Strategies

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

Support quality improvement efforts in early child care and preschool via financial incentives, standards, processes to monitor standards and ensure compliance, etc.

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Promote abstinence from sexual activity, generally only with mention of condoms and birth control to highlight failure rates

Provide reproductive health care services such as counseling, contraception, and testing in middle and high school-based health centers

Use counseling, informational materials, etc. to inform smokers and non-smokers of the harms of secondhand smoke and encourage them to implement home smoking bans

Implement private sector rules or public sector regulations that prohibit smoking in and around multi-unit housing

Implement private sector rules or public sector regulations that prohibit smoking outdoors or restrict it to designated areas

Support school-, community-, and clinic-based teen pregnancy prevention programs such as comprehensive sex education, HIV/STI prevention and youth development efforts, service learning, etc.

Set the number, type, proximity, and density of tobacco retailers, especially near homes and schools, via state or local zoning, licensing restrictions, or other regulations