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Meeting the Needs of Diverse YouthThis month's educator skill focuses on developing adolescent reproductive health programs for different cultural groups. Below you will find four hypothetical scenarios describing different communities facing a particular adolescent reproductive health problem. After you read each scenario, consider what you (or your group) would do to design or enhance a program so that it is culturally relevant for the youth described in the scenario. Below each scenario are some questions to help guide your thinking process. This exercise is best done with a group of people. Varying perspectives and experiences will bring richness to the discussion and program design. We also recommend that you review the "Racial/Ethnic Disparities & Cultural Competency in Teen Pregnancy, STD & HIV Prevention" presentation before working on this exercise.
The state health department (State X) is attempting to reach Latino youth in a rural community in the state with a teen pregnancy prevention initiative. This community has high rates of unintended pregnancy, primarily due to low rates of contraceptive use. Families in this community are poor, mostly migrant workers. Youth's involvement in school is inconsistent due to their need to support seasonal employment of their families. Currently, the main prevention effort is through contraceptive and reproductive health services through the local health department. Guiding Questions — Presentation and Group Discussion
You are a community outreach coordinator for a large health care organization in Inner City A. This is a working class community that is racially and ethnically mixed and where adults are interested in reducing the number of teen parents. The health care organization has asked you to develop a program for parents to increase parent/teen communication about sex and pregnancy. There is currently no prevention program, and the hospital does not have a good and honest track record with the community. Guiding Questions — Presentation and Group Discussion
A suburban community has begun to see a rise in the rates of unintended pregnancy and STDs/HIV among teen residents. This is a middle-income, predominantly African-American community, where most youth finish high school and go on to college (either 2-year or 4-year), or get additional employment training. The community has seen a recent loss in jobs due to down sizing of a local employer. The higher rate of pregnancy and STDs has baffled some residents and community leaders; other residents are in denial the community needs help. The community has a strong network of health and community-based organizations that are well respected by community residents, including youth. Guiding Questions — Presentation and Group Discussion
You are the director of an after-school program in a small rural poor community in the south. The program serves mostly elementary and middle-school age students, but it is not running at capacity. This community has very few opportunities for older youth and young adults, employment, education or otherwise. Health care services are provided by a public health nurse and a mobile van that come through the community twice a month. Most teens become parents and end up dropping out of school. The school is a primary source of information and support for community residents. Guiding Questions — Presentation and Group Discussion
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