Reducing Teenage Pregnancy
in Sheffield
Sam Martin
Joint Commissioning and Health
Strategy Manager
Sheffield City Council
It’s not just about the numbers
but…in 2008
• Number of under 18
conceptions
• Number of births
• Number of abortions
449
245
200
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
•
•
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•
•
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•
•
•
•
•
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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.
So How Are We Doing So
Far…..
Sheffield Quarterly rate
Sheffield Rolling average
Sheffield Annual Rate
Other Sheffield targets
Yorkshire & Humber Quarterly Average
England Quarterly Average
Quarter & Year
Sheffield LAA targets
Sept
March
2010
Sept
March
2009
Sept
March
2008
Sept
March
2007
Sept
March
2006
Sept
March
2005
Sept
March
2004
Sept
March
2003
Sept
March
2002
Sept
March
2001
Sept
March
2000
Sept
March
1999
Sept
March
1998
Rate per 1,000 females aged 15-17 years
65
60
55
50
45
40
35
30
Trends in under 18 conception rates. Statistical Neighbours
Under 18 conception rate (Q1 2009 calendar year)
60
Statistical Neighbours
Statistical Neighbour average
58
56
54
52
50
48
46
47
44
42
Dudley
Sheffield
Plymouth
Portsmouth
Leeds
Telford and
Wrekin
Southampton
Derby
Rotherham
Peterborough
Tameside
The change in the rate of under-18 conceptions per 1,000 girls (Q1 2009 calendar year) as compared with the
1998 baseline rate, shown as a percentage of the 1998 calendar year rate
0.078358209
10.0%
5.0%
0.001984127
-0.134646962
-0.163009404
-20.0%
-0.200934579
-25.0%
-0.223034735
-0.156140351
-0.041594454
Tameside
-0.049469965
Leeds
Rotherham
Sheffield
Plymouth
-0.12797075
-0.069306931
Peterborough
-15.0%
Southampton
Derby
Portsmouth
-10.0%
Telford and
Wrekin
-5.0%
Dudley
0.0%
Under 18 Years Conceptions and Abortions 2006-2008
(based on year of outcome event)
90.0
80
80.0
70
70.0
60
60.0
50
50.0
40
40.0
% Abortions
rate per 1,000 girls aged 15-17 yrs
Neighbourhood Deprivation Quintiles*
30
30.0
20
20.0
10.0
10
0.0
0
Most Deprived
Above Average
Average
Below average
Least Deprived
2008 Deprivation Quintile (% households receiving income support/council tax beneft)
Conception Rate
Source: Inpatient data sets, Population Health Register
Abortion Rate
% Abortions
Public Health Analysis Team (AR), NHS Sheffield
Teenage Pregnancy National
Support Team Visit 2007
•
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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