P002: Public Health Division (FY17-FY19 Strategic Plan)

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

Current Value

66.0%

FY 2017

Definition

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Story Behind the Curve

Since 2012, the teen birth rate in New Mexico (NM) has declined by 37.2% to 29.4 per 1,000 in 2016.
The decreasing teen birth rate can, in part, be attributed to the New Mexico Department of Health (NMDOH) Family Planning Program (FPP)’s efforts to promote awareness of and increase access to effective contraceptives and providing educational programming to teens.
FPP supported evidence-based family planning clinical services to facilitate the reproductive life plan for every NM Title X family planning client. In Q2, there was a slightly lower rate due to staffing shortages in public health offices (PHOs); some PHOs are closing or offering very limited hours of operation for family planning services. This did not affect the overall result, however.
FPP supports the provision of evidence-based family planning clinical services to facilitate the reproductive life plan for every NM Title X family planning client, including shared decision making for contraceptive counseling at every family planning visit.
FPP is committed to providing family planning clinical services at local public health offices and community health clinics across the state. The Program increases knowledge about, and awareness of, availability of most-effective and moderately-effective contraceptives in this population. In addition, FPP promotes BrdsNBz, a text-messaging system that offers teens and parents free and confidential answers to sexual health questions in English or Spanish.

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
Policy makers
Centers for higher education
Indian Health Services
University of New Mexico Department of Obstetrics and Gynecology and Project ECHO (Extension for Community Healthcare Outcomes)
NM Higher Education Department
NM Public Education Department (PED)
NM Human Services Department (HSD)
NM Children, Youth and Families Department

What Works

Clinical services that include:
- Family planning counseling;
- A supply of a contraceptive method of choice;
- Pregnancy testing (if needed);
- Laboratory testing (if needed);
- Testing and counseling for sexually transmitted infections (STIs).
Access to confidential, low-cost or no-cost family planning services through county public health offices, community clinics, and school-based health centers.
Increased availability of highly-effective, low-maintenance contraceptive methods for teens.

Strategy

Increase the availability of highly-effective, low-maintenance contraceptive methods for teens.
Incorporate service-learning programs consisting of community-based volunteer services and guided curriculum education.
Promote BrdsNBz, a text-messaging system that offers teens and parents free and confidential answers to sexual health questions in English or Spanish.

Action Plan

Q1: Provide 64.7% of females clients ages 15-17 with highly effective contraceptives. Not met
Q2: Provide 60.3% of females clients ages 15-17 with highly effective contraceptives. Not met
Q3: Provide 62.9% of females clients ages 15-17 with highly effective contraceptives. Not met
Q4: Provide 65.3% of females clients ages 15-17 with highly effective contraceptives. Not met

FY17 Annual Progress Summary

For FY17, the rate of use of most-effective and moderately-effective contraception in the 15-17 year old teen population was 66.0%.
Mobile advertising and social media for teens are a factor in promoting awareness of the most effective birth control methods. Mobile banner ads and Facebook newsfeed/ads directed females aged 13-17 and 18-19 to websites that gave information on contraceptive choices available to teens. These sites also included links to Title X clinics in NM.
The NM FPP provided information booths to disseminate this information also during the Santa Rosa Health Fair April 26, 2017, the Cochiti Health Fair on May 26, 2017, at the San Ildefonso Pueblo on October 27, 2016 and at the Public Education Department Town Hall on March 28, 2017.
New Mexico providers statewide benefited from distance medical education and care management via Project ECHO Reproductive Health technology https://echo.unm.edu/nm-teleecho-clinics/reproductive-health/. The weekly Reproductive Health TeleECHO one-hour clinic is a partnership between the University of New Mexico’s Department of Obstetrics and Gynecology and Project ECHO, in collaboration with FPP and the HSD Medical Assistance Division, which administers New Mexico's Medicaid Program.

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