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Rural Health Information Hub

It's a Girl Thing: Making Proud Choices

  • Need: Teen pregnancy and sexually transmitted diseases, including HIV, in young girls were concerns for members of Union Parish, Louisiana.
  • Intervention: Union General Hospital, a Critical Access Hospital, created the program It's a Girl Thing: Making Proud Choices to teach prevention, self-confidence, and personal responsibility to teen girls.
  • Results: Teen pregnancy rates in Union Parish have dropped by 18%, exceeding the program's initial goal of 5%. Graduation rates have also increased the longer girls remain in the program.


Union General Hospital logo Through a Community Health Needs Assessment conducted in 2012, a steering committee found that teen pregnancy and sexually transmitted diseases, including HIV, were a concern among rural community members of Union Parish, Louisiana. Union General Hospital (UGH), a Critical Access Hospital (CAH), took the lead in starting a program that makes prevention education a priority at the hospital and in the parish's schools.

It's a Girl Thing: Making Proud Choices Logo

It's a Girl Thing: Making Proud Choices kicked off in the fall of 2013. According to their website, its purpose is to help 6th through 12th grade girls "acquire the knowledge and skills for taking charge of and making informed decisions about their sexual health, exploring values, practicing responses in different situations, and thinking about their futures." Program leaders provide participants with skills to acquire positive attitudes and beliefs about self-worth by tackling everyday issues the girls face.

This program has made it possible for UGH to build stronger relationships within the community, faith-based communities, and the Union Parish School District. Since its creation, the program has grown to create a new full-time Community Outreach Coordinator/Educator position, and has expanded to offer programming at Union Parish Junior High and High School, Downsville Community Charter School, and D'Arbonne Woods Charter School. It's a Girl Thing is funded by Union General Hospital.

Services offered

  • It's a Girl Thing meetings are held monthly at the hospital, and weekly or biweekly at local schools. The program held meetings virtually over Zoom in response to the COVID-19 pandemic, but have since resumed in-person meetings. Discussion topics include:
    • Communication
    • Developing Your Sense of Worth
    • Rights, Respect and Responsibilities
    • Relationships
    • The Consequences of Teen Pregnancy
  • Health information is regularly taught in order to guide the girls in setting personal health goals.
  • UGH offers mental health and suicide risk assessments to It's a Girl Thing participants as well as referrals to appropriate services as needed.
  • When available, UGH offers a summer job spot to one of the program's outstanding participants.
  • UGH offers one $1,000 scholarship annually to one of the program's high school seniors who has met certain criteria and shown personal responsibility in making proud choices.
It's a Girl Thing Meeting
Girls from 6th through 12th grade meet regularly to discuss how to make proud choices.


Since the beginning of the program, parents have reported seeing a difference in their daughters who participated in the program and the girls have succeeded in making proud choices. Below are specific results:

  • Over 300 girls have enrolled in the program
  • Union Parish teen pregnancy rates have dropped by 18%, exceeding the program's initial goal of 5%
  • School attendance rates from program participants have increased and pregnancy rates have decreased the longer girls remain in the program:
    • Out of 1-year participants: 24 graduated high school and 3 became pregnant
    • Out of 2-year participants: 38 graduated high school and 2 became pregnant
    • Out of 3-year participants: 43 graduated high school and 2 became pregnant

Because of the success of this program, UGH recently added another component that helps prevent drug, alcohol, and tobacco use in youth. UGH's anti-bullying program Together We Can Be Bully Free is also featured in the RHIhub Rural Health Models and Innovations.

Awards received by It's a Girl Thing: Making Proud Choices:

  • Named a 2016 "Program of Excellence" by the Jackson Healthcare Foundation's Hospital Charitable Services Awards, of 10 awards given out from of over 200 nominees.
  • Named a 2015 "Program of Promise" by the Jackson Healthcare Foundation's Hospital Charitable Services Awards, one of 4 awards given out from over 200 nominees.
  • Received the 2014 Outstanding Rural Health Program of the Year award from the Louisiana Rural Health Association.

The program was featured in the National Rural Health Resource Center's Small Rural Hospital Transition Project Newsletter in 2014 and 2016.

For more about how Union General Hospital runs school-based programs, visit RHIhub's Rural Monitor article, Together We Can Be Bully Free: CAH and Law Enforcement Address Peer Victimization through School-Based Program.

It's a Girl Thing Award Winners
Program coordinators of It's a Girl Thing: Making Proud Choices received the Hospital Charitable Services Program of Excellence award from the Jackson Healthcare Foundation.


Local ministers were requesting It's a Girl Thing: Making Proud Choices to work with boys in the community. In response, UGH provided funding to bring in an evidence-based program to train 10 male leaders from the community to start a similar program for boys called Making Proud Choices.


The following key principles for replication come from the experience of the It's a Girl Thing program:

  • Because of the sensitivity of topics discussed in programs like It's a Girl Thing, leaders should pay attention to gender-specific issues and offer education and advice in a compassionate manner.
  • What works in one community might not work in another. Looks for way to cater a reputable program to your community's cultural and religious beliefs.
  • Form your leadership from people who represent various cultures in your community. Choose leaders who are already active in the community and have gained the trust of other groups and organizations.
  • Be willing to take a door-to-door approach, making phone calls and grass-roots efforts to promote your program. Create your own marketing plan and promotion strategy. Utilize marketing mediums where young girls are present, including social media, internet, schools, and events.
  • Recruit volunteers from the community and hospital who care about young girls and want to see them succeed.
  • Passion is the key to making a program like this take off. Let your excitement come through in your program organization and recruitment.

UGH has included the following items in the It's a Girl Thing: Making Proud Choices Personal Information Application:

  • Parent permission slip
  • "All About Me" sheet for completion by the participant
  • An agreement that explains the personal commitment a participant is making by joining the program
  • Program rules

Contact Information

Claudia Wade, Program Director
It's a Girl Thing: Making Proud Choices

Children and youth
Sexual and reproductive health
Wellness, health promotion, and disease prevention

States served

Date added
September 28, 2017

Date updated or reviewed
February 24, 2023

Suggested citation: Rural Health Information Hub, 2023. It's a Girl Thing: Making Proud Choices [online]. Rural Health Information Hub. Available at: [Accessed 12 July 2024]

Please contact the models and innovations contact directly for the most complete and current information about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural community should consider whether a particular project or approach is a good match for their community’s needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep in mind that changes to the program design may impact results.