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As we enter the New Year, there are so many exciting things happening in the world of sexual and reproductive health. Some are cause for celebration, others cause for concern.
The numbers are down:
- * The U.S. teen birth rate declined 9 percent in 2010 and is now at the lowest level ever reported, according to the National Center for Health Statistics (NCHS).
And the numbers are up:
What we need in 2012 is continuous, accurate, relevant sex education efforts. Thinking outside the box. Innovation and resourcefulness.
Here are the top three ways you can engage:
1) End Run Around the Classroom: The New York Times reported on Dec. 31 that “only 13 states specify that the medical components of their sex education programs must be accurate.”
In 2012, watch out for programs, groups and organizations like Chicago’s Sex-Ed Loop, the national Sex, Etc. website and Denver’s ICYC (In Case You’re Curious). These are programs working outside the classroom to reach large numbers of school-age youth with medically accurate sex information.
2) Stay on the Cutting Edge: Learn what’s up with PhotoVoice, participatory photography for reproductive health and rights; watch a new film about love in the digital age, xoxosms by Nancy Schwartzman; and network with over 500 youth, educators and health professionals at the fifth annual ISIS conference in San Francisco on April 1-3.
3) Be on the White House Team: Support the Apps Against Abuse challenge winner, Circle of 6, a mobile app to prevent dating violence and abuse among college students. The app is set to launch in February. The Facebook page is up now so you can “like” the page and pledge to end dating violence and sexual assault in your community. There is also a crowdsource funding campaign on IndieGoGo for this project — Donate $10 today.
Here’s to a sexually healthy and reproductively just new year.
References:
Ventura, Stephanie J. and Hamilton, Brady E. Centers for Disease Control and Prevention, National Center for Health Statistics (2011). NCHS Data Brief: U.S. Teenage Birth Rate Resumes Decline. Downloaded 1/10/12 from http://www.cdc.gov/nchs/data/databriefs/db58.htm
Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (2011). Fact Sheet “HIV Among Youth.” Downloaded 1/10/12 from http://www.cdc.gov/hiv/youth/index.htm
The White House. 1 is 2 many. (2010). Accessed 1/10/12 from http://www.whitehouse.gov/1is2many
Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (2010). “STDs in Racial and Ethnic Minorities.” Downloaded 1/10/12 from http://www.cdc.gov/std/stats09/minorities.htm
January 24, 2012 – 7:48 pm
The New York Times
By JAN HOFFMAN
Published: December 30, 2011
Health groups and school districts are using Web sites and texts to reach teenagers.
While heading to class last year, Stephanie Cisneros, a Denver-area high school junior, was arguing with a friend about ways that sexually transmitted diseases might be passed along. Ms. Cisneros knew she could resolve the dispute in class — but not by raising her hand. While her biology teacher lectured about fruit flies, Ms. Cisneros hid her phone underneath her lab table and typed a message to ICYC (In Case You’re Curious), a text-chat program run by Planned Parenthood of the Rocky Mountains. Soon, her phone buzzed. “There are some STDs you can get from kissing but they are spread more easily during sex,” the reply read. “You can get a STD from oral sex. You should use a condom whenever you have sex.”
Ms. Cisneros said she liked ICYC for its immediacy and confidentiality. “You can ask a random question about sex and you don’t feel it was stupid,” said Ms. Cisneros, now a senior. “Even if it was, they can’t judge you because they don’t know it’s you. And it’s too gross to ask my parents.”
Sex education is a thorny subject for most school systems; only 13 states specify that the medical components of the programs must be accurate. Shrinking budgets and competing academic subjects have helped push it down as a curriculum priority. In reaction, some health organizations and school districts are developing Web sites and texting services as cost-effective ways to reach adolescents in the one classroom where absenteeism is never a problem: the Internet.
In Chicago, teenagers can subscribe to Sex-Ed Loop, a program endorsed by the district that includes weekly automated texts about contraception, relationships and disease prevention. Through Hookup, California teenagers can text their ZIP codes to a number and receive locations for health clinics.
Many services, like Sexetc.org, a national site run by and for teenagers, offer both privacy and communities where adolescents can learn about sexuality and relationships, particularly on mobile devices, eluding parental scrutiny. Services offer links to blogs,interactive games, moderated forums, and Facebook and Twitter pages.
The messages, rendered in teenspeak, can be funny and blunt: for Real Talk, a technology-driven H.I.V. prevention program run by the AIDS Council of Northeastern New York, teenagers made a YouTube video, shouting a refrain from a rap song, “Sport Dat Raincoat,” during which a girl carrying an umbrella is pelted with condoms.
“When we ask young people what is the No. 1 way they learn about sex, they say, ‘We Google it,’ ” said Deb Levine, executive director of ISIS Inc., an Oakland, Calif.,-based nonprofit organization that administers texting services and checks content for medical accuracy. “But most of the time, the best information is not coming up in those searches.”
Quantifying services is difficult. But Ms. Levine, who hosts Sex::Tech, a conference about sexual health programs for youth, said that requests to make presentations about online or mobile services had soared. Typically, she receives between 40 and 50 applications. This year, she received about 120.
Unlike classroom lessons, which are supposed to follow local, state or federal guidelines, Internet programs have no independent standards. And proponents of abstinence-based sexual education argue that these digital services presume that sexual activity among teenagers is the norm, and do not spend enough time on alternatives.
“They are only focusing on the risk-reduction model,” said Valerie Huber, executive director of the National Abstinence Education Association, which hopes to kick off its online service for teenagers next year.
Those who run digital programs say they simply want teens to have accurate information, to help them make good decisions. Even though popular culture is saturated with sex, facts and advice can be hard to find.
Few disagree about the need for more education. Although the teenage birth rate dropped 9 percent in 2010 from 2009, the United States still has one of the highest rates among developed countries, according to the Centers for Disease Control and Prevention. Rates ofsyphilis, gonorrhea and chlamydia among American teenagers continue to rise.
Most online services receive grants from philanthropies, like the Ford Foundation, and health and education agencies on the state and federal level. Classroom content is largely controlled by school districts, but it is a low priority in many areas. Chicago, for example, does not have a mandated sex education curriculum, although teachers are encouraged to include material in science or physical education classes. School officials see programs like Sex-Ed Loop, which began in September, as vital.
Mary Beth Szydlowski, the H.I.V. education prevention specialist for Chicago schools, said that Sex-Ed Loop not only reinforces what students learn in class but can reach all teenagers, including dropouts. It is managed by the Illinois Caucus for Adolescent Health, which enlists Chicago teenagers to create the text messages as well as blog posts and testimonial videos for its site.
Juan Chavez, 19, a sophomore at DePaul University, remembers sex education during ninth-grade health class as awkward.
“The teacher had been a nutrition major,” Mr. Chavez said. “He was really uncomfortable. He just said, ‘I don’t believe you guys should be having sex, so I’ll just say this because I have to.’ ”
Now, through the Illinois Caucus for Adolescent Health, Mr. Chavez texts and blogs, with a focus on gay teenagers, about such subjects as what to do if a condom breaks, which clinics are gay-friendly and where to find low-cost lubricants — “things people need to know on the fly,” he said.
Parents who fear that sex education will encourage a child to experiment are misguided, said Elizabeth Schroeder, executive director of Answer, a national sex education organization that oversees Sexetc. Studies show the opposite is true, she said.
But making sure that Web-surfing teenagers find these programs, rather than pornographic sites, has been challenging.
Leslie Kantor, vice president for education at Planned Parenthood Federation of America, said it was expanding its chat program, which teenagers can use with handheld devices or online. The organization is trying, she said, to embed material with search terms used by teenagers.
“How do I write content that says ‘sex’ 80,000 times so our page will pop up in a kid’s search on Google near the top?” she said.
When it comes to marketing, programs are increasingly relying on the customer: teenagers.
Real Talk held a classroom contest to see which student could send the most texts containing this prevention message: “ROFL!!!” (Translation: rolling on the floor laughing). “STDs and HIV can spread as fast as this message. Still laughing? Pass on the message not HIV/STDs. 518-HIV-TEST.” Within an hour, the message had been sent to nearly 450 phones.
A version of this article appeared in print on December 31, 2011, on page A3 of the New York edition with the headline: Sex Education Gets Directly to Youths, Via Text.
January 17, 2012 – 6:47 pm
Healthcare IT News
December 6th, 2011
Eric Wicklund, Contributing Editor
WASHINGTON – The practice of medicine is undergoing a sea change, thanks to the smartphone.
So said Health and Human Services Secretary Kathleen Sebelius and other speakers, such as Eric Topol, vice chairman of the West Wireless Health Institute, at the mHealth Summit, a three-day conference and exhibition on mobile health technology at the Gaylord Resorts and Conference Center in Washington. The event counts 3,600 registered attendees – up from 2,400 last year.
Both Sebelius and Topol focused on the game-changing aspects of mobile health technology to improve clinical outcomes, promote preventive medicine and reduce wasteful spending and healthcare costs. And they issued a call to arms – or minds – to support innovation in the field of mobile medical devices.
“This is an incredible time to be having this conversation,” said Sebelius.
[See also: mHealth apps forecast to increase threefold by 2012.]
Mobile health technology is gaining added significance, Sebelius said, at a time when healthcare is slow to adapt to new things. “Part of our healthcare problem is a lack of information,” she said. “Doctors way too often have incomplete information on their patients.”
Sebelius highlighted several government initiatives and challenges to foster innovation, including Text4Babies – a text-messaging program for mothers-to-be – and the new SmokeFreeTXT program, targeted at preventing teens from smoking. She also noted the winners of the recent Apps Against Abuse technology challenge: On Watch, an iPhone app that allows the user to transmit critical information by phone, e-mail, text or social media to one’s support network, and Circle of 6, an app that allows users to reach a circle of supporters in real time. Both were selected from a pool of more than 30 entries submitted to Chllenge.gov and announced in early November.
Sebelius urged her audience to support innovation throughout the healthcare environment, and said the federal government can foster that creativity.
“We can play a critical role as a catalyst,” she said.
Topol came to the podium armed with facts, figures, cartoons and apps, all to the theme of “the creative destruction of medicine.” He pointed out that the smartphone has already replaced the stethoscope as the “icon of medicine,” then used his smartphone to display his ECG and a sonogram of his heart.
“It’s going a lot faster than it ought to,” he joked.
His point: Smartphone technology has advanced so much that the smartphone should be a required tool for every physician – as well as for every person, since healthcare is moving quite rapidly into an era where the patient has as much responsibility for his or her healthcare as the provider. Together with social media, he said, the smartphone is helping to puncture the so-called medical cocoon, “which is very difficult to penetrate.”
[See also: Mobile health developers see bright future ahead.]
Sebelius and Topol were part of an impressive array of speakers brought together to kick off the mHealth Summit. Others adding their welcome included Scott E. Campbell, executive director and CEO of the Foundation for the National Institutes of Health; Rosemary Nelson, chairperson of the Health Information and Management Systems Society’s (HIMSS’) new mHIMSS taskforce; Patricia Mechael, executive director of the mHealth Alliance; and Robert Kaplan, director of the Office of Behavioral and Social Sciences Research for the National Institutes of Health.
“This is an emergency technology and an emerging area that will have an effect on everybody,” said Campbell.
Read the article online: http://www.healthcareitnews.com/news/sebelius-lauds-smartphones-mhealth-summit
December 6, 2011 – 1:06 pm
There’s now a LinkedIn group for ISIS’ annual SxTech conference – you can join it by clicking here.
The LinkedIn group is intended as a virtual backup to the real-world conference – you can ask questions, share information, continue discussions that started at the conference, meet like-minded people, or just catch up if you aren’t able to make it to the San Francisco event in April. Anyone with an interest in the field of public health and technology can participate. Please join us in sharing ideas, questions, and answers about all things related to sexual and reproductive health, technology and youth.
If you’re not already a LinkedIn member, it’s free and easy to join, and you don’t have to do anything with the rest of it if you don’t want to. And please be sure to tell your friends about our group. The more the merrier!
Join the group now.
December 1, 2011 – 5:48 pm
Interested in becoming a sponsor for our annual conference? Stop considering and join the ranks. Current sponsors include National Institute of Health; the Ford Foundation and Vodafone Americas Foundation.
Sex::Tech 2012 offers an unparalleled opportunity to build relationships with more than 3,500 individuals and organizations committed to using technology to improve the reproductive health of youth. Conference participants come from all 50 states and overseas, and they will be looking for products and services that will help them better care for their communities.
We have sponsorship opportunities from $250 – $25,000. If you’re interested in becoming a sponsor for Sex::Tech or advertising at the event, please view our sponsorship deck for further details, then send an email of inquiry to Deb Levine and we’ll talk!
See you in April,
The ISIS Team
December 1, 2011 – 5:09 pm
Just a brief reminder to all of our colleagues that the early bird registration deadline for Sex::Tech 2012 is coming up on December 31st 2011.
Sex::Tech is being held at the Stanford Court Renaissance San Francisco[http://www.marriott.com/hotels/fact-sheet/travel/sfosc-the-stanford-court-renaissance-san-francisco-hotel/], April 1st-3rd. Attendees can book the room rate of $159/night by calling the hotel directly at 1.800.468.3571 or 415.989.3500. Use the code Sex::Tech when making a reservation to get the room rate.
November 30, 2011 – 1:11 pm
We would like to thank everyone who submitted an abstract for Sex::Tech 2012. We were extremely impressed by the quality and quantity (more than 100–double last year’s number) of submissions this year. The call for abstracts is now closed. The review process will be conducted over the coming weeks and authors will be notified of the status of their submission via email in early January.
November 29, 2011 – 9:48 pm
Occupy With Grace
By Deb Levine, Executive Director, ISIS
ISIS’ mission is to work with youth and young adults around sexual and reproductive health issues. While it may seem odd for us to tackle end of life decision making, in truth, as an organization, we know from discussing “sensitive topics.” Our colleagues, including Alexandra Drane at Eliza Corporation and Board Member, Matthew Holt of Health 2.0 have named these types of health issues – the ones no one wants to talk about like teen sexuality, death, and aging – the unmentionables.
These same folks at Eliza have put together a Thanksgiving campaign to Engage with Grace. ISIS is proud and honored to participate by re-posting the Engage with Grace blog post below. As you celebrate giving thanks this year, do consider thinking about starting that difficult conversation with family members about their wishes for their end-of-life, and you’ll be giving them a meaningful gift this holiday season.
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Once again, this Thanksgiving we are grateful to all the people who keep this mission alive day after day: to ensure that each and every one of us understands, communicates, and has honored their end of life wishes.
Seems almost more fitting than usual this year – the year of making change happen. 2011 gave us the Arab Spring – people on the ground using social media to organize a real political revolution. And now – love it or hate it – it’s the Occupy Wall Street movement that’s got people talking.
Smart people (like our good friend Susannah Fox have made the point that unlike those political and economic movements, our mission isn’t an issue we need to raise our fists about…it’s an issue we have the luxury of being able to hold hands about.
It’s a mission that’s driven by all the personal stories we’ve heard of people who’ve seen their loved ones suffer unnecessarily at the end of their lives.
It’s driven by that ripping-off-the-band-aid feeling of relief you get when you’ve finally broached the subject of end of life wishes with your family, free from the burden of just not knowing what they’d want for themselves, and knowing you could advocate for these wishes if your loved one weren’t able to speak up for themselves.
And it’s driven by knowing that this is a conversation that needs to happen early, and often. One of the greatest gifts you can give the ones you love is making sure you’re all on the same page. In the words of the amazing Atul Gawande – you only die once! Die the way you want. Make sure your loved ones get that same gift. And there is a way to engage in this topic with grace…
Here are the five questions – read them, consider them, answer them (you can securely save your answers the Engage with Grace site, www.engagewithgrace.org), share your answers with your loved ones. It doesn’t matter what your answers are, it just matters that you know them for yourself, and for your loved ones. And they for you.
We all know the power of a group that decides to assemble. In fact, we recently spent an amazing couple days with the members of the Coalition to Transform Advanced Care — or C-TAC – working together to channel so much of the extraordinary work that organizations are already doing to improve the quality of care for our country’s sickest and most vulnerable.
Noted journalist Eleanor Clift gave an amazing talk – finding a way to weave humor and joy into her telling of the story she shared in this Health Affairs article. She elegantly sums up (as only she can) the reason that we have this blog rally ever y year:
“For too many physicians, that conversation is hard to have, and families, too, are reluctant to initiate a discussion about what Mom or Dad might want until they’re in a crisis, which isn’t the best time to make these kinds of decisions. Ideally, that conversation should begin at the kitchen table with family members, rather than in a doctor’s office.”
It’s a conversation you need to have wherever and whenever you can – and the more people you can rope into it, the better!! Make this conversation a part of your Thanksgiving weekend – there will be a right moment – you just might not realize how right it was until you begin the conversation.
This is a time to be inspired, informed…to tackle our challenges in real, substantive, and scalable ways. Participating in this blog rally is just one small – yet huge – way that we can each keep that fire burning in our bellies, long after the turkey dinner is gone.
Wishing you and yours a happy and healthy holiday season. Let’s Engage with Grace together.
To learn more please go to www.engagewithgrace.org. This post was developed by Alexandra Drane and the Engage With Grace team.
November 23, 2011 – 1:16 pm
Press Release 11/22/11:

On November 1st, Circle of 6, an innovative mobile app that – with only two clicks – connects students threatened with sexual assault and abuse to a network of trusted friends, won Vice President Biden’s challenge to create an App Against Abuse. This prototype, endorsed by the White House and top U.S. universities, will be available on all iPhones and Android phones in early 2012, and put into the hands of students who will use it to prevent dating violence and sexual assault on their campuses and in their communities.
Dating violence and sexual assault are hidden but widespread problems among young women aged 16-24. Nearly 1 in 5 college women report experiencing sexual assault while in college. Significant attention has been directed toward supporting victims of dating violence and sexual assault, yet someone in the U.S. still becomes a victim every two minutes.
Deb Levine, ISIS Executive Director and member of the Circle of 6 development team says, “Circle of 6 is the first mobile app designed to prevent these assaults before they happen.” Circle of 6 already has 3,000+ young men and women who’ve made a pledge on Facebook to stop dating violence on their campuses. By 2013, the Circle of 6 team plans to increase that impact to over 30,000 lives on 500 campuses.
Circle of 6 was created by a team of experts, including MIT-trained app developer Christine Corbett Moran (kliq.in), mobile and women’s health expert Deb Levine (isis-inc.org), filmmaker and violence prevention specialist Nancy Schwartzman (whereisyourline.org) and award-winning designer, Thomas Cabus (thomascabus.fr).
“With these applications, a personal electronic device becomes a powerful tool to help young women and men protect themselves, and their friends, from becoming victims of violence,” said Vice President Biden. “Thanks to the creativity and vision of these developers, young men and women now have a new line of defense against violence in their lives.”
You can help underwrite development of the app and bring Circle of 6 to market.
Contact Deb Levine
Deb@isis-inc.org
510-835-9400
November 23, 2011 – 11:30 am
ISIS WINS WHITE HOUSE NATIONAL APPS AGAINST ABUSE TECHNOLOGY CHALLENGE
ISIS is part of the winning team in the Apps Against Abuse Technology Challenge – a national competition sponsored by the White House Office of Science and Technology Policy (OSTP) and the U.S. Department of Health and Human Services. The contest was launched in July 2011 by Vice President Joe Biden and HHS Secretary Kathleen Sebelius.
ISIS collaborated with Nancy Schwartzman, Christine Corbett Moran and Thomas Cabus to create the Circle of 6 iPhone app for college-aged students and their friends to stay close, stay safe, and prevent violence before it happens. Circle of 6 was one of the two winning mobile phone applications that employ innovative uses of text, email and social media, as well as offer users quick and easy access to emergency assistance and dating violence and abuse resources.
Learn more about the Circle of 6 Development team.
The app design is simple. It takes two touches to get help, so no fumbling or digging around for the right number and uses icons to represent actions, so that no one can tell what you’re up if they see your phone. The design ensures safety, speed and privacy. GPS is integrated (using Google maps), and is only activated by you, and sent to your own Circle of 6.

BUZZ ABOUT CIRCLE OF 6…
The White House
“Thanks to the creativity and vision of these developers, young men and women now have a new line of defense against violence.”
Vice-President Joe Biden
U.S. Department of Health and Human Services
“Whether quickly checking in with your friends or sending critical information to your support networks, these innovative tools have the potential to protect and save lives.”
HHS Secretary, Kathleen Sebelius.
“[This] exemplifies how innovation and collaboration can result in the creation of new tools to help Americans stay healthy and safe, and in this case to help avoid violence and assault.”
HHS Chief Technology Officer, Todd Park.
Cult of Mac
“The icons make it quick and easy to get help and can send Google maps location to the circle if necessary.”
CALLING ALL INNOVATORS!
At ISIS’ annual Sx::Tech conference, we endeavor to showcase what’s possible with technology to accelerate transformation in the areas of sexual and reproductive health. Do you have a great idea you want to share? Something you’ve been prototyping or pilot testing? Submit an abstract to us by the November 18th deadline to let us know you’d like to present.
ISIS’ annual Sex::Tech conference is held every year in San Francisco. Upcoming conference dates are April 1st through 3rd, 2012. Get the Early Bird registration discount if you register before 12/31/11.
ISIS AND FORD FOUNDATION TECHNOLOGY BRIEFING IN NYC A GREAT SUCCESS
Last month we hosted an invitation-only technology briefing in New York City at the Ford Foundation. Foundation President, Luis A. Ubiñas spoke passionately about the Foundation’s commitment to leveraging technology and digital media across all program initiatives and how partnering with organizations like ISIS can help accomplish this.
Many thanks to the Ford Foundation for their ongoing support, to Camino PR for their partnership, to all of our expert panelists, (Elizabeth Schroeder of Answer, Kierra Johnson of Choice USA and Sarah Audelo of Advocates for Youth) for a fascinating and stimulating conversation, and to our attendees for asking such thought provoking questions.
Read Jennifer Wagner’s take on the briefing and Margaux Joffe’s write-up on Likeable.
ISIS will be holding the next briefing on December 1st at The Hub in San Francisco. More information coming soon.
FREE RESOURCE -
ISIS WHITE PAPER
TECHsexUSA: Youth Sexuality and Reproductive Health in the Digital Age.
This free white paper, funded by the Ford Foundation, takes a deep dive into how youth, particularly youth of color, use technology for their sexual and reproductive health. It also identifies opportunities for new digital programming.
Best,
ISIS Team
November 3, 2011 – 10:47 am
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