Power to Decide improves the lives of young people by helping to ensure that everyone has the power and tools to take charge of their sexual health. We catalyze and build innovative solutions at the national, state, and local levels. We are expert strategists and communicators. Everything we do is unbiased, evidence-based, and audience-centered. These are hallmarks of the approach we have built over more than 20 years in the field.
We are clear that we don’t do this work alone and we are committed to working with you to build comprehensive, 360-degree strategies. Through Select360 we grow the strength and capacity of other organizations and leaders working to expand the power to decide by sharing our experience, expertise, and proven solutions. Contact us to see what Select360 can provide for you—from proven programs you can license and customize to tailored technical assistance to address your strategic needs.
One Key Question®
One Key Question® is a transformative tool that starts the conversation about if, when, and under what circumstances women want to get pregnant and have a child. The notion behind One Key Question® is simple: it provides a framework for health providers, social service providers, and champions who support women age 18-50 to routinely ask, “Would you like to become pregnant in the next year?”
Though this is a seemingly simple question, the answers are more complex. One Key Question® meets women where they are, by offering four responses: yes, no, ok either way, and unsure. Follow up counseling is patient-centered and can be tailored appropriately based on a woman’s desire for or ambivalence about pregnancy.
One Key Question® is used by thousands of health care and social service providers in approximately 30 states. One Key Question® providers include clinicians, community health workers, home visiting nurses, and many more. One Key Question® has been adopted by large health systems, state and local public health departments, and others to address a myriad of health equity efforts, including perinatal equity and maternal child health.
One Key Question® has been endorsed by both the American Public Health Association and the American College of Obstetricians and Gynecologists as an appropriate and effective Reproductive Life Planning strategy, supported as a promising practice to improve the provision of reproductive health services for women, and is aligned with the Office of Population Affairs and Centers for Disease Control and Prevention’s Quality in Family Planning service delivery recommendation for clinical practice.
Click here for more information about One Key Question®, including a detailed summary of research and how to bring One Key Question® to your community.
Strategic Communications & Audience Management
Power to Decide’s communication and engagement expertise helps organizations find the most effective ways to reach and engage their audiences.
Power to Decide has a well-deserved reputation for effectively communicating with myriad audiences—from policymakers to parents to media to young people themselves. Our success is based, in part, on listening closely to our target audiences and letting their needs help shape our efforts. We use a design-thinking framework for many of our efforts. It is our belief and experience that doing so helps improve the chances that successful solutions will surface through insights that come directly from the target audience.
Examples of our work:
Working with the media, from entertainment to influencer networks to the traditional press
Effective message framing and audience reach and engagement
Online and on-air advertising expertise
Social marketing campaigns
Program Design & Measurement
Providing young people (and the adult influencers in their lives) with the information and skills to take charge of their sexual health is complex. Power to Decide can help craft solutions that meet your goals, as well as strategic ways to measure your progress.
Building systems of support that enable young people to take charge of their sexual health is complex. Power to Decide has considerable experience in crafting effective and innovative solutions that meet your goals, as well as strategic ways to measure your progress.
We work closely with clients to fully understand their context as well as existing needs and resources. Working in partnership, we will develop policy and systems solutions, programming, capacity building, and measurement planning that aligns with best practice, is feasible, and meets your needs.
Power to Decide has spent more than 20 years assessing and evaluating its own efforts, and guiding others to assess theirs. We understand the challenges—financial and otherwise—inherent in measurement and evaluation. We can help you decide the right time, right place, and right way to make sure your efforts are reaching their intended goals. We can offer direction on key questions to consider as your organization develops an evaluation strategy and decides how best to report evaluation data to funders and other key players.
Examples of our work:
Better Birth Control. We developed this framework, designed to provide specific recommendations for system-level strategies that communities can undertake within five domains: fundamental supports, health equity and cultural humility, communications and education, health care delivery systems, and policy.
Campus Sexual Health. We work with college campuses to ensure that their students have the information, services and support they need to take charge of their sexual health.
Family Court Systems. We work with family courts throughout the country to build their capacity to incorporate intentional family formation into their work with young people.
Policy & Advocacy Strategy
Navigating state and local policy issues can be tricky. With more than 20 years of policy experience, Power to Decide can help your organization reach its policy and advocacy goals.
The Power to Decide policy team identifies, develops, and promotes a variety of policy options that will advance efforts to prevent unplanned pregnancy and reduce existing disparities. We work at the national and state levels with a variety of people and organizations and can work with you to identify effective policy solutions.
Examples of our work:
Policy Development. Providing assistance with identifying policy options, outlining or reviewing draft legislation or other policy initiatives, and sharing best practices and experiences from other states
Policy Strategy. Offering strategic advice regarding identifying partners, allies, materials, and activities to advance policy goals
Advocacy Strategy and Tactics. Advising how to approach and communicate with key federal and state policymakers to reach legislative goals
Power to Decide has designed and implemented proven and innovative digital solutions for many different audiences including the most comprehensive and effective digital solution proven to reduce teen and unplanned pregnancy.
Power to Decide has been recognized with dozens of prestigious awards for digital innovation. We can help customize a digital solution for your audiences. We can help with:
- Original content or curate and customize the hundreds of pages of unbiased and constantly updated content about methods of birth control, first person stories and videos, FAWs, animated cartoons, extended features, and news segments (available in English and Spanish)—already in our library and all of which can be white labeled.
- Database and tools development that meet your practice needs – such as digital sexual health questionnaires and decision tools, localized service provider finders, and other interactive tools.
- Mobile apps or other systems. We can build and customize tools – or work with you to adapt our existing tools for birth control push reminders and appointment reminders.
Bedsider.org is an online “girlfriend’s guide” to birth control designed to help reduce the proportion of unplanned pregnancies in the United States among women aged 18–29. The goals of Bedsider are to help women find the method of birth control that’s right for them, to learn how to use birth control consistently and effectively, and to gradually encourage women to consider using more effective forms of birth control over time.
Bedsider is designed to be a tool for women to learn about their birth control options, better manage their birth control, and in the process avoid getting pregnant until they are ready. The centerpiece of the Bedsider program is information about birth control methods as well as online tools on where to get birth control. This site allows users to explore and compare all available methods of contraception, set up birth control or appointment reminders, view videos of their peers discussing personal experiences with various methods of contraception, and be entertained and informed by humorous animated shorts that debunk myths about birth control. This site also provides a comprehensive list of locations to get birth control. Visitors to Bedsider.org can type in their zip code to find the closest clinic or place to get contraception over the counter
A 2014 study showed that Bedsider works. Bedsider is the first digital intervention in reproductive health in the U.S.—with adults as an audience—that has shown to prevent unplanned pregnancy.
Among women age 18 to 29 who participated in the yearlong randomized controlled trial:
- Women in the Bedsider group were 1.51 times less likely to have a pregnancy scare than those in the control group.
- Women in the Bedsider group were 2.54 times less likely to have unprotected sex.
- Women in the Bedsider group were 3.79 times less likely to report an unplanned pregnancy.
- Women in the Bedsider group were also more likely to use a more effective method of contraception.
The full report, which was published in Social Marketing Quarterly, can be downloaded at your convenience.
Power to Decide has the largest library of content for birth control and sexual health anywhere.
Power to Decide has been recognized with dozens of prestigious awards for its innovative and audience-centered content. We have “off the shelf” content that includes:
- Hundreds of pages of unbiased and constantly updated content about methods of birth control, first person stories and videos, FAWs, animated cartoons, extended features, and news segments (available in English and Spanish)—all of which can be white labeled.
- An extensive photo and video library of diverse and compelling young people living well, as well as of all contraceptive methods.
- Amazingly fun and colorful collateral for health and social service providers on sexual health and contraception – all of which can be customized for your brand.
- We have the most comprehensive database in the U.S. that allows users to find a local provider or health center, search for birth control that can be delivered, or locate emergency contraception—all of which can be localized.
- We can use our deep experience to develop original content – whether it be written, video or photographic – to meet your needs.
Google Knowledge Panels
Google “IUD,” “birth control,” or “pulling out”—some of the most common queries about health—and you’ll find something new and really exciting. In the summer of 2016, in partnership with Power to Decide, Google launched a series of Knowledge Panels (KPs) for all FDA approved methods of contraception, and related terms, which include links to a section on the Power to Decide website which presents the full range of methods. So now, when you do a search, you’ll get overview information, names of common brands, and information on how it works—including points on side effects, effectiveness, and availability.
The Knowledge Panels are the result of Power to Decide's content services where we serve information—in this case articles and images—from our databases to other digital destinations.
Implementing One Key Question® into our clinics has really helped to quickly identify and better address our patients’ family planning needs. One Key Question® helps to direct the medical intake conversation so that it’s more relevant to our patients’ goals, therefore, making it more likely for them to engage and participate in decision making. Patients appreciate that their particular family planning needs and concerns are taken into consideration when creating a care plan. It makes the visit more personalized, it engages the patients in decision making, and will ideally lead to higher patient satisfaction and compliance in the chosen birth control method. One Key Question® sums up family planning in just a few simple questions and implementing it into our clinics has proven beneficial to our practice and patients.
I feel extremely confident in the tools and training we received from [Power to Decide]. Their work was clean, useful, and driven to meet the needs of the community. I feel heard and felt confident in the guidance we received from the team at [Power to Decide].
[Power to Decide’s] design-thinking process has forced us to consider the student perspective over the adult or teacher perspective. We have been surprised by some of the attitudes and experiences that are common across all extremes of our users, and also been pushed to make difficult and important choices about specifically defining our user population to ensure that whatever we create truly meets the unique needs of our users.
I am so excited that [Power to Decide] is helping us, lending advice and expertise. This is the most rewarding project I’ve ever worked on and collaborating with [Power to Decide] makes it life changing. Of all the blessings we have, [Power to Decide] is the biggest one. Thank you, thank you, thank you!
Doctors are missing an opportunity to help women understand what they need to do to help ensure a healthy baby—whether that’s to lose weight, change prescriptions, or just ... start taking folic acid. They’re also missing women on the other end of the spectrum, who don’t want to get pregnant but aren’t on any kind of contraception.