Local Children’s Partnerships
Reducing teenage conceptions
- everybody’s business!
Jayne Shelbourn-Barrow, Strategic Manager Teenage Pregnancy,
HPDW Team
The issue is complex as there are a range of factors that are
associated with whether a teenager becomes pregnant
Looked after children /
young people leaving care
Behavioural
problems
Disengagement
from school / poor
attendance
Poor educational
attainment
Sexual abuse in
childhood
Social
deprivation
Lack of confidence
in resisting pressure
to have sex
Mental health
problems
Emotional
well-being
Low aspirations
Cultural influence
Low self-esteem
Peer influence
Parental
influence
Alcohol/substance
misuse
Teenage
Pregnancy
More likely to
have sex early
Teenage
mother
Poor and inconsistent
contraceptive use among
Fear of
Lack of confidence young people
parents/carers
in mainstream health
finding out
Lack of easy
services
access to
Young
people
lack
skills
contraception
Parents and professionals
and
confidence
to
make
lack confidence to discuss
and carry through
sex and relationship issues
positive choices
with young people
Ethnicity
Less likely to use
contraception
Poor knowledge and skills
among young people in
relation to sex, relationships
and sexual health risks
Low knowledge levels among
boys and young men
The impact on the outcomes for
children and young people who
become teenage parents
• less likely to finish their education, and more likely to
bring up their child alone and in poverty;
• The infant mortality rate for babies born to teenage
mothers is 60% higher than for babies born to older
mothers;
• Teenage mothers have three times the rate of postnatal depression of older mothers and a higher risk of
poor mental health for three years after the birth
The impact on the outcomes for
children of teenage parents
• Children of teenage mothers are
generally at increased risk of poverty,
low educational attainment, poor
housing and poor health, and have
lower rates of economic activity in adult
life
Key facts and measures – national data
•
•
•
•
Provisional 2009 under-18 conception data shows
5.7% reduction from 2008 – bringing decline from 1998
to 18.1%
Under 18 conceptions and births to lowest level for
nearly 30 years.
% leading to abortion is 49.0%
Provisional 2009 under 16 conception data shows a
rate of 7.5 – a decrease of 4% from the 2008 rate with
60.2% leading to abortion.
England
South East
50
Under 18 conception rate per 1000
Hampshire County
40
30
20
10
0
1997
1998
1999
2000
2001
2002
2003
2004
Year
2005
2006
2007
2008
2009
2010
Hampshire Data
• Provisional 2009 Hampshire under 18 conception
data was 28.9 showing a decrease of 5.1 from the
final 2008 rate of 34.0.
• This was an decrease in the number of conceptions
from 819 to 687 (less 132).
• Our percentage reduction from 1998 is now -19.6% (
2008 -5.4%). The England % reduction is -18.1% and
the South East region -20.4%.
Evidence review
• Vast majority of teenage pregnancies are unplanned
• Provision of high quality SRE (Kirby 2007) and
improved use of contraception (Santelli 2008) are
areas where strongest empirical evidence exists on
impact on teenage pregnancy rates
• Qualitative evidence identifies senior leadership,
workforce training and effective use of data as also
being critical
• No evidence that alternative approaches (e.g.
abstinence-based/benefit conditionality) are effective
So how are we doing in
Basingstoke & Deane?
• For the under 18 conception rate (2007-09 data) – 3rd highest rated
district with a conception rate of 34.0 (per 1000 young women)for
under 18’s (with 48% resulting in abortion)
• In number terms this means an average of 97 conceptions per year
• (2.4 decrease from 36.4 2006-08 ) no. of conceptions = 291 (21
decrease from 312 in 2006-08)
• For the under 16 conception rate (2006-08 data) – 3rd highest rated
district with a conception rate of 7.2 (with 59% resulting in
abortion). Numbers approx 20 per year
• REMEMBER a good % of these are our most vulnerable young
women
Hampshire Districts – U18 conception rate
Hampshire County
2007-09 rate
(2006-08)
2007-09
number
(2006-08)
2007-09 % leading
to abortion
(2006-08)
% change in rate
98/00 – 07/09
Hampshire
31.5 (32.7)
2266 (2366)
52%
(53%)
Gosport
52.3 (56.9)
223
(245)
44%
(48%)
3.4%
Havant
41.7 (42.5)
281
(292)
50%
(49%)
-33.9%
Rushmoor
33.4 (41.2)
173
(208)
50%
(51%)
-18.7%
Basingstoke
34.0 (36.4)
291
(312)
48%
(50%)
-6.6%
Test Valley
33.1 (31.8)
219
(211)
55%
(55%)
10.3%
New Forest
29.6 (30.0)
270
(276)
50%
(53%)
-9.7%
Eastleigh
33.9 (31.3)
237
(223)
54%
(54%)
6.7%
Fareham
28.9 (29.6)
177
(184)
66%
(64%)
-3.5%
East Hampshire
24.5 (26.0)
166
(178)
50%
(52%)
6.7%
Winchester
20.9 (21.4)
134
(136)
58%
(60%)
0.4%
Hart
18.5 (19.7)
95
(101)
54%
(60%)
-13.4%
B&D Wards 2006-08
WARD
Popley West
Eastrop
South Ham
Buckskin
Brookvale and Kings Furlong
Popley East
Norden
Brighton Hill North
Brighton Hill South
Pamber
Tadley North
Tadley South
Winklebury
Basing
East Woodhay
Under 18
15
15
24
26
13
24
32
14
12
5
14
10
12
11
6
UNDER 18
CONCEPTION RATE IMD Score
2006-08 2007
73.9
67.0
64.3
63.4
62.8
62.3
52.7
39.9
38.7
38.2
34.2
33.6
32.7
30.6
30.2
17.76
13.72
21.75
23.80
11.92
21.66
17.34
8.69
16.11
4.79
7.20
4.00
14.69
4.96
4.01
Some new challenges since 1998
(when the TP strategy baseline data was calculated)
▪ Increasing use of the internet and mobile phone technology by
young people
▪ Early sexualisation and celebrity culture
▪ Alcohol-fuelled sexual activity – and the impact on consensual,
safe relationships
▪ Potential impact of recession on poverty and aspiration
▪ A tougher financial climate in public services – doing more with
less!
Good practice examples to support
improvements in Hampshire
• Helping schools to improve delivery of SRE
• Improving access to contraception (GET IT ON website,
community schemes, clinics in FE colleges, outreach)
• Children’s Trust SRE policy / workforce development
programme
• Promoting work on teenage pregnancy within the
wider health and well-being agenda (health and wellbeing drop ins on school sites)
• Work of Children’s centres in supporting teenage
parents
• Helping parents to talk to their children about SRE
(Speakeasy and Teen Triple P)
Good Practice in B&D – Sure Start
Children’s Centres
•
•
•
•
•
•
•
•
•
Linked midwives and health visitors to each CC
Young parents groups established
Postnatal and baby clinics running in centres
PEEP programme – 0-3 yrs
Antenatal programme – joint delivery through HV/midwifery
/FSOW and delivered in the community
Breastfeeding support – young parents trained as supporters
Links with vulnerable pregnancy group at NHH
Speakeasy programme
JCP support and advice
Amy is 17 years old
•
•
•
•
•
•
•
•
•
Amy is currently pregnant
Amy has a supportive partner who is working
Amy’s mum is going to evict her from the family home
Amy’s attendance was poor at school
Amy is currently not in work, education on training
Amy has low self esteem
Amy does not have many friends
Amy does not have a good relationship with her parents
Amy is currently being treated for a Sexually Transmitted Infection
What could your agency have done to improve this young
person’s outcomes?
Charlie is 18 years old and a dad
• Charlie’s girlfriend has just had a baby
• Charlie is excited about becoming a dad
but also very scared
• Charlie has a good relationship with his mum
but doesn’t see his dad
• None of Charlie’s friends are dads and he is feeling overwhelmed
• Charlie is worried about how he will provide for his family as he currently
doesn’t have a job
• Charlie obtained some GCSE’s and went to college but dropped out of
college as he didn’t like the course.
What could your agency have done to improve this young person’s
outcomes?
Daisy is a school pupil
•
•
•
•
Daisy is 15 years old
Daisy has just discovered she is 18 weeks pregnant
Daisy’s mum has informed the school she is pregnant
Daisy has not told any of her friends she is pregnant and is scared of
their reaction
• Daisy’s boyfriend is also 15 years old and Daisy is worried he might get
in trouble with the police for getting her pregnant
• Daisy’s attendance has never been good at school and now her mum
is worried now that she is pregnant she may use this as an excuse not
to go to school
What could your agency have done to improve this young
person’s outcomes?
How can local children’s partnerships
contribute to improvement?
• A member of the Local Children’s Partnership
should sit on the Local Implementation Team
(LIT) for TP
• The LIT should be a sub group of the Local
Partnership
• The LCP should provide challenge for LIT
• The LCP should ensure that TP ‘everyone’s
business’