© 2013 Society for Public Health Education

Objectives. To present a new practice for promoting sexual health among youth, and a pilot evaluation. The Afterschool Health and Sexuality Education Project is a capacity-building program that provides staff train-ing, technical assistance, resource materials, and pol-icy recommendations to create organizational change that facilitates staff members ’ abilities to promote sex-ual and reproductive health for adolescents. Method. The evaluation included assessment of (a) sexual health educational materials, resources, and referral lists; (b) organizational policies that guide provision of sexual information and referrals; and (c) communica-tion about sexual health. Data were collected prior to intervention, 7 months later, and 1 year later using anonymous surveys of staff and adolescents, and researcher observations. Results. Results indicate that organizational support for addressing youth sexual health increased as did communication between staff and youth, with decreased barriers. Most, but not all, improvements were maintained at the 1-year follow-up. Organizational policies that support youth sexual health and the availability of educational materials, resources such as condoms, and referral lists also increased and were maintained at follow-up. Conclusions. Organizational systems change may cre-ate a broader, more sustainable environment for increas-ing communication between youth and adults and increasing resources to promote sexual health