Minnie Joycelyn Elders, known as Joycelyn Elders, is a pediatrician and professor at the University of Arkansas for Medical Sciences in Little Rock, Arkansas. In 1953, Elders began to work with the US Army, where she trained as a physical therapist, being the only African American woman in her training class. Elders eventually became a medical doctor in 1956, specializing in pediatric endocrinology. In 1993, then US President Bill Clinton appointed Elders as the Surgeon General for the United States Public Health Service Commissioned Corps, which she served as until 1994. At that time, Elders was the first African American to hold the position of Surgeon General in the US. Throughout her career, Elders often spoke about controversial topics, like comprehensive sexual health education and abortion. During her time as Surgeon General, Elders advocated for universal health care coverage, promoting comprehensive sexual health education and bringing awareness to teen pregnancy in the US.

On 23 April 2008, the US Government Accountability Office, or GAO, released a report titled, “Abstinence Education: Assessing the Accuracy and Effectiveness of Federally Funded Programs,” hereafter “Abstinence Education,” in which it investigated the scientific accuracy and effectiveness of abstinence-only education programs sanctioned by individual states and the US Department of Health and Human Services, or HHS. GAO is a government agency whose role is to examine the use of public funds, evaluate federal programs and activities, and provide nonpartisan support to the US Congress. In “Abstinence Education,” GAO found that as of August 2006, a variety of factors in such programs, such as inaccurate medical information, contributed to overall conclusions that abstinence-until-marriage programs were unsuccessful at reducing the rates of adolescent pregnancy. In “Abstinence Education,” GAO recommends that HHS implement procedures to better assure the accuracy of educational materials used in abstinence programs and to set standards that measure the effectiveness of those programs.