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Reducing Teenage Pregnancy in Sheffield. Sam Martin Joint Commissioning and Health Strategy Manager Sheffield City Council. Number of under 18 conceptions Number of births Number of abortions. 449 245 200. It’s not just about the numbers but…in 2008.
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Reducing Teenage Pregnancyin Sheffield Sam Martin Joint Commissioning and Health Strategy Manager Sheffield City Council
Number of under 18 conceptions Number of births Number of abortions 449 245 200 It’s not just about the numbers but…in 2008
Why reducing teenage pregnancy matters Impact on mother Increased risk at age 30 of: • Living in poverty • Unemployment • Single parent • No qualifications 3 x increased risk post natal depression Higher risk of poor mental health up to 3 years after birth
Why reducing teenage pregnancy matters Impact on child 60% higher infant mortality rate Mother 3 x more likely to smoke during pregnancy,more likely to have low weight birth, and 50% less likely to breastfeed, all with negative health consequences for the child 63% increased risk of being born into poverty Increased risk of: • mortality under 8 years old • accidents • behavioural problems • (for girls) becoming a teenage mother
Risk Factors • Early sexual activity • Poor contraceptive use • Poor mental health/conduct disorder/involvement in crime • Alcohol and substance misuse • Teenage motherhood • Repeat abortions • Low educational attainment • Disengagement from school • Leaving school at 16 with no qualifications • Living in care • Being a daughter of a teenage parent • Some ethnic minority groups. • Parental aspirations • Low socioeconomic background
National Reducing Teenage Pregnancy Strategy • Target: Reduce the rate of conception for 15-17 year olds by 50% by 2010, from the baseline rate in 1998.
Teenage Pregnancy National Support Team Visit 2007 • It’s a ‘health’ issue • It’s all about sex • Not targeted enough • Not systematic in efforts
What have we got to do ?– evidence from successful partnerships
senior local sponsorship and engagement of all key partners – inc communications and workforce training • Make good use of data • Good quality young people’s contraceptive and sexual health services • Strong delivery of PSHE and SRE in schools and in the youth services • Target interventions in the right place with the right people at the right time • Work with parents • RAISING ASPIRATION
What are we doing now? • Targeted Programmes • Expanding access to contraception including LARC • Workforce training • Better intelligence • Integration with other strategies i.e. targeted youth, sexual health, etc.
What difference can YOU make? • Don’t be afraid to tackle the sex and contraception issue! • Don’t assume that for some young people early parenthood is inevitable • Know where the support services are and how to access them for young people
What does the future hold? • National Strategy ends 2010 • Financial uncertainty – Comprehensive Spending Review • New focus of Coalition Government