Strategies

Make clinician, hospital, clinic, long-term care facility, and insurance plan performance on health care quality measures publicly available via report cards, reporting websites, or similar tools

Provide nutrition information on menus and signboards at restaurants and other food outlets

Limit access to competitive foods and beverages in schools via restrictions on foods that are not provided through the National School Lunch Program and School Breakfast Program.

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

Address nutrition in schools via educational (e.g., classroom or curricula-wide efforts, peer training, etc.), environmental (e.g., school menus, classroom snacks, etc.), and other approaches

Create contracts that support community access to existing public, private, or nonprofit facilities before or after business hours; also called joint use, open use, or community use agreements

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.

Increase the price of snack products high in sugar and fat by adding an excise or sales tax

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care