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How to stop teenagers getting pregnant – a world challenge

2016-09-26 17:19 GMT+8  to 
Editor Dang Zheng
Today is World Contraception Day and once again the issue of teenage pregnancies is in the world’s media spotlight. While the rate of teenage pregnancies has gone down over the last 25 years, a lot of work still needs to be done if the number is to be lowered further. 
According to the World Health Statistics published by the World Health Organization (WHO) in 2014, the average global birth rate among 15 to 19 years old is 49 per 1,000 girls. In simple language that means around the world, 1 in every 20 girls between the ages of 15 to 19 has had a baby. 
Although the birth rate among teenage girls has been decreasing since 1990,11% of all births worldwide are still to girls aged 15 to 19 years old. The vast majority of these births, 95%, happen in low- and middle-income countries.
Today is World Contraception Day.

LACKING KNOWLEDGE OF CONTRACEPTION

The lack of awareness about contraception is thought to be one of reasons for the teenage pregnancy figures, and at the same time this lack of knowledge is a contributory factor in the number of unsafe abortion which has increased. The WHO’s 2014 statistics estimate that there are 3 million girls, ranging from 15 years old to 19 years old undergo unsafe abortions every year.

A doctor is talking with teenage girl and mother.

China witnessed more than 13 million people undergoing abortion in 2013, according to the National Health and Family Planning Commission. In Beijing, according to a survey by the People’s Hospital on abortions at the hospital in 2012, 20%-30% of the 5,000 abortions conducted were on teenagers under the age of 18.

NOT JUST LACK OF KNOWLEDGE ABOUT CONTRACEPTION

Even when teenagers know about contraception, the problem of teenage pregnancies does not end there. Being shy to seek contraceptive services and lack of sex education are also factors in the teenage pregnancy rate in a country. Dating back to 2011, Durex, one of the global condom manufacturers, released its survey on sexual behavior in over 36 countries. In China, more than 2,000 respondents were surveyed. 18% of them claimed that they had not receivedsystematic sex education from “school or related organization”.

A report on China’s teenage reproductive health was published in 2015, claiming that more than 50% Chinese teenagers consented to premarital sex but had no knowledge of contraception when having sex initially. The report did not give an exact definition of the ages of adolescents but the country had stipulated that 22 years old for males and 20 years old for females were the legal ages of marriage.

OTHER FACTORS CONTRIBUTING TO TEENAGE PREGNANCIES

While access and knowledge of contraception is seen by most as an importantfactor in reducing the rate of teenage pregnancies, it should not be viewed in isolation.

Marriage, pregnancy and childbirth are planned for some teenagers in some countries. People in many villages in China, for example, tend to prefer early marriages in order to ensure the continuation of the family line. Moreover, in some rural areas, there is a belief that a marriage witnessed by family members and relatives is legal. These handed-down customs often compel teenagers to having sex and giving birth early.

HARMS RESULTING FROM TEENAGE PREGNANCY

Pregnancy and childbirth complications have become the second highest cause of death among 15 to 19 year olds globally, according to the WHO. The 3 million unsafe abortions around the world each year contribute to maternal deaths and can cause lasting health problems to the girls who undergo them.

For the young mothers who choose to deliver their babies, both the mothers and the newborns have higher health risks. Babies born to mothers under 20 have a 50% higher risk of being still born or dying in the first few weeks compared to those born to mothers aged 20-29, the WHO reported.

SUGGESTED MEASUREMENTS

WHO, UNFPA and the World Contraception Day have long been aiming to help teenagers reduce the chance of becoming pregnant by promoting education about sex and reproductive health. Sponsored by more than 15 international non-governmental organizations, the World Contraception Day set up its websites in more than 10 countries to give people access to contraception.

Infographic.
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