Christopher F. Koller
President of the
Milbank Memorial Fund
When Values and Evidence Collide: Reducing Teen Pregnancy Rates in Colorado
Few policies intended to help people live longer are more effective than those targeting teen pregnancy rates. Yet even when those policies work, they are fraught with controversy and conflict. A look at what’s currently going on in Colorado demonstrates some of the challenges in addressing the social determinants of health.
This fall, with the help of the Colorado Health Institute, members of the Milbank Memorial Fund’s Reforming States Group (RSG) examined the Colorado Initiative, a multi-year, multi-faceted effort to reduce unintended pregnancies. Policy interventions that address non-health care determinants are often complex, usually rely on private sector partnerships, and may conflict with societal values. That was exactly what we found in Colorado.