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P002: Public Health Division

P002: Percent of female clients ages 15-19 seen in NMDOH public health office who are provided most or moderately effective contraceptives

Current Value

64.1%

FY 2017

Definition

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Story Behind the Curve

  • Since 2012, the teen birth rate among 15-19 year olds in New Mexico (NM) has declined by 37.18% to 29.4 per 1,000. (NM-IBIS) and is among the highest in the nation.  Teens who drop out of school are more likely to become pregnant and have a child than peers who graduate.  Forty-eight percent of teen mothers aged 15-19 live below the poverty level (National Campaign to Prevent Teen and Unplanned Pregnancy, 2012).  Some reasons for higher teen parenthood in mixed urban/rural areas include lack of health insurance, increased poverty, transportation barriers, and less access to services.  In NM teen birth rates are highest for American Indians and Hispanics.
  • One other performance measure is related to this measure for contraceptives: Percent of female clients ages 15-19 seen in New Mexico Department of Health (NMDOH) public health offices who are provided most or moderately effective contraceptives.
  • The NM Family Planning Program continues to support the provision of family planning clinical services in the Regions.  Also at the end of the second quarter, the Family Planning Program began telemedicine services for reproductive health.
  • For the fourth quarter, the program will continue to support the provision of family planning clinical services which provide most or moderately effective contraceptives to female clients ages 15-19.

Partners

  • Primary care clinics
  • Community-based clinical providers
  • Schools, after-school, and youth programs
  • Community-based organizations
  • County health councils
  • School-based health centers
  • Parent organizations
  • Centers for higher education
  • Indian Health Services
  • University of New Mexico
  • NM Public Education Department
  • NM Human Services Department NM Children, Youth, and Families Department

What Works

  • Confidential clinical family planning services including shared-decision making counseling, birth control and laboratory tests. 
  • Increased access to confidential, low- or no-cost family planning services through county public health offices, community clinics, and school-based health centers.
  • Telemedicine services to increase access to birth control for high risk populations in areas with clinician shortages.
  • Increased access to most and moderately effective contraceptive methods for teens.
  • Social media with information on birth control and clinics.
  • BrdsNBz, a text-messaging system that offers teens free, confidential answers to sexual health questions in English or Spanish.

Strategy

  • Through shared-decision making counseling, increase teens’ access to birth control including the most effective contraceptive methods. 
  • Increased access with telemedicine. 
  • Social media campaigns about birth control and where to find services.  

Action Plan

  • Q1:  Provide most- and moderately-effective contraceptives to teens equal to 58% of the total contraceptives provided. Completed.
  • Q2:  Provide most- and moderately-effective contraceptives to teens equal to 58% of the total contraceptives provided during the quarter. Met: 65% of females ages 15-19 seen in NMDOH Public Health Offices during FY18 Q2 were provided most or moderately effective contraceptives.
  • Q3: Provide most- and moderately-effective contraceptives to teens equal to 58% of the total contraceptives provided during the quarter. Not met: 53% of females age 15-19 seen in NMDOH Public Health Offices during FY18 Q3 were provided most or moderately effective contraceptives.
  • Q4: Provide most- and moderately-effective contraceptives to teens equal to 58% of the total contraceptives provided during the quarter.   

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