Teenage Pregnancy Scrutiny Topic Group Seminar Local overview – targets, trends and national...
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Transcript of Teenage Pregnancy Scrutiny Topic Group Seminar Local overview – targets, trends and national...
Teenage Pregnancy Scrutiny Topic Group Seminar
Local overview – targets, trends and national recommended good practice
Christine Oker 18 May 2006
Hertfordshire TP targetsA 10 –year Teenage Pregnancy Strategy (2001-2010) with a rolling annual Action Plan of implementation. • 15% reduction in under 18 conception rate by 2004
• 45% reduction in under 18 conception rate by 2010• Increase to 60% the participation of teenage parents in education, training or employment to reduce their risk of long-term social exclusion by 2010
Teenage Pregnancy Trends in Hertfordshire Source: ONS & TPU, Jan 2006
0
5
10
15
20
25
30
35
40
45
50
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Und
er 1
8 co
ncep
tion
rate
per
100
0 Hertfordshire
England
East England
1998 baseline
2004 target
2010 target
Overall % change in U18 conception – 1998 -2003Eastern RegionSource: ONS & TPU, Feb 2006 1998
Numbers1998 Rates 2004
Numbers 2004 Rates Overall %
change 1998-2003
England 41,089 46.6 39,545 41.5 -11.1East of England 3,592 37.9 3,389 32.8 -13Hertfordshire County 588 32 546 27.4 -14.5Luton UA 159 43.1 180 44.7 3.8Peterborough UA 185 57.7 175 53.8 -6.7Southend-on-Sea UA 155 56.4 135 47.4 -16Thurrock UA 147 62.3 123 43.1 -30.7Bedfordshire County 282 41 242 32.3 -21.2Cambridgeshire County 305 31.4 268 25.6 -18.6
Essex County 841 36.9 773 30.6 -17Norfolk 491 37 513 35.8 -3.2Suffolk 439 37.5 434 33.9 -9.6
Under 18 conception split by age group, 2001-2003
0
5
10
15
20
25
30
35
40
45
Rat
e pe
r 100
0 gi
rls a
ged
15-1
7
16-17
<16
<16 16-17Hertfordshire 5.4 23.6East England 6.3 27.7England 8.1 34.3
A different picture at district level….
Overall % change in U18 conception at Herts district level – 1998 -2003Source: ONS & TPU Jan, 2006
Hertfordshire Districts
1998Number
1998Rate
2003Number
2003Rate
Overall% change1998-2003
Broxbourne 53 37.5 57 34.8 -7.2Dacorum 101 39.8 68 25.8 -35.2East Hertfordshire
52 23.5 50 20.7 -11.8
Hertsmere 39 23.5 50 27.2 16.8North Hertfordshire
69 31.7 67 32.0 0.7
St. Albans 52 23.3 42 18.4 -20.8Stevenage 76 53.5 78 47.6 -11.1Three Rivers 51 33.6 36 21.8 -35.1Watford 51 36.7 34 24.5 -33.2Welwyn Hatfield
44 24.8 61 33.5 36.1
Ward Level Conception ….
Ward Level Conception …There are 14 wards in the county with under 18 conception rates among the highest 20% in England. These wards are spread out with some in districts with low conception rates.
Source: TPU, under 18 conception rates at ward level 2001-2003
Education attainment also has an impact over and above the effects of deprivationDeprived wards with higher educational attainment have lower teenage conception ratesSource: TPU, 2005
Educational attainment & teenage pregnancyin 20% most deprived w ards
77.4
63.2
43.4
0
20
40
60
80
100
< 40% 40-60% > 60%
% girls w ith 5+ GCSEs A-C
Link between education attainment and u18 conception rate in Herts
Under 18 Conception Rate vs Girls Educational Attainment, Hertfordshire Local Authorities, 2003
R2 = 0.91
0
5
10
15
20
25
30
35
40
45
50
84 86 88 90 92 94 96 98
Percent of girls with 5 or more GCSE's at grades A*-G
Con
cept
ion
Rat
e
Understanding the causes of teenage pregnancy is complex……
Sexual activity
Contraceptive use Behaviour Alcohol
Knowledge: sex, contraception & relationships Family/
community
Access: to contraception &
advice
PHSE/SRE outside school
PHSE/SRE in school
Peer groups
School: attainment, attendance, aspirations
Wider social,
economic, environmental
factors
Influences Individual
characteristics
Planned birth (14%)
Abortion (46%)
Unplanned birth (40%)
Under 18 conception
Outcomes Planned birth
(14%) Abortion (46%)
Unplanned birth (40%)
Under 18 conception
Outcomes Planned birth
(14%) Abortion (46%)
Unplanned birth (40%)
Under 18 conception
Outcomes
Some Local Challenges…
• Understanding the causes of teenage
pregnancy locally
remains complex • Mainstreaming of successful projects
• Ongoing re-organisation in Health
• Education of school age mothers•SRE support to schools
National Recommended Good Practice – “deep dive findings” • All key partners contributing to the Strategy
• Strong delivery of SRE/PSHE by schools
• Accessible, confidential, highly visible, young people friendly sexual health/contraceptive advice services
• Workforce training on sex and relationship issues within mainstream partner agencies
• Targeted work with at risk groups of young people, in particular Looked After Children
• Active and well resourced youth service