Abstract:The Dollar-A-Day program in Greensboro, North Carolina, was established in 1990 to prevent subsequent pregnancies in girls under 16 years of age who had already given birth to one child. Conceptualized by nursing professors and using principles from theories of adolescent development and social exchange, the program was planned and implemented in collaboration with nurses from the local health department. Weekly meetings featured food, an informal program focused on needs identified by members, setting of short-term goals, and an award of a dollar for each day they remained nonpregnant. After five years of operation with a series of small grants, only 15% of the 65 girls who had been enrolled in the program experienced subsequent pregnancies. Fhe success of the program convinced health department officials to incorporate Dollar-A-Day into their budget as a permanent service to the population of adolescents they serve. It remains as a model program for others to emulate. Article:The problem of adolescent pregnancy continues to perplex and challenge health care providers in the United States. Although the issues associated with primary pregnancy in the adolescent population are routinely reported and discussed, the concerns related to subsequent pregnancies in this group are often overlooked. In this article, we highlight the problems associated with secondary pregnancy in adolescents and describe an intervention program that we established seven years ago. We believe that this successful, ongoing program is a model that other health care providers should consider.
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