Teen pregnancy rates hit a 30-year low statewide in 2008. Watauga County is the second lowest in the state, which Watauga Healthy Carolinians attributes to the Baby Think it Over curriculum taught to all incoming freshman at the high school. Also, In 1996, Appalachian Regional Healthcare Systems and Watauga Healthy Carolinians introduced the Baby Think it Over program at Watauga High School.

The program is now a part of the curriculum of the required healthful living course for ninth graders. Students are assigned a doll for one weekend during the school year. The dolls are equipped with a computer chip that records the "baby" care each student provides. The doll cries, requires diaper changes and feeding. "The kids come in on Monday and can't wait to give the baby back, and that's the idea," said Bryan Belcher, manager of Watauga Healthy Carolinians.

The community provides programs for teens, such as arts, sports, parks and recreation, religious activities and there is strong parental involvement. All of those factors contribute to low teen pregnancy rates.