <br /> unmarried. By tie end of FY '85-'86 we shall update and reanalyze the 1977 <br /> • through 1983 Orange County infant mortality study. As statistically valid <br /> trends and indicators are identified (other than those used to establish our <br /> present target groups) we will use this in planning future efforts. The • <br /> Family Planning and Maternal Health funds will be used in a coordinated way to <br /> add prevention ora.ented health professional applied time and maternal health <br /> clinical appointments to especially serve adolescents and teens. <br /> ti <br /> The Family Punning expansion will be used for health professionals whose <br /> responsibilities #ll be to implement an educational program among adolescents <br /> and teens such as Postponing Sexual Involvement. Through this approach we <br /> would have opportunity to implement appropriate, approved, educational, <br /> counseling, testing and referral services within the community or public <br /> school setting. There are several non-centrally administered, segmented, <br /> parenting, medical, and appropriate educational programs already existing <br /> within Orange Couty that we will attempt to focus upon the risk group in a <br /> more coordinated rer. . <br /> The Maternal pealth expansion funds will be used to enable us to add <br /> clinical appointments for the risk group, increase public health nurse school <br /> based nursing time focused upon the need, outreach, and home follow-up <br /> supportative services. Nursing time to focus on the target group will be <br /> provided by use oflschool health aide time to relieve nurses of routine school <br /> health duties. The funds will subsidize an expansion of the maternity clinic <br /> that is planned tb increase by approximately 10 appointments per week. The <br /> expansion appointments will be used to enable us to provide prenatal care <br /> earlier to a higher percentage of the target group. <br /> The desired effect of the two supplements is to add a clearly identified, • <br /> focused program of pregnancy prevention through improved pregnancy outcomes <br /> within the Health Department. The task and challenge is to focus resources in <br /> a coordinated manner. <br /> I <br /> i <br />