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J Adolesc Health. 2014 Mar;54(3 Suppl):S15-20. doi: 10.1016/j.jadohealth.2013.11.018.

From mission to measures: performance measure development for a Teen Pregnancy Prevention Program.

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Office of Adolescent Health, Office of the Assistant Secretary for Health, Department of Health and Human Services, Rockville, Maryland. Electronic address:
RTI International, Research Triangle Park, North Carolina.


The Office of Adolescent Health (OAH) sought to create a comprehensive set of performance measures to capture the performance of the Teen Pregnancy Prevention (TPP) program. This performance measurement system needed to provide measures that could be used internally (by both OAH and the TPP grantees) for management and program improvement as well as externally to communicate the program's progress to other interested stakeholders and Congress. This article describes the selected measures and outlines the considerations behind the TPP measurement development process. Issues faced, challenges encountered, and lessons learned have broad applicability for other federal agencies and, specifically, for TPP programs interested in assessing their own performance and progress.


Evidence-based programs; Federal grants; Performance measures; Teen pregnancy prevention

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