• Access to and availability of effective contraceptive methods contribute to the steady decrease in New Mexico’s teen birth rate. The broad range of contraceptive methods (including IUDs and implants [most-effective] and pills, injectables, and rings [moderately-effective]) is available at 39 of the 44 public health offices that offer family planning services.
• Since 2012, the teen birth rate among 15-to-19-year-olds in New Mexico (NM) has declined by 41.0% to 27.6 per 1,000 in 2016 (NM-IBIS) and is the seventh highest in the nation (National Center for Health Statistics). Teens who drop out of school are more likely to become pregnant and have a child than peers who graduate.  Seventy-one percent of teen mothers report that their pregnancy was unintended or mistimed, compared to 44% of all mothers (NM Indicator-Based Information System, 2018). 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 (at almost double the reference rate).
• The NM Family Planning Program (FPP) continues to collaborate with the NMDOH Public Health Division (PHD) Medical Director and PHD Family Health Bureau (FHB) Medical Director on ways to support to increase the provision of family planning clinical services.  NM FPP is dedicated to continuing the provision of family planning clinical services and telemedicine services for reproductive health.
• During FY19-Q1, 83.8% of females aged 15-19 seen in NMDOH public health offices selected most- or moderately-effective contraceptive methods.

• 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

• Access to confidential, low- or no-cost family planning services through county public health offices, community clinics, and school-based health centers.
• Increased availability of most-effective contraceptive methods for teens.
• Service-learning, positive youth development, and comprehensive sex education programs.
• Adult-teen communication programs to give adults information and skills to communicate effectively with young people about reducing risky sexual behavior.
   

• 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.  

Q1: Provide a broad range of contraceptive methods to teens equal to 58% of the total contraceptives provided to teens. Met: 83.8% of teens aged 15-to-19-years-old selected most- or moderately-effective contraception as their contraceptive method of choice.
Q2: Provide a broad range of contraceptive methods to teens equal to 58% of the total contraceptives provided to teens. 
Q3: Provide a broad range of contraceptive methods to teens equal to 58% of the total contraceptives provided to teens. 
Q4: Provide a broad range of contraceptive methods to teens equal to 58% of the total contraceptives provided to teens.

• The FY18 Q4 measure was almost 9 percentage points higher than Q3, and at 64.1%, the Q4 measure had the highest percentage of the fiscal year. 
• The use of telemedicine services for some family planning visits enabled clinicians to use their time at Public Health Office clinics for birth control methods that cannot be done by telemedicine, such as implants and IUDs.
• The NM Family Planning Program (FPP) met with the PHD Medical Director and the FHB Medical Director on ways to increase the provider coverage for telemedicine services.  In addition to FPP’s clinical and educational services NM Family Planning Program disseminated mobile banner ads and Facebook ads to increase awareness of long-acting reversible contraception.
• There is a demonstrable need for additional clinicians to provide family planning services throughout the state.  Currently, there is only one clinician providing family planning telemedicine services, and the FPP believes if other clinicians can be added, an even greater impact will result, and the percentage of teens receiving contraception could be even higher.