{"id":5178,"date":"2021-03-04T22:29:44","date_gmt":"2021-03-04T22:29:44","guid":{"rendered":"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/"},"modified":"2021-03-04T22:29:44","modified_gmt":"2021-03-04T22:29:44","slug":"technical-brief-arizona-initiative-of-the-border-states-coiin","status":"publish","type":"resources","link":"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/","title":{"rendered":"Youth-led development of a Chatbot to Increase Early Prenatal Care Utilization in Santa Cruz County, Arizona"},"content":{"rendered":"\n<p><strong>A TECHNICAL BRIEF on the Arizona Initiative of the Border States CoIIN<\/strong><\/p>\n\n\n\n<p>The Border States Collaborative Improvement and Innovation Network (CoIIN; see inset) Arizona team sought to better understand barriers associated with the initiation of first trimester prenatal care among youth in Santa Cruz County to inform the design of innovative solutions to help overcome these barriers. As part of that effort, the team spoke with over 50 teens and young adults and learned that lack of knowledge about pregnancy status, stigma, fear and shame were primary reasons for not utilizing prenatal services. Several studies support these findings. For example, Selchau et al (2017) found that women in the border region were often unaware of their pregnancy status and therefore did not seek services until later in the pregnancy, especially early prenatal care services. Other reasons include fear and shame associated with unwanted pregnancies, especially for teen mothers; lack of health insurance, work and transportation issues; and, a lack of trust in providers or the health care system.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A TECHNICAL BRIEF on the Arizona Initiative of the Border States CoIIN The Border States Collaborative Improvement and Innovation Network (CoIIN; see inset) Arizona team sought to better understand barriers associated with the initiation of first trimester prenatal care among youth in Santa Cruz County to inform the design of innovative solutions to help overcome&hellip;<\/p>\n","protected":false},"author":1,"featured_media":5180,"template":"","tags":[],"gc_country":[11,34],"gc_area_of_expertise":[55],"resources_type":[445],"class_list":["post-5178","resources","type-resources","status-publish","has-post-thumbnail","hentry","gc_country-the-americas","gc_country-united-states","gc_area_of_expertise-health","resources_type-briefs-and-case-studies"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Youth-led development of a Chatbot to Increase Early Prenatal Care Utilization in Santa Cruz County, Arizona - Global Communities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Youth-led development of a Chatbot to Increase Early Prenatal Care Utilization in Santa Cruz County, Arizona - Global Communities\" \/>\n<meta property=\"og:description\" content=\"A TECHNICAL BRIEF on the Arizona Initiative of the Border States CoIIN The Border States Collaborative Improvement and Innovation Network (CoIIN; see inset) Arizona team sought to better understand barriers associated with the initiation of first trimester prenatal care among youth in Santa Cruz County to inform the design of innovative solutions to help overcome&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/\" \/>\n<meta property=\"og:site_name\" content=\"Global Communities\" \/>\n<meta property=\"og:image\" content=\"https:\/\/globalcommunities.org\/wp-content\/uploads\/2025\/09\/san-diego-photographer-sophia-elizabeth-photography-maternal-health-newborn-postpartum56of128.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/\",\"url\":\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/\",\"name\":\"Youth-led development of a Chatbot to Increase Early Prenatal Care Utilization in Santa Cruz County, Arizona - Global Communities\",\"isPartOf\":{\"@id\":\"https:\/\/globalcommunities.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/globalcommunities.org\/wp-content\/uploads\/2025\/09\/san-diego-photographer-sophia-elizabeth-photography-maternal-health-newborn-postpartum56of128.jpg\",\"datePublished\":\"2021-03-04T22:29:44+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/#primaryimage\",\"url\":\"https:\/\/globalcommunities.org\/wp-content\/uploads\/2025\/09\/san-diego-photographer-sophia-elizabeth-photography-maternal-health-newborn-postpartum56of128.jpg\",\"contentUrl\":\"https:\/\/globalcommunities.org\/wp-content\/uploads\/2025\/09\/san-diego-photographer-sophia-elizabeth-photography-maternal-health-newborn-postpartum56of128.jpg\",\"width\":1920,\"height\":1280},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/globalcommunities.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Resources\",\"item\":\"https:\/\/globalcommunities.org\/resources\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Youth-led development of a Chatbot to Increase Early Prenatal Care Utilization in Santa Cruz County, Arizona\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/globalcommunities.org\/#website\",\"url\":\"https:\/\/globalcommunities.org\/\",\"name\":\"Global Communities\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/globalcommunities.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Youth-led development of a Chatbot to Increase Early Prenatal Care Utilization in Santa Cruz County, Arizona - Global Communities","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/globalcommunities.org\/resources\/technical-brief-arizona-initiative-of-the-border-states-coiin\/","og_locale":"en_US","og_type":"article","og_title":"Youth-led development of a Chatbot to Increase Early Prenatal Care Utilization in Santa Cruz County, Arizona - Global Communities","og_description":"A TECHNICAL BRIEF on the Arizona Initiative of the Border States CoIIN The Border States Collaborative Improvement and Innovation Network (CoIIN; 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