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Teenage Pregnancy: Accelerating the Strategy to 2010

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    1. Teenage Pregnancy: Accelerating the Strategy to 2010 Alison Hadley Programme Manager Teenage Pregnancy Unit Department for Education and Skills

    3. Teenage Pregnancy Strategy (1999): the goals ?Halve the under 18 conception rate by 2010 a joint DfES and DH Public Service Agreement - as part of a broader strategy to improve sexual health ?Improve the outcomes for teenage parents and their children, with a goal of 60% of 16-19 mothers in education, training or employment by 2010 revised support strategy to be published in Spring ?10 year strategies in each top tier Local Authority to reach local reduction targets. Strategies led by local teenage pregnancy co-ordinators with Teenage Pregnancy Partnership Boards

    4. Progress to date: 1998-2005 ?11.8% decline in under 18 conception rate ?12.1% decline in under 16 conception rate ?Under 18 rate at the lowest level for 20 years ?But progress varies if all areas had seen reductions similar to the top quartile of LAs, the national rate would have declined by 23%

    5. Change in under-18 conception rate by Region 1998-2005

    6. Delivery matters: 83% of LAs have declining rates but 17% have static or increasing rates

    7. The Teenage Pregnancy: accelerating the Strategy to 2010 Whats working: actions all areas should have in place

    8. Good local delivery brings down rates: The 10 key characteristics of successful programmes ?Strategic: senior local sponsorship and engagement of all key partners ?Data: local data and population knowledge used to inform provision of local services and targeted action ?Communication: clear communication with partners as well as communicating messages to young people, parents and communities ?Strong delivery of sex and relationships education (SRE) within PSHE by schools new duty on school governors to promote pupil well being ?Young people focused contraception/sexual health services, trusted by teenagers and well known by professionals working with them

    9. 10 key characteristics of successful programmes ?Targeted SRE work with at risk groups of young people, in particular Looked After Children and Care Leavers ?Workforce training on sex and relationships issues within mainstream partner agencies ?A well resourced Youth Service, with a clear remit to tackle big issues, such as teenage pregnancy and young peoples sexual health ?Work on raising aspirations of young people most at risk including positive activities (a new statutory duty for LAs) ?Support for parents on SRE to encourage early discussion with their children Teenage Pregnancy: working towards 2010. Good practice and self assessment toolkit. DfES/DH. 2006

    10. The Teenage Pregnancy: accelerating the Strategy to 2010 Which young people are most at risk of teenage pregnancy

    11. Who is most at risk of early pregnancy? ?50% of conceptions in 20% wards with the highest rates with the vast majority of areas having at least one hotspot ward ?80% of conceptions are to 16-17 year olds ?Strong links with deprivation but education attainment appears to have overriding influence: rates double in similarly deprived wards where girls achieve poorly at GCSE ?37% of teenage mothers have no educational qualifications ?Low maternal educational aspirations of daughter at age 10 ?Poor school attendance dislike of school important predictor

    12. Who is most at risk of early pregnancy? ?LAC/ care leavers 3 times prevalence of motherhood <18 ?Conduct disorders and mental health problems ?Some ethnic groups: teenage motherhood higher in mixed white and black Caribbean, other black and black Caribbean young women ?Teenagers with a previous pregnancy: 20% births conceived to under 18s are to teen mothers; 7.5% of under 18 abortions are repeat abortions

    13. Deprived wards with higher educational attainment have lower teenage conception rates

    14.

    15. and on non-use of contraception

    16. Ward under-18 conception rates in England 2001-03

    17. Targeting young people most at risk Sheffield: under 18 conception rates by ward ? indicates secondary schools

    18. Examples of strengthening local targeted work Development of specialist PSHE teams, recruitment onto PSHE certification programme and Healthy Schools status prioritised for schools serving hotspot wards and Pupil Referral Units. Development of school based contraception/sexual health services in target schools and in FE colleges Outreach work to young people most at risk linking them into services providing full range of contraception Follow up of teenage parents and post abortion to prevent repeat unplanned conceptions

    19. Examples of strengthening local targeted work Workforce training on SRE with programmes in touch with young people most at risk Youth development and positive activities programmes targeted at most excluded and disadvantaged young people Parenting support for parents of pre-teens and teenagers most at risk on SRE and aspiration

    20. Next steps: making it happen ?Teenage Pregnancy Next Steps: guidance to Local Authorities and PCTs (July 2006) ?Teenage Pregnancy Strategy: Accelerating the Strategy to 2010 (September 2006) Requires all areas to: ? Implement deep dive factors ? Strengthen strategies to reach young people most at risk linking to programmes tackling underlying risk factors ? Integrate and mainstream strategy into Children and Young Peoples Plans and Targeted Youth Support arrangements ? Teenage Pregnancy Self Assessment Toolkit all areas to identify weaknesses and revise strategies ? Additional monitoring and support for areas with high and increasing rates and those off trajectory for their 2010 target through Government Offices, with DH National Support Team

    21. The challenge ahead Keeping the focus on teenage pregnancy prevention and support - within an integrated youth support strategy Recognising the interdependencies between teenage pregnancy and improving other outcomes for children and young people Making teenage pregnancy everyones business! and reasons to be cheerful Rates are coming down We know what works Young people and teenage pregnancy never a higher priority for government!

    22. Teenage Pregnancy: Accelerating the Strategy to 2010 Alison Hadley Programme Manager Teenage Pregnancy Unit Department for Education and Skills