This report is a first year summative and formative evaluation of the Appalachian Adolescent Health Education Project (AAHEP), a program designed to reduce adolescent pregnancy and provide care for pregnant teenagers in East Tennessee. It attempts to determine the impact of the project on teenage pregnancy in the 15-county target area and the degree to which the project has met it objectives during the first year. It also provides information, conclusions, and recommendations to project managers for necessary project changes and planning. Three types of data are included: (1) a set of data from the Bureau of Statistics, Tennessee Department of Public Health and Environment; (2) data from project files; and (3) questionnaire data gathered from counselors, clients, and agency representatives. Baseline data is provided for future project assessment. The data provides information on services, pre-natal and post-natal referral groups, and dissemination. Interview summaries from delivered mothers (N=4), health care providers, and school personnel (N=9) are also included. Conclusions and recommendations are given for goals, program objectives, and management objectives. Ten figures, 31 tables, and questionnaires used in the evaluation are provided. (ABB)