Child and Adolescent Social Work Journal

, Volume 27, Issue 3, pp 213–229

A Multi-Method Evaluation of the Teen Pregnancy Hotline in Taiwan

  • Hsi-sheng Wei
  • Li-hsin Chen
  • Hsiu-chih Su
  • James Herbert Williams


The present study examines the outputs and qualities of the thirteen teen pregnancy service hotlines in Taiwan that were funded by the Children’s Bureau in 2004 and 2005. The evaluation was made through agency visits, focus groups, document reviews, call-in tests and the use of a management information system. The results show that the average number of calls was low, and one agency did not receive any calls during the time period examined. The quality of services varied, and the advice provided by the hotline staff was influenced by the value orientation of the agencies. Most callers were adult women, and the major services they received were information and emotional support. The service characteristics were heavily affected by the goals and routine tasks of the agencies as certain agencies applied their existing services to the program without assessing their fitness to the needs of the potential clients. Suggestions for service improvement are provided, including an islandwide hotline to be set up and operated by a single agency with high accountability. Implications for program monitoring and documentation, staff training and knowledge-sharing, and service advertisement and promotion are also discussed.


Adolescents Teenage pregnancy Service hotline Performance evaluation 


  1. Butler, A. C. (1992). The changing economic consequences of teenage childbearing. Social Service Review, 66, 1–31.CrossRefGoogle Scholar
  2. Cnaan, R. A. (1999). The newer deal: Social work and religion in partnership. New York, NY: Columbia University Press.Google Scholar
  3. Coley, R. L., & Chase-Lansdale, L. (1998). Adolescent pregnancy and parenthood: Recent evidence and future directions. American Psychologist, 53, 152–166.CrossRefPubMedGoogle Scholar
  4. Corcoran, J. (2001). Multi-systemic influences on the family functioning of teens attending pregnancy prevention programs. Child and Adolescent Social Work Journal, 18, 37–49.CrossRefGoogle Scholar
  5. Fischer, R. L. (2004). The devil is in the details: Implementing secular outcome measurement methods in faith-based organizations. Nonprofit Management & Leadership, 15(1), 25–40.CrossRefGoogle Scholar
  6. Fraser, A. M., Brockert, J. E., & Ward, R. H. (1995). Association of young maternal age with adverse reproductive outcomes. The New England Journal of Medicine, 332, 1113–1117.CrossRefPubMedGoogle Scholar
  7. Gillham, B. (1997). The facts about teenage pregnancies. London: Cassell.Google Scholar
  8. Gortzak-Uzan, L., Hallak, M., Press, F., Katz, M., & Shoham-Vardi, I. (2001). Teenage pregnancy: Risk factors for adverse perinatal outcome. The Journal of Maternal-Fetal & Neonatal Medicine, 10(6), 393–397.Google Scholar
  9. Hamilton, B. E., Martin, J. A., & Ventura, S. J. (2007). Births: Preliminary data for 2006. National vital statistics reports, 56(7). Hyattsville, MD: National Center for Health Statistics.Google Scholar
  10. Hotz, V. J., McElroy, S. W., & Sanders, S. G. (1997). The impacts of teenage childbearing on the mothers and the consequences of those impacts for government. In R. Maynard (Ed.), Kids having kids: Economic costs and social consequences of teen pregnancy (pp. 55–94). Washington, DC: The Urban Institute Press.Google Scholar
  11. Hulton, L. J. (2007). An evaluation of a school-based teenage pregnancy prevention program using a logic model framework. The Journal of School Nursing, 23(2), 104–110.CrossRefPubMedGoogle Scholar
  12. Hwang, Y. S., & Hsiao, W. K. (2006). Contract management in social services: Perspectives of social administrator in central Taiwan. NTU Social Work Review, 13, 173–218.Google Scholar
  13. Kahn, J. R., & Anderson, K. E. (1992). Intergenerational patterns of teenage fertility. Demography, 29, 39–57.CrossRefPubMedGoogle Scholar
  14. Lee, M. C., Lu, T. H., & Chou, M. C. (1997). Characteristics of adolescent pregnancy in Taiwan. International Journal of Adolescent Medicine and Health, 9, 213–216.Google Scholar
  15. Lin, H.S. (2002, April). Sex Knowledge, sex attitudes, health-damaging behaviors, and internet use among the senior high, vocational high, and junior college students in Taiwan. Paper presented at the 2002 Annual Conference of Taiwan Association for Sexuality Education, Taipei, Taiwan.Google Scholar
  16. MacFarlane, R. M. (1995). Adolescent pregnancy. In M. W. O’Hara, et al. (Eds.), Psychological aspects of women’s reproductive health (pp. 248–264). New York: Springer Publishing Company.Google Scholar
  17. Martin, L. L. (1998). The rush to measure performance. Journal of Sociology and Social Welfare, 25(2), 65–76.Google Scholar
  18. Martin, L. L., & Kettner, P. (1996). Measuring the performance of human service programs. Newbury Park: Sage Publications.Google Scholar
  19. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis. Thousand Oaks, CA: Sage Publications.Google Scholar
  20. Ministry of the Interior. (2006). Fertility Rates of Women in reproductive age. Retrieved Jan 10, 2009, from the World Wide Web:
  21. Moore, K. A., Morrison, D. R., & Greene, A. D. (1997). Effects on the children born to adolescent mothers. In R. Maynard (Ed.), Kids having kids: Economic costs and social consequences of teen pregnancy (pp. 145–180). Washington, DC: The Urban Institute Press.Google Scholar
  22. Mulgan, R. (1997). Contracting out and accountability. Australian Journal of Public Administration, 56, 106–117.CrossRefGoogle Scholar
  23. Mullen, E., & Magnabosco, J. (1997). Outcomes measurement in the human services. Washington, D.C.: NASW Press.Google Scholar
  24. Olausson, P. F., Cnattingius, S. F., & Haglund, B. (1999). Teenage pregnancies and risk of late fetal death and infant mortality. British Journal of Obstetrics and Gynaecology, 106(2), 116–121.PubMedGoogle Scholar
  25. Page, M., Parker, S., & Renger, R. (2009). How using a logic model refined our program to ensure success. Health Promotion Practice, 10(1), 76–82.CrossRefPubMedGoogle Scholar
  26. Patton, M. Q. (1997). Utilization-focused evaluation. Thousand Oaks, CA: Sage Publications.Google Scholar
  27. Porter, C. P. (1990). Clinical and research issues related to teen mothers’ child-rearing practices. Issues in Comprehensive Pediatric Nursing, 13, 41–58.CrossRefPubMedGoogle Scholar
  28. Posovac, E. J., & Carey, R. G. (1997). Program evaluation: Methods and case studies. Englewood cliffs. NJ: Prentice Hall.Google Scholar
  29. Ren, L. H. (2003). The study of the problems and social services for the teenage unwed mothers. Community Development Journal, 101, 135–147.Google Scholar
  30. Robson, C. (2000). Small scale evaluation: Principles and practice. London: Sage Publications.Google Scholar
  31. Rossi, P. H., Lipsey, M. W., & Freeman, H. E. (2003). Evaluation: A systematic approach. Thousand Oaks, CA: Sage Publications.Google Scholar
  32. Seamark, C. J., & Gray, D. J. P. (1997). Like mother, like daughter: A general practice study of maternal influences on teenage pregnancy. British Journal of General Practice, 47, 175–176.PubMedGoogle Scholar
  33. Turner, R. J., Grindstaff, C. F., & Phillips, N. (1990). Social support and outcome in teenage pregnancy. Journal of Health and Social Behavior, 31, 43–57.CrossRefPubMedGoogle Scholar
  34. Tzou, P. Y. (2000). A study of production efficiency in Taiwan’s medical social work. Social Policy & Social Work, 4(1), 77–155.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Hsi-sheng Wei
    • 1
  • Li-hsin Chen
    • 2
  • Hsiu-chih Su
    • 3
  • James Herbert Williams
    • 4
  1. 1.Department of Social WorkNational Taipei UniversityTaipeiTaiwan
  2. 2.Department of Social WorkChaoyang University of TechnologyWufengTaiwan
  3. 3.Department of Early Childhood Development and EducationChaoyang University of TechnologyWufengTaiwan
  4. 4.Graduate School of Social WorkUniversity of DenverDenverUSA

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