Transcript The Teenage Pregnancy Strategy for England: Working together

The Teenage Pregnancy
Strategy
Rising to the 2010 challenge
Wendy Nicholson
Regional Teenage Pregnancy Co-ordinator
The Teenage Pregnancy Strategy:
the goals
Halve the under 18 conception rate by 2010 and set a
firmly established downward trend in under 16
conceptions
Improve the health and social outcomes for teenage
parents and their children, with a goal of 60% of
teenage parents in education, training or employment
by 2010
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
The evidence base for the strategy: SEU
Teenage Pregnancy Report (1999)
Clear messages to young people in their own media
SRE in schools and out of school settings providing
knowledge and skills on delaying first sex, risks of
unprotected sex and effective contraceptive/condom
use
Open discussion with parents/carers
Easy access to confidential youth friendly
contraceptive/sexual health services
Tailored health and social support for teenage parents
… a multi-faceted approach, with ALL factors in place,
intensive delivery to at risk groups, combined with
additional motivation to delay early pregnancy
A Government Priority
DfES/DH Public Service Agreement: to half the under
18 conception rate as part of a broader strategy to
improve sexual health
DH Public Service Agreement to reduce infant
mortality by 10% by 2010
DfES Public Service Agreement to reduce the
proportion of young people not in education,
employment or training by 2 percentage points by
2010
A priority supported by…
Children and Young People’s National Service
Framework
Public Health White Paper: Choosing Health
National Healthy Schools Programme
Forthcoming Youth Green Paper
All programmes prioritise the reduction of under 18
conceptions and STIs and support for teenage
parents - with universal improvements for all and
intensive support for those most at risk
A local priority for Local Authorities and the NHS
Change for Children Outcomes Framework
Be Healthy Outcome: Sexually Healthy
Target: under 18 conception rates
Indicator: Diagnostic rate of new episodes of STIs among
under 16s and 16-19s
Achieve Economic Well-being
Target: 16-19s not in education, employment and training
PCT indicators: progress towards under 18 conception target;
48 hour access to GUM clinics; number of new diagnoses of
gonorrhoea; % of 15-24s accepting chlamydia screening
50
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2004 target
1998 baseline
Under 18 rate
Under 16 rate
2010 target
10
5
0
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Conception rate per 1000
Progress towards national target accelerated decline required after 2004
Year
National evaluation in-depth study: factors
associated with declining rate areas
 Strong local leadership
 Effective partnerships
 Robust, senior coordination
 Local support for the Strategy
 High priority on public health agenda
 LEA support on PSHE implementation
 Access to young people’s sexual health services
..in short all factors had to be in place – assisted by small
population sizes
Progress in the North West
6 red traffic light areas
5 amber / red
1 amber / green
10 green
Less than 50% of areas have a sustained
reduction from the baseline
The NW has the 2nd highest national rate
(London being the highest)
If the NW rates do not decrease the national
target will not be achieved
The Teenage Pregnancy Strategy:
next steps
 Meeting the 2010 target
 Revisiting the evidence base
 The policy priority
 Mid-strategy review of progress
 Strengthened, targeted implementation
 Planning for 05-06 and Children and Young
People’s Plans
Beyond 2006
Raising aspiration and self esteem
Delaying first sex
Enhancing regeneration
Enhanced opportunity
Long term solution not short term fixes
Mainstreaming the strategy
Financial commitment
Joint ownership
Embracing success and learning from what
works
Strengthening all aspects of strategy to high
rate areas and vulnerable groups
Under 18 conceptions highly concentrated (50% of
conceptions in 20% wards with the highest rates)
At least one ‘hotspot’ ward in majority of LAs
Strong links with deprivation and education attainment (over
and above deprivation)
Under 18 conception rates average 68 per 1000 in deprived
wards where <40% girls achieve 5+ GCSEs v 51 in deprived
wards with >50% 5+ GCSEs
Poor school attendance also closely linked
Other vulnerable groups: LAC/ care leavers, young offenders,
young people with mental health problems, some ethnic
groups: teenage motherhood higher among Black and mixed
White and Black ethnic groups
Planning for 05-06 and Children and Young
People’s Plans
New data and analysis to help Partnership Boards
review progress, identify vulnerable groups and high
rate neighbourhoods, local census data on teenage
mothers, and progress of ‘statistical neighbours’
Guidance for 05-06 Action Plan: strategic objectives
of Strategy set out against ECM five outcomes:
universal and targeted action for each objective
Integration of all aspects of teenage pregnancy
strategy into universal and targeted Children and
Young People’s Plans April 06
Finally,
If we invest in young
people we invest in
the future, if we fail to
support young people
what does the future
hold for us all?
Contact details:
Wendy Nicholson
Regional Teenage Pregnancy Co-ordinator
[email protected]