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NC Department of Health and Human Services

PREPare for Success

North Carolina’s teen pregnancy rate consistently ranks among the highest in the nation and is considerably higher than the U.S. rate. In 2010, the North Carolina Department of Health and Human Services was awarded federal funding through the Affordable Care Act to continue its work addressing teen pregnancy in the state. This funding, known as the Personal Responsibility Education Program (PREP) external link, is designed to educate adolescents on both abstinence and contraception to prevent pregnancy and sexually transmitted infections (STIs), including HIV/AIDS, and adulthood preparation subjects such as healthy relationships, healthy life skills, and parent-child communication. In North Carolina the PREP initiative is called PREPare for Success.

PREPare for Success funding represents a critical opportunity to support the implementation and institutionalization of the 2009 Healthy Youth Act, which requires North Carolina schools to adopt a comprehensive sexuality education approach in health education classes. To achieve this goal, PREPare for Success funding supports the North Carolina School Health Training Center at East Carolina University to provide facilitator and teacher training, curricula materials and ongoing technical support to school systems and community based organizations to implement evidence-based curricula. Community Based Organizations, middle schools and high schools receive training, resources and support to implement Making Proud Choices!, Reducing the Risk and/or Promoting Health Among Teens. These evidence-based curricula have been proven effective in reducing risks associated with teen pregnancy. Preference for training and resources is given to school systems and community-based organizations in counties ranking in the top 50 for teen birth rates.

The second approach to be used with the PREP funding is implementation of evidence-based curricula in selected communities through a competitive Request for Applications (RFA) sub-award process. Grants have been awarded to local agencies to implement at least one of the following evidence-based curricula within school, community-based, or out-of-home care settings: Making Proud Choices!, Reducing the Risk, or Teen Outreach Program. Making Proud Choices! For Youth in Out-of-Home Care is specifically used for sites implementing programing in out-of-home care settings which may include therapeutic group homes, day treatment centers, shelters and juvenile justice centers. In addition to the delivery of the curricula, funded agencies must provide services to support one or more of the adulthood preparation subjects. The six adulthood preparation subjects supported under PREP include: adolescent development, healthy life skills, healthy relationships, financial literacy, educational and career success, and parent-child communication. All sites must establish community partnerships to support successful program implementation. Additionally, school systems and community based sites coordinate activities to support parent/guardian involvement; which may include receiving training and technical support to deliver the evidence-based Parents Matter curriculum to parents/guardians of youth ages 9 through 12 who reside in the communities they serve.

PREPare for Success builds on a long history of adolescent pregnancy prevention activities in selected sites in North Carolina and expand services to a high risk, vulnerable population of young people who live in communities with high teen pregnancy and birth rates.

Contact us for additional information about the PREPare for Success program.

PREP in Your Community

To find out if there is a PREP project in your community, please check the list of currently funded programs (PDF, 71 KB). If not, please contact your local health department external link about teen pregnancy prevention programs that they may provide.

To see the school systems implementing evidence-based programs through the support of the NC School Health Training Center, please view the map (PDF, 103 KB).






Updated: September 20, 2019