This study evaluates El Camino, a goal-setting sexual health promotion program developed for Latino youth. A cluster randomized controlled trial was conducted in grades 9-12 in 68 classrooms (n = 746 students) across 11 schools in Maryland with large populations of Latino students. A total of 208 students were lost to follow-up, leaving 538…

Background: To contribute to a reduction in teenage pregnancy among in-school adolescents in Rwanda, a sexual and reproductive health peer education programme (SRHPEP) was developed and implemented. Reflecting on the unique characteristics of this newly implemented programme, and understanding peer educators' (PEs) and facilitators' perspectives,…

Objectives: To test the ACE-Plus curriculum, a two-session program that teaches males in foster care and/or preventive services about correct and consistent condom use, and engagement with female partners to obtain and use contraception. Methods: Nine foster care agencies in New York City randomly assigned 223 males aged 16-20 to the ACE-Plus…

School re-entry for pregnant girls and young mothers is increasingly recognized by African governments as a critical measure to improve the education of marginalized adolescents and mitigate school pushout. In Uganda, the high rate of teenage pregnancy, exacerbated by the COVID-19 pandemic, prompted the government to approve "Revised…

Background: Missouri Personal Responsibility Education Program (PREP) provides sexual health education programs to youth with goals of reducing unintended teen pregnancies. Theories of change provide that youth improve their sexual health knowledge, intentions, attitudes, and behaviors as a result of program implementation. Program evaluations are…

Federal guidance allows Head Start grant recipients to apply to the Office of Head Start to shift funding (i.e., convert enrollment slots) from Head Start services for preschool-age children to Early Head Start services for pregnant women, infants, and toddlers. Yet scant information is available about how grant recipients navigate the conversion…

This comparative cross-sectional study provides insight into the perceptions of Pakistani Muslim parents and teachers with respect to sex education. A validated questionnaire was distributed to 418 participants, using uncontrolled quota sampling and a total of 273 subjects responded. Data analysis was conducted using SPSS v.25. In this…

We examine how increased Immigration and Customs Enforcement (ICE) activities impacted newborn health and prenatal care utilization in North Carolina around the time Section 287(g) of the Immigration and Nationality Act was first being implemented within the state. Focusing on administrative data between 2004 and 2006, we conduct…

Background: Comprehensive sexual health education (SHE) reduces risky sexual behavior and increases protective behavior in adolescents. It is important to understand how professionals responsible for implementing SHE policy interpret state and local policy and what influences their commitment to formal SHE policy implementation. Methods: This…

The purposes of this paper are: to assess how comprehensive sexuality education (CSE) is implemented in schools in the World Health Organisation's European Region; and to investigate the evidence supporting its effectiveness. Data were collected in 2016-2017, using a validated questionnaire sent to representatives of governmental and…

Background: Local implementation of evidence-based curricula, including sex education, has received increasing attention. Although there are expectations that practitioners will implement evidence-based programs with fidelity, little is known regarding the experiences of instructors in meeting such standards. During 2005 to 2009, the California…

Background: The US Office of Adolescent Health (OAH) funded studies of teen pregnancy and sexually transmitted infection (STI) prevention programs in 2010. The results of a 5-year OAH study conducted in the state of Hawai'i with middle school youth has implications for school leaders in the selection and implementation of comprehensive sex…

Background: Teen Prevention Education Program (PEP) is a school-wide, peer-led comprehensive sexuality education program currently implemented in more than 50 schools across 2 states. Many teen pregnancy prevention researchers and practitioners view peer-led programs as a promising approach for reducing teen pregnancy and associated sexual risk…

Early parent-infant home visiting interventions have been found to be effective in both developed and developing countries. However, there is a need to build an evidence base for these interventions in the South African context, to inform local early childhood development policy. The Ububele Mother-Baby Home Visiting Programme in Alexandra,…

Evidence-based programs (EBPs) are used in many health promotion efforts to ensure that the intended positive behavioral and health outcomes will be achieved. However, because EBPs are developed and tested in research settings, the contextual elements of real world implementation play an important role in their successful delivery in communities.…