The Tribal PREP Grant Funding

Tribal Personal Responsibility Education Program (PREP) Responsibility, Education, Attitude and Leadership (REAL) Native Youth Project  

The Patient Protection and Affordable Care Act, signed into law in March of 2010, established the Personal Responsibility Education Program (PREP) which funds programs designed to educate adolescents on both abstinence and contraception for the prevention of pregnancy and sexually transmitted infections, including HIV/AIDS, and at least three adulthood preparation subjects.  

The target population for the project is American Indian/Alaska Native youth - males and females ages 10 to 19 years of age within the following geographic areas: Tulare, Fresno, Siskiyou, Los Angeles, and San Diego, Inyo, Mono and Sonoma counties. Five of the seven communities targeted for this proposed project have teen pregnancy rates greater than the state average, with Tulare County having the second highest in the state and Fresno with the third highest.

Program Structure:

Tribal PREP is a 4 year project with 2 distinct phases

Phase I: First 12 months are for Needs Assessment, Planning & Capacity Building.

Phase II: Years 2-4 for Program Implementation.

Phase I Outcomes:

1)  To increase knowledge and understanding of the factors that contribute to high
      teen pregnancy rates among AIAN to ages 10-19 years of age. 

2)  To identify which intervention/approach will work best for the target community. 

3)  To identify the most at-risk population and methods to reach these youth. 

4)  To develop a culturally appropriate prevention program that address the identified
      issues and critical understanding of teen pregnancy and youth transition to
      adulthood in the target community. 

5)  To increase public awareness of the problem of teen pregnancy in the target community. 

Phase II Long Term Outcomes:

2)   To promote postponement of initial sexual intercourse as the positive, preferred
      and healthy decision as well as the postponement of child-bearing among AIAN
      teens and young adults. 

3)  To reduce sexual risk behaviors among AIAN teens 10-19, thereby reducing their
      risk for HIV, other STIs, and pregnancy. 

4)   Provide education, guidance and programming on adult preparation topics of financial
      literacy, educational and career advancements and healthy relationships for 14 –19 year
      olds.

 Key Objectives:

Objective 1: By July 2012, a minimum of 700 American Indian youth and adults will be surveyed from the seven target communities (a minimum of 100 surveys per community) through a written tool; and two focus groups. 

Objective 2: By July 2012, a minimum of 20 stakeholders who work with youth will participate in Key Informant interviews from seven California communities. 

Objective 3: By September 2012 (end of Phase I) CRIHB will have developed a program plan identifying program priorities and strategies based on the needs assessment.  Plan will be submitted to ACF for approval (Planning.

Tribal PREP Program Requirements for Phase 2 - Implementation:

•       Emphasize abstinence and contraception for the prevention of pregnancy and STls

•      Implement a minimum of 3 of 6 Adulthood Preparation Subjects:

o Healthy relationships

o Adolescent development

o Financial literacy

o Parent-child communication

o Educational and career success

o Healthy life skills, such as goal-setting and decision making

Additional Components of the Tribal PREP Grant:

·         Development of Regional Resource Guides

·         Creation of AI specific Teen Pregnancy Prevention Marketing Materials

·         Conduct surveillance project regarding evaluation efforts at the local, State, Federal levels

Tribal PREP Program Collaborators:

Fresno American Indian Health Project

Karuk Tribe

San Diego American Indian Health Center

Sonoma County Indian Health Project

Tule River – Future Generations Program

Toiyabe Indian Health Project

United American Indian Involvement

For further information regarding the Tribal PREP Grant, please contact: