Reducing Teenage Pregnancy in Sheffield

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Reducing Teenage Pregnancyin Sheffield

• Sam Martin
• Joint Commissioning and Health Strategy Manager
• Sheffield City Council

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Its not just about the numbers butin 2007

• 496
• 250
• 239
• 389
• 119

• Number of under 18 conceptions
• Number of births
• Number of abortions
• Number of conceptions age 16-17
• Number of conceptions under 16

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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

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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

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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

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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.

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So How Are We Doing So Far..
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Trends in under 18 conception rates. LAs within
Yorkshire and Humberside Region, 1998-2006

• Figure 3

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Why havent we made an impact?
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Its a health issueIts all about sexNot
targeted enoughNot systematic in efforts
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What have we got to do ? evidence from
successful partnerships
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• senior local sponsorship and engagement of all
  key partners inc communications and workforce
  training
• Make good use of data
• Good quality young peoples 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

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What difference can YOU make?

• Dont be afraid to tackle the sex and
  contraception issue!
• Dont assume that for some young people early
  parenthood is inevitable
• Know where the support services are and how to
  access them for young people