Teen Leaders Promote Pregnancy Prevention Among Peers
 elping teens make responsible decisions about sexuality issues is a tough
task for a community health agency to tackleespecially when many young people often
question adult authority.
The Westside Womens Health Center in Santa Monica is taking on the challenge by
recruiting and training other teens to promote reproductive health among their peers by
lending a sympathetic ear, knowing the facts and telling it like it is.
  "Young
people really connect with someone who looks like them, talks like them, understands their
situation and is not judgmental," said Nicole Walmsley, 21, a graduate of the health
centers Teen Peer Educator Training Program and part-time employee at its weekly
Adolescent Health Clinic.
The center received a $100,000 grant from TCWF to expand its promising teen peer
program in an attempt to reverse the high rates of births and sexually transmitted
diseases among youth between the ages of 12 and 21 on the west side of Los Angeles County.
Dedicated to providing high-quality, low-cost care in a supportive, educational
environment, the center has used the funds to train nearly 70 adolescents as informed
point people who can relate to high-risk youth.
"Its imperative to arm adolescents with correct information, and we know
that most teens feel more comfortable discussing reproductive health issues with their
peers than with adults," said Julie Kirk, director of adolescent health services for
the center. "So we train young people to work in our clinic, make school-based
presentations and conduct outreach activities at places where kids congregate. Since 1998,
this program has reached more than 4,000 teens."
Peer educators take part in 48 hours of interactive workshops to raise their level of
knowledge about reproductive health. The training covers such topics as birth control
methods, sexually transmitted infections, reproductive anatomy, decision making, teen
pregnancy and access to health care.
The program has trained both Spanish- and English-speaking young men and women as peer
educators. Some work as volunteers in the clinic, and five are paid employees; all are
involved in outreach activities.
  The
centers Adolescent Health Clinic offers gynecological services, testing for sexually
transmitted infections, counseling and a reproductive health hotline. Aside from the
clinician and supervisors, all services are provided by teens for teens.
"We started offering the teen clinic one Saturday a month, and its popularity led
to a once-a-week schedule," Kirk said. "Were planning to expand to twice a
week to serve more young people."
Although some young people who visit the clinic for the first time indicate that they
feel desperate and confused, Walmsley and Kirk said these youth leave with sound
information as well as the reassurance that they have choicesespecially with regard
to birth control and pregnancyand a place to go for health care assistance.
"Many teenagers tell me, I wouldnt know what to do without [the
clinic]and they dont. I hope Im able to convince them that
its better to be safe than sorry," Walmsley said.
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