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Teenage Pregnancy Scrutiny Topic Group Seminar
Local overview – targets, trends and national
recommended good practice
Christine Oker
18 May 2006
Hertfordshire TP targets
A 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 longterm social exclusion by 2010
Teenage Pregnancy Trends in Hertfordshire
Source: ONS & TPU, Jan 2006
Under 18 conception rate per 1000
50
1998
baseline
2004
target
2010
target
45
40
Hertfordshire
35
30
England
25
East England
20
15
10
5
0
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Overall % change in U18 conception – 1998 -2003
Eastern Region
Source: ONS & TPU, Feb 2006
1998
Numbers
England
1998 Rates
2004
Numbers
2004 Rates
Overall %
change
1998-2003
41,089
46.6
39,545
41.5
-11.1
3,592
37.9
3,389
32.8
-13
Hertfordshire County
588
32
546
27.4
-14.5
Luton UA
159
43.1
180
44.7
3.8
Peterborough UA
185
57.7
175
53.8
-6.7
Southend-on-Sea UA
155
56.4
135
47.4
-16
Thurrock UA
147
62.3
123
43.1
-30.7
Bedfordshire County
282
41
242
32.3
-21.2
Cambridgeshire County
305
31.4
268
25.6
-18.6
Essex County
841
36.9
773
30.6
-17
Norfolk
491
37
513
35.8
-3.2
Suffolk
439
37.5
434
33.9
-9.6
East of England
Under 18 conception split by age group, 2001-2003
40
35
30
25
16-17
20
<16
15
10
5
nd
ng
la
E
tE
as
E
er
t
fo
r
ng
ds
h
la
n
d
ire
0
H
Rate per 1000 girls aged 15-17
45
Hertfordshire
East England
England
<16
5.4
6.3
8.1
16-17
23.6
27.7
34.3
A different picture at district level….
Overall % change in U18 conception at
Herts district level – 1998 -2003
Source: ONS & TPU Jan, 2006
Hertfordshire
Districts
1998
Number
1998
Rate
2003
Number
2003
Rate
Overall
% change
1998-2003
Broxbourne
53
37.5
57
34.8
-7.2
Dacorum
101
39.8
68
25.8
-35.2
East
Hertfordshire
52
23.5
50
20.7
-11.8
Hertsmere
39
23.5
50
27.2
16.8
North
Hertfordshire
69
31.7
67
32.0
0.7
St. Albans
52
23.3
42
18.4
-20.8
Stevenage
76
53.5
78
47.6
-11.1
Three Rivers
51
33.6
36
21.8
-35.1
Watford
51
36.7
34
24.5
-33.2
Welwyn
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
deprivation
Deprived wards with higher educational attainment have lower
teenage conception rates
Source: TPU, 2005
Link between education attainment
and u18 conception rate in Herts
Under 18 Conception Rate vs Girls Educational
Attainment, Hertfordshire Local Authorities, 2003
50
45
Conception Rate
40
35
30
25
20
2
R = 0.91
15
10
5
0
84
86
88
90
92
94
96
Percent of girls with 5 or more GCSE's at grades A*-G
98
Understanding the causes of teenage pregnancy is complex……
Planned birth
(14%)
Outcomes
Unplanned
birth (40%)
Abortion
(46%)
Under 18 conception
Sexual
activity
Behaviour
Alcohol
Knowledge:
sex, contraception
& relationships
Family/
community
Peer
groups
Influences
PHSE/SRE
outside
school
Individual
characteristic
s
Contraceptive
use
Access:
to contraception &
advice
PHSE/SRE
in school
School:
attainment,
attendance,
aspirations
Wider
social,
economic,
environmental
factors
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