Teen Pregnancy Prevention Model

In 2003, New Morning Foundation began developing a new, research-based teen pregnancy prevention model that could be widely replicated at an affordable cost. Since that time, we’ve launched the program at six high schools in central and coastal South Carolina. The test sites have helped us evaluate and refine our pregnancy prevention program, incorporate lessons learned, establish best practices, and measure the model's effectiveness.

How it works

Our pregnancy intervention model utilizes three core components:

  1. An evidence-based curriculum taught with fidelity for ninth and/or tenth grade students.
  2. Outreach to and case management of students at risk for early pregnancy, including those already sexually active.
  3. Linkage of sexually active students with nearby reproductive health care services through facilitated referrals that include compliance monitoring.

Our experiences at test sites underscored the importance of curriculum fidelity. In teaching an evidence-based curriculum, school staff must teach the material as intended — without the common practice of omitting lessons or selective information.


Communities with established test sites are already seeing benefits. Students taught with the model show significant gains in reproductive knowledge and are less likely to be sexually active. Students receive more effective means of contraception. Finally, students are less likely to become pregnant than their peers around the state.

Scaling up

With ten years of research and development complete, the model is ready for replication at high schools in other communities. Research is underway in high schools with larger student populations and high schools with transient student populations.

A rigorous lagged-cohort study is planned for the model in coming years. The in-depth study and evaluation will further measure the impact of the program and yield insights across a number of schools.






Students were 54 percent less likely to become pregnant than their peers aged 15-191.

Research showed students through our model visited clinics more frequently and were more likely to use contraception. Students also showed significant gains in reproductive knowledge and how to protect themselves from early pregnancy1.


Two high school test sites reduced the number of student pregnancies from 15+ annually to just 1-2 each school year1.

Before the model was implemented, a high school test site on South Carolina’s coast experienced 15-20 pregnancies per school year. The school experienced just one or two pregnancies per school year six years after the model launched1.


93% of students who utilize partner clinics choose a highly effective method of birth control1.

Research showed students at a test high school made more visits to clinics. They also used contraception more than other test sites1.



  1. Philliber, S. (2012) New Morning Foundation School Teen Pregnancy Prevention Initiative Evaluative Report—2012. Unpublished Evaluative Report from Philliber Research Associates, New York.