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Improving the implementation of a condom availability program in urban high schools.

Christine J De Rosa¹, Robin A Jeffries, Abdelmonem A Afifi

¹Los Angeles County Department of Public Health, Sexually Transmitted Disease Program, Los Angeles, California 90007, USA. cderosa@ph.lacounty.gov

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine

|November 24, 2012

Summary

Implementing minor enhancements to high school condom availability programs significantly increased student awareness and condom acquisition. This intervention improved program delivery and accessibility for students.

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Area of Science:

Public Health
Adolescent Health
Health Education

Background:

Condom availability programs in schools aim to reduce unintended pregnancies and STIs.
Effective implementation is crucial for program success.
Previous efforts have focused on policy rather than practical implementation strategies.

Purpose of the Study:

To assess the impact of an intervention designed to enhance the implementation of a high school condom availability program.
To evaluate the intervention's effect on student awareness and condom acquisition.

Main Methods:

A quasi-experimental design involving 12 public high schools in Los Angeles.
Intervention schools received support for self-assessment, action planning, and technical assistance for program implementation.
Student surveys (n=29,823) and school condom order records were used to measure outcomes over five years (2005-2009).

Main Results:

Student awareness of the condom availability program significantly increased in intervention schools compared to control schools.
Condom acquisition by students also significantly increased in intervention schools.
Condom orders by intervention schools increased markedly, supporting improved program delivery.

Conclusions:

Simple enhancements to program implementation can effectively improve condom availability programs in schools.
These improvements lead to greater student awareness and access to condoms.
The findings suggest a scalable model for enhancing school-based sexual health initiatives.