Friday, April 19, 2024
4/19/2024
Y-SURGE Project Abstract The Baltimore City Health Department’s Bureau of Maternal and Child Heath submits this three-year exploratory research proposal to address Innovative Strategies to Increase Equitable Access- Research studies that provide a better understanding of the social determinants of health and their implications for delivering and receiving, equitable and effective family planning and sexual health and reproductive health care services programs. Using a Sexual and Reproductive Justice (SRJ) Frame and Social Determinants of Health (SDOH) Model, we will assess individual, family, and community approaches to increasing care among Baltimore youth ages 15-24. We plan to reach 2475 youth over three years. Specifically, we strive to attain near pre-Covid levels of care among teens ages 15-19 at two Title X clinics, establish an on-site clinic in a youth employment program (YO! West) to reach opportunity youth with sexual and reproductive (SRH) services, and increase referrals and SRH care to LGBTQIA-identified youth. Our outcome measures include decreasing teen birth, STI, and HIV rates among all youth and decreasing disparity gaps by affecting improved sexual and reproductive health and behaviors among LGBTQIA and opportunity youth—two groups with persistently higher rates of teen birth, STI, and HIV. Individual-level activities include screening up to 525 (25% of 2100) youth presenting to care using the Perceived Risk Youth Screening Tool, an emerging tool that helps youth and professionals assess priorities; using the findings to improve the health and wellbeing of the youth; and ensuring all three sites adhere to Youth Friendly Services and are using an SRJ frame for care delivery and communication. Youth will be directly involved through social media and as influencers. Community-level activities focus on the involvement of youth through the Youth Advisory Council and the community of youth-supporting agencies in Baltimore City, through a collaborative known as YoSHI. Family-level activities include conducting Community Asset Mapping with families and youth in three opportunity communities to help them see what is available to support better outcomes and develop advocacy messages to improve their communities. Y-SURGE Initiative Outcomes 1. Increase in the use of the SRJ framework by clinical staff to 75% of all staff in Year 2 and 95% of all staff in Year 3. 2. All three clinic sites are YFS environments by the end of Year 2. 3. Increase in SRH service use at both Druid and UMD by 20% annually, reaching 2100 youth over three years. 4. Improve satisfaction with SRH services in youth-serving clinics by 10% in Year 2 and by 15% in Year 3. 5. Provide SRH services to 150 new LGBTQIA-identified youth over three years. 6. Provide SRH services to 225 opportunity youth over three years at a newly established clinic site. 7. Decrease the number of teen births among the racial/ethnic groups with the highest teen birth rates by 10% by the end of Year 3 8. Decrease the number of youth diagnosed with HIV among the racial/ethnic groups with the highest rates by 10% by the end of Year 3 9. Decrease in the number of youth who acquire STIs among the racial/ethnic groups with highest rates by 10% by the end of Year 3
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
