let girls be girls, not mothers!

!!!!!!

!!

!!

!

LET GIRLS BE GIRLS, NOT MOTHERS!

!!!!!!

"#$%&'#(!)$*#$+,-!.&*!$/+!*+012$%&'!!&.!3++'#,+!4*+,'#'2-!56789!:!678;<!

!!

!!!!

!!

Reducing Teenage Pregnancy in Sierra Leone – February 2013 !"

!

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 #"

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

$;94=2'F+8'G"#"HI'J;4=8*492')1'234'#456C78B')1':84;;+'<4)94'

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 $"

(IF<$'"!'K"L($L(''

!"#$%"#&$ M'(IF<$'"!'K"L($L($ N'IK#"LOH:$ .'' 'P$L$#I<'K"L($Q('$

R'

$ Q;Q;$!"#$M(&=6#*$$

R'

$ Q;R;$C3((#)+$H)&16#57#$&,$5#+#(*.)/)+2$$

S'

$ Q;S$!"#$<*4/9+$&,$+"#$4(&=6#*$$

T'

$ '(U$':(#I($PO''$

/V'

$ R;Q$!"#$,(/*#1&(H$&,$+"#$-+(/+#7:$$

/V'

$ R;R$!"#$C&&(5.)/+.&)$&,$+"#$-+(/+#7:$$

//'

$ R;S$G&).+&(.)7$/)5$T'/63/+.&)$$

/N'

$ 'JW<<I#'/X' WD5;)E4*'5)78B,' +9*' 74?+7' 49E8;)9D492' 2)'5;)24B2' +*)74=B492='+9*',)69?'54)574Y=';8?32='$

/R'

JW<<I#' MX' WD5;)E4*' +BB4==' 2)' Z6+782,' :#U-' J;)24B28)9' +9*' $*6B+28)9'=4;E8B4='1);'+*)74=B492='+9*',)69?'54)574'$

/S'

JW<<I#'NX'K)D5;4349=8E4'+?4'+55;)5;8+24' 891);D+28)9'+9*'4*6B+28)9' 1);'+*)74=B492='+9*',)69?'54)574'$

/T'

JW<<I#' .X' K)DD698284=-' +*)74=B492=' +9*' ,)69?' 54)574' 4D5)A4;4*' 2)'5;4E492'+9*';4=5)9*'2)'2449+?4'5;4?9+9B,'$

/>'

JW<<I#' RX' K));*89+28)9-'H)982);89?' +9*' $E+76+28)9'D4B3+98=D=' 89' 57+B4'+9*'+77)A89?'5;)54;'D+9+?4D492')1'234'=2;+24?,'$

/['

$

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 %"

IK#"LOH:''''

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

H:%PKI' G.).2+(:$&,$-&9./6$N#6,/(#8$%#)5#($/)5$C".65(#)V2$K,,/.(2'H(K' G36+.2#9+&(/6$!#9").9/6$C&**.++##$&,$+"#$-+(/+#7:'HOI' G.).2+(:$&,$U&3+"$K,,/.(2'LIK:I' J/+.&)/6$C&**.22.&)$,&($-&9./6$K9+.&)$'LI:' J/+.&)/6$K<Y-$-#9(#+/(./+'LP"=' J&)F%&'#()*#)+/6$L(7/).B/+.&)'JU]=' M#(.4"#(/6$X#/6+"$I).+':<&U:' -.#((/$0#&)#$Y#*&7(/4".9$X#/6+"$-3('#:':J]' -+(/+#7:$/)5$M&6.9:$I).+']L' I).+#5$J/+.&)2'

]L'IW&:' [&.)+$I).+#5$J/+.&)2$M(&7(/**#$&)$X<\]K<Y-']L'%)D49' I).+#5$J/+.&)2$T)+.+:$,&($%#)5#($TE3/6.+:$/)5$+"#$T*4&1#(*#)+$&,$N&*#)'

]L&J' I).+#5$J/+.&)2$Y#'#6&4*#)+$M(&7(/**#']L!JI' I).+#5$J/+.&)2$M&436/+.&)$Z3)5']LWK$!' I).+#5$J/+.&)2$C".65(#)V2$Z3)5'%U"' N&(65$X#/6+"$L(7/).B/+.&)'

''

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 &"

P494;+7'K)924^2X$$Q;Q !XT$MWLO0TG$

$%6&=/66:8$ .+$ .2$ #2+.*/+#5$ +"/+$ Q?$G.66.&)$ /5&6#29#)+2$ =#+1##)$ +"#$ /7#$ &,$ Q^$ /)5$ Q_$ 7.'#$ =.(+";$I)9&3)+#5$ &+"#(2$ /(#$ #'#)$ :&3)7#($ 1"#)$ +"#:$ "/'#$ =/=.#2;$ L)$ /'#(/7#8$ &)#$ +".(5$ &,$ :&3)7$1&*#)$ .)$ 5#'#6&4.)7$ 9&3)+(.#2$ 7.'#$ =.(+"$ =#,&(#$ /7#$ R@$ `IJZMK8$ R@QRa;$ W#7.&)/66:8$ /5&6#29#)+$9".65=#/(.)7$.2$*&2+$4(#'/6#)+$.)$-3=F-/"/(/)$K,(.9/;$G&(#$+"/)$^@A$&,$/5&6#29#)+$7.(62$7.'#$=.(+"$=:$/7#$R@$`NXL$R@Q@a;$$$<)$-.#((/$0#&)#8$#/(6:$9".65=#/(.)7$/)5$+##)/7#$4(#7)/)9:$.2$&)#$&,$+"#$*&(#$4#('/2.'#$4(&=6#*2$/,,#9+.)7$ +"#$ "#/6+"8$ 2&9./68$ #9&)&*.9$ /)5$ 4&6.+.9/6$ 4(&7(#22$ /)5$ #*4&1#(*#)+$ &,$ 1&*#)$ /)5$7.(62;$$$!"#$.223#$+&$/55(#22$.2$/6/(*.)7$/)5$.2$(#,6#9+#5$.)$+"#$,&66&1.)7$)/+.&)/6$2+/+.2+.92>$

• S?A$&,$/66$4(#7)/)9.#2$&993($/*&)72+$+##)/7#$7.(62$`-0YX-$R@@ba$• RcA$&,$1&*#)$/7#$Q^FQ_$"/'#$/6(#/5:$"/5$/$=.(+"$`G<C-$R@Q@a$• ?@A$&,$*/+#()/6$5#/+"$&993($/2$/$(#236+$&,$+##)/7#$4(#7)/)9:$`G<C-$R@Q@a$• !"#$3)+.*#6:$4(#7)/)9:$&,$:&3)7$7.(62$.2$(/)H#5$/2$+"#$+".(5$*&2+$9&**&)$(#/2&)$,&($+"#*$

5(&44.)7$&3+$&,$29"&&6$`IJ<CTZ$R@@ba$• L)6:$bA$&,$+##)/7#$*&+"#(2$(#4&(+$+"/+$+"#.($,.(2+$4/(+)#($1/2$&,$+"#$2/*#$/7#$&($:&3)7#(8$

1"#)$S^A$.)5.9/+#$+"/+$+"#$4/(+)#($1/2$*&(#$+"/)$Q@$:#/($&65#($`-0YX-$R@@ba;$$$K$ 2+35:8$ 9&**.22.&)#5$ =:$IJZMK$ `dC".65(#)$ =#/(.)7$ C".65(#)e8$ R@Q@a$ +&$ /)/6:B#$ 5/+/$ ,(&*$ +"#$-0YX-$R@@b$(#'#/6#5$+"/+$+##)/7#$*&+"#(2$2+/(+$9".65$=#/(.)7$/+$'#(:$:&3)7$/7#28$/$,#1$/2$:&3)7$/2$_$:#/(2;$<+$/62&$(#'#/6#5$+"/+$.)9.5#)9#$&,$+##)/7#$*&+"#("&&5$.2$".7"#($.)$(3(/6$6&9/6.+.#2$$$!"#$G<C-$R@Q@$#2+.*/+#$&,$+"#$K5&6#29#)+$O.(+"$W/+#$.)$-.#((/$0#&)#$.2$QRR$=.(+"2$4#($Q@@@$1&*#)$/7#5$ Q^FQ_$ 4#($ :#/(f$ +".2$ 9&*4/(#2$1.+"$ /)$ #2+.*/+#$ &,$ QR_$ .)$N#2+$ /)5$ C#)+(/6$ K,(.9/$ `R@@@FR@@ba$/)5$QRS$.)$6#/2+$5#'#6&4#5$9&3)+(.#2$`!"#$-+/+#$&,$+"#$N&(65g2$C".65(#)$R@QQa;$$

$:)6;B4X'_K387*;49'C4+;89?'B387*;49`-']L!JI-'MV/V''

K)/6:2.2$ &,$ =&+"$ -0YX-$ R@@b$ /)5$G<C-$ R@Q@$ 2"&12$ +"/+$ 4&'#(+:$ /)5$ 6&1$ #539/+.&)$ /(#$*/h&($9/32#2$&,$#/(6:$9".65=#/(.)7$4(#7)/)9:;$M&'#(+:$/)5$ 6&1$#539/+.&)$/(#$*3+3/66:$ (#.),&(9.)7$ .)$/$

Teenage Pregnancy and Motherhood Study | Children Bearing Children23 |

3.0 DETERMINANTS OF TEENAGE PREGNANCY

For each of the proximate determinants identified in the theoretical framework, appropriate statistical indices have been computed from the 2008 SLDHS data, to determine the incidence and prevalence of various population characteristics, and any relationships between them. In addition, data from FGDs have been examined to discover some of the social, economic and cultural factors which provide possible explanations of these computed values.

3.1 AGE AT FIRST BIRTH

3.1.1. LEVEL OF INCIDENCE

Amongst teenage mothers child bearing starts early. A few were mothers as young as 9 years; 4.6 percent had a child when they were under 13 years, 10.9 percent at ages under 14 years; and 69.0 percent at ages under 18 years (See Figure 1).

FIGURE 1: TEENAGE MOTHERS BY AGE AT FIRST BIRTH

These reported ages at first birth have important legal and social implications. “The Prevention of Cruelty to Children Act : Cap 31” makes sexual intercourse illegal with a girl aged under 13 years, or between ages 13 and 14 years, whether with or without her consent. On the other hand, “The 2007 Child Rights Act” defines a child as “a person aged under 18 year”, and makes it illegal to marry her, whether she is willing or forced.

3.1.2. COMMUNITY PERCEPTIONS AND OPINIONS OF EARLY AGE PREGNANCY

The perceptions of community members of why teenage girls become pregnant cover a wide variety of factors. The three leading reasons are “poverty of parents or foster parents”; “the attitude of girls to emulate their peers”, popularly termed “milleh”; and “lack of control by single parents”.

A. POVERTY OF PARENTS OR FOSTER PARENTS Nearly a third of all respondents think that parents and foster parents are too poor, and are therefore unable to provide adequately for the education, daily sustenance, and other

Age of first birth

Under 13 Under 14 Under 18 18 to 19

4.60% 10.90% 69.00% 31.00%

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 '"

)#7/+.'#$,/2".&);$!&$+/9H6#$#/(6:$9".65=#/(.)7$/)5$+##)/7#$4(#7)/)9:8$2#('.9#2$/)5$ .)+#('#)+.&)2$1&365$"/'#$+&$+/(7#+$+"#2#$9/32#2$`-##$R@QQ$-+35:$dC".65(#)$=#/(.)7$9".65(#)e8$IJZMKa;$$K62&8$.+$"/2$=##)$.5#)+.,.#5$+"/+$+"#(#$.2$/$4/39.+:$&,$2+(/+#7.9$5.(#9+.&)$+&$/55(#22$+"#$4(&=6#*$&,$#/(6:$ 9".65=#/(.)7$ /)5$ +##)/7#$ 4(#7)/)9:$ (#,6#9+#5$ .)8$ &)$ +"#$ &)#$ "/)58$ .)#,,#9+.'#$.*46#*#)+/+.&)$&,$4(&7(/**#2$+&$"#64$7.(62$4(&+#9+$+"#*2#6'#2$,(&*$#/(6:$4(#7)/)9:$/)5$2+/:$.)$29"&&68$/)5$&)$+"#$&+"#($"/)58$1#/H$#),&(9#*#)+$&,$ 6/12$+"/+$4(&+#9+$+##)/7#$7.(62$,(&*$/=32#$/)5$#D46&.+/+.&);$$$Q;R CIWWTJ!$iJLN0TY%T$LZ$!XT$YT!TWG<JKJ!-$LZ$!TTJK%T$MWT%JKJCU$

$Y/+/$,(&*$+"#$R@Q@$G<C-$"/'#$.)5.9/+#5$(#6/+.'#6:$".7"$6#'#62$&,$4+;7,'D+;;8+?48$/)5$+"#$&)2#+$&,$#/(6:$2#D3/6$ .)+#(9&3(2#8$/*&)72+$+##)/7#$7.(62;$!"#$5/+/$2"&1$+"/+$/*&)72+$1&*#)$/7#5$Q^$+&$?_$:#/(28$1"&$1#(#$*/((.#5$&($.)$9&)2#)23/6$3).&)8$QcA$1#(#$*/((.#5$=#,&(#$/7#$Q^$:#/(28$/)5$^@A$ =#,&(#$ /7#$ Qb$ :#/(2;$ <)$ /55.+.&)8$ R?;^A$ &,$ 1&*#)$ /7#5$ Q^$ +&$ Q_$ :#/(2$ 2+/(+#5$ 2#D3/6$.)+#(9&3(2#$=#,&(#$/7#$Q^$:#/(2;$$$K7/.)2+$+".2$=/9H7(&3)5$&,$+"#$".7"$.)9.5#)9#$&,$#/(6:$7.(6F9".65$*/((./7#8$/)5$+"#$&)2#+$&,$2#D3/6$/9+.'.+:$ /+$ (#6/+.'#6:$ :&3)7$ /7#28$ +"#$ 32#$ &,$ *&5#()$ 9&)+(/9#4+.&)$ .2$ (#2+(.9+#5$ +&$ /$ 2*/66$4(&4&(+.&)$&,$ +"#$ ,#*/6#$4&436/+.&)$&,$9".65=#/(.)7$/7#2;$ <)$ ,/9+8$ +"#$-0YX-$R@@b$2"&12$/$E4;,'7)A'B)92;+B4528E4' ;+24$&,$Q;RA$,&($/7#2$Q^FQ_;$G<C-$R@Q@$5/+/$/62&$2"&1$+"/+$/*&)72+$1&*#)$/7#5$Q^$+&$?_$:#/(28$1"&$/(#$*/((.#5$&($6.'.)7$1.+"$/$*/)8$_?;j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d:&3+"e$ 4(&7(/*2$ /(#$ 4(.*/(.6:$ */6#;$ 0#22$ +"/)$ +1&$ 9#)+2$ &,$#'#(:$ 5#'#6&4*#)+$ 5&66/($ 7&#2$ +&$ 4(&7(/*2$ 24#9.,.9/66:$ ,&($ /5&6#29#)+$ 7.(62$ `%.(62$ C&3)+$ (#4&(+8$R@QRa;$$K)/6:2.2$&,$-0YX-$R@@b$/)5$G<C-$R@Q@$2"&12$/$2+(&)7$(#6/+.&)2".4$=#+1##)$5)E4;2,$/)5$+##)/7#$4(#7)/)9:$ 1.+"$ +##)/7#$ 7.(62$ .)$ +"#$ 4&&(#2+$ E3.)+.6#$ =#.)7$ S$ +.*#2$*&(#$ 6.H#6:$ +&$ "/'#$ /$ 9".65$=#,&(#$ /7#$ Qb$ :#/(2$ 9&*4/(#5$ +&$ 7.(62$ .)$ +"#$ 1#/6+".#2+$ E3.)+.6#;$ M/(#)+2$ &,$ *&2+$ 6&1F.)9&*#$,/*.6.#28$1"&$/(#$3)/=6#$+&$2344&(+$+"#.($9".65(#)g2$=/2.9$)##528$/(#$,/9#5$1.+"$/$9"&.9#$=#+1##)$)3+(.+.&)8$ "#/6+"$ /)5$ #539/+.&);$ W#2#/(9"$ 2"&12$ +"/+$ /$ 9#(+/.)$ '/63#$ .2$ 7.'#)$ +&$ 7.(6F9".65$#539/+.&)8$=3+$+"/+$=&+"$+"#$9&2+$/)5$+"#$*.2+(32+$ .)$+"#$#539/+.&)$2:2+#*$/(#$96#/($=/((.#(2$,&($4/(#)+2$ +&$ 2#)5$ +"#.($ 7.(62$ +&$ 29"&&6;$M/(#)+2$5&$)&+$ 2##$E3.9H$ (#+3()2$ ,(&*$#539/+.&)8$1"#(#/2$9".65(#)$`#24#9./66:$7.(62a$9/)$9&)+(.=3+#$+&$+"#$,/*.6:g2$,.)/)9./6$.)9&*#$+"(&37"$4#++:$+(/5.)78$/)5$,/*.6:$ 6/=&($ /2$1#66$ /2$ +"(&37"$ +(/)2/9+.&)/6$ 2#D8$=(.5#$4(.9#$/)5$&+"#($#9&)&*.9$=#)#,.+2$ ,(&*$#/(6:$ */((./7#;$ !"#$ 9"/)7#$ .)$ 4&1#($ 2+(39+3(#$ 1.+".)$ +"#$ ,/*.6:$ 9&*46#+#6:$ /6+#(2$ 1"#)$

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 ("

/5&6#29#)+2$ =#7.)$ #/().)7$ *&)#:$ /)5$ 4(&'.5.)7$ ,&($ +"#$ )##52$ &,$ +"#$ ,/*.6:$ *#*=#(2;$ !"#$9&)2+/)+$.)/=.6.+:$+&$*##+$=/2.9$)##52$.2$&)#$9(.+.9/6$*&+.'#8$1".9"$432"#2$9".65(#)$+&$,.)5$1/:2$&,$/9E3.(.)7$*&)#:;$L,+#)8$+".2$6#/52$+&$3)1/)+#5$/)5$3)46/))#5$4(#7)/)9.#2;$`IJ<CTZ8$R@Q@a;$$-&*#$3+;D167' 5;+B28B4=8$ 239"$/2$#/(6:$*/((./7#8$ +(/)2/9+.&)/6$ 2#D8$/(#$2##)$ +&$=#$/99#4+/=6#$ +&$7/.)$ 2&9./6$ /)5$ #9&)&*.9$ 2+/+32;$ -#D3/6$ /=32#$ *32+$ /62&$ =#$ *#)+.&)#5$ /2$ /$ 5#+#(*.)/)+>$#+")&7(/4".9$5/+/$`N#22#628$R@QQa$.)5.9/+#$+"/+$/$2.7).,.9/)+$)3*=#($&,$&65#($*#)$9&#(9#$7.(62$.)+&$"/'.)7$ 2#D$/)5$ +"/+$ 9&)5&*2$/(#$'#(:$ 2#65&*$32#5$ .)$ 239"$'.&6/+.&)2;$ <)$7#)#(/68$ .+$ .2$&=2#('#5$+"/+$+"#$(#6/+.&)2".4$=#+1##)$4/(#)+2$/)5$9".65(#)$46/:2$/$9#)+(/6$(&6#$.)$2&9./6$=#"/'.&(;$0/9H$&,$9&**3).9/+.&)8$ /)5$ 234#('.2.&)$ /2$ 1#66$ /2$ 6&1$ 4&2.+.'#$ 4/(#)+.)78$ 9&)+(.=3+#$ +&$ #/(6:$ 2#D3/6$/9+.'.+:;$M/(#)+2$/2$1#66$ /2$&+"#($*#*=#(2$&,$ +"#$9&**3).+:$ 9/)$ 2+(&)76:$ .),63#)9#$ +"#$9"&.9#2$*/5#$=:$:&3)7$4#&46#;$!"#$/=2#)9#$&,$4&2.+.'#$(&6#$*&5#62$.)$,/*.6.#2$&($1.+".)$+"#$9&**3).+:$*/H#$.+$5.,,.936+$,&($/5&6#29#)+2$/)5$:&3)7$4#&46#$+&$.5#)+.,:$/)5$/5&4+$2/,#]4&2.+.'#$=#"/'.&(;$$$<)$+"#$*36+.46.9.+:$&,$.)+#(/9+.)7$.),63#)9#2$&($9/32#2$&,$+##)/7#$4(#7)/)9:8$2+(&)7$#*4"/2.2$*32+$=#$ 43+$ &)$ =)B8+7' 9);D=8$ 1".9"$ /(#$ H#:$ 5(.'#(2$ &,$ +".2$ 4(&=6#*$ `&)$ +".2$ +&4.98$ 2##$N#22#6628$G;$`R@QQa;$ K$ (/4.5$ #+")&7(/4".9$ 2+35:>$ <)+#(/7#)9:$ 0#/().)7$ <).+./+.'#$ &)$ C&**3).+:FO/2#5$ C".65$M(&+#9+.&)$ G#9"/).2*2$ /)5$ C".65$ M(&+#9+.&)$ -:2+#*2a;$ L,+#)8$ 7.(62$ '.#1$ .+$ /2$ )&(*/6$ k$ #'#)$#D4#9+#5$ /)5$ 5#2.(/=6#$ k$ +"/+$ +"#:$ =#9&*#$ 4(#7)/)+$ /+$ /)$ #/(6:$ /7#;$ !"#$ ,/9+$ +"/+$*/):$ 7.(62$5#9.5#$/+$/)$#/(6:$/7#$+"/+$+"#:$1/)+$+&$"/'#$/$=/=:$.2$ .+2#6,$/)$.)5.9/+.&)$&,$/$2&9./6$)&(*;$!"#$.*4&(+/)9#$&,$2&9./6$)&(*2$.2$/62&$'.2.=6#$.)$(#7/(5$+&$9&)+(/9#4+.'#2$l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`R@Q@a$.5#)+.,.#2$+"#$4##(F4(#223(#$9:96#$/2$/$H#:$5#+#(*.)/)+$,&($/5&6#29#)+28$4/(+.936/(6:$:&3)7$7.(628$+&$#)+#($.)+&$3)2/,#$=#"/'.&(28$.)9635.)7$23=2+/)9#$/=32#$/)5$3)4(&+#9+#5$2#D;$$$Q;S !XT$<GMKC!$LZ$!XT$MWLO0TG$$K66$+##)/7#$4(#7)/)9.#28$.((#24#9+.'#$&,$+"#$&3+9&*#8$"/'#$/5'#(2#$9&)2#E3#)9#2$,&($+"#$?8;7=-'234'5+;492=' +9*' 234' B)DD698284=;$K5&6#29#)+$4(#7)/)9:$ .2$5/)7#(&32;$K2$ .+$ .2$5#*&)2+(/+#5$ .)$ +"#$5&93*#)+$dK$76.*42#$ .)+&$+"#$N&(65$&,$!##)/7#$4(#7)/)9:e$ `IJ<CTZ$R@Q@a8$ +"#$4&&(#2+$7.(62$ .)$+"#$4&&(#2+$9&**3).+.#2$.)$-.#((/$0#&)#$/(#$*&2+$6.H#6:$+&$=#9&*#$4(#7)/)+$53(.)7$/5&6#29#)9#8$1.+"$ 2#(.&32$ 6&)7F+#(*$ /)5$ 1.5#F(/)7.)7$ 9&)2#E3#)9#2$ k$ ,(&*$ 34+723' B)D578B+28)9=$ `,&($ +"#$:&3)7$*&+"#($ /)5$ +"#$ =/=:a$ +&$C;)+*4;' 4B)9)D8B' B)9B4;9=;$ <)5##58$ 4(#7)/)9:$ .2$ +"#$ 6#/5.)7$9/32#$ &,$ 5#/+"$ ,&($ /5&6#29#)+$ 7.(62$ /)5$ +"#$ :&3)7#2+$ 7.(62$ /(#$ 4/(+.936/(6:$ /+$ (.2H$ `NXL8$ R@QR8$G/+#()/6$ G&(+/6.+:$ %6&=/6$ (#4&(+a;$ K5&6#29#)+28$ /)5$ 4/(+.936/(6:$ :&3)7$ /5&6#29#)+28$ /(#$ *&(#$6.H#6:$+&$"/'#$6&)7$/)5$&=2+(39+#5$6/=&(2$53#$+&$+"#.($2*/66#($2.B#$/)5$.**/+3(#$4#6'.9$2+(39+3(#;$!".2$)&+$&)6:$.)9(#/2#2$+"#.($(.2H$&,$5#/+"8$=3+$/62&$+"#.($(.2H$&,$5#'#6&4.)7$,.2+36/;$Z.)/66:8$3)2/,#$/=&(+.&)$H.662$*/):$4(#7)/)+$/5&6#29#)+2f$.+$.2$#2+.*/+#5$+"/+$&)#F+".(5$&,$+##)$4(#7)/)9.#2$.)$+"#$1&(65$#)5$.)$/=&(+.&)$`NXL$R@QR8$K5&6#29#)+$M(#7)/)9:$Z/9+$-"##+a;$$$O/=.#2$=&()$+&$/5&6#29#)+$*&+"#(2$/(#$/62&$/+$7(#/+#($(.2H;$K$(#9#)+$2:2+#*/+.9$(#'.#1$,&3)5$+"/+$/5&6#29#)+$ 4(#7)/)9:$ 1/2$ /22&9./+#5$ 1.+"$ 4(#*/+3(#$ 5#6.'#(:8$ 2+.66=.(+"8$ ,#+/6$ 5.2+(#228$ =.(+"$/24":D./8$6&1$=.(+"1#.7"+8$/)5$*.29/((./7#;$O/=.#2$=&()$+&$+##)$*&+"#(2$/(#$/62&$,/($*&(#$6.H#6:$+&$

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 )"

5.#$+"/)$+"&2#$=&()$+&$&65#($1&*#);$d-+.66=.(+"2$/)5$5#/+"$.)$+"#$,.(2+$1##H$&,$6.,#$/(#$^@A$".7"#($/*&)7$=/=.#2$=&()$+&$*&+"#(2$:&3)7#($+"/)$R@$:#/(2$+"/)$/*&)7$=/=.#2$=&()$+&$*&+"#(2$R@kR_$:#/(2$&65;e$`NXL8$R@QRa;$$!##)/7#$4(#7)/)9:$.2$/62&$.5#)+.,.#5$/2$/$5#+#(*.)/)+$,&($29"&&6$5(&4F&3+$&,$7.(62;$<)$7#)#(/68$=&:2$/)5$7.(62$"/'#$+"#$2/*#$9"/)9#2$&,$/99#22.)7$4(.*/(:$%(/5#$Q$=3+$5.24/(.+.#2$/44#/($.)$+"#$9&3(2#$&,$29"&&6.)7$9/(##(28$.)$,/'&($&,$=&:2;$K+$+"#$#)5$&,$344#($2#9&)5/(:8$/99#22$(/+#2$/(#$#2+.*/+#5$/+$SR$ 4#(9#)+$ ,&($ =&:2$ /7/.)2+$ h32+$ Q?$ 4#(9#)+$ ,&($ 7.(62;$ !"#$ 3)+.*#6:$ 4(#7)/)9:$ &,$ :&3)7$ 7.(62$ .2$(/)H#5$ /2$ +"#$ +".(5$ *&2+$ 9&**&)$ (#/2&)$ ,&($ +"#*$ *;)5589?' )62' )1' =B3))7$ `IJ<CTZ$ R@@ba;$G&(#&'#(8$+"#$".7"$(/+#$&,$+##)/7#$4(#7)/)9:8$=&+"$.)$4(.*/(:$/)5$2#9&)5/(:$29"&&68$"/2$"/5$/$5.29&3(/7.)7$ #,,#9+$ &)$ */):$ ,/*.6.#2$ 1"#)$ .+$ 9&*#2$ +&$ #539/+.&);$ Z&($ 4&&($ ,/*.6.#2$ 1"&$ /(#$d+/H.)7$/$ 9"/)9#e$&)$ 2#)5.)7$ +"#.($ 7.(6$ 9".65$ +&$ 29"&&68$ +"#.($3)+.*#6:$4(#7)/)9:$ 6#5$ +&$:&3)7#($2.=6.)72$=#.)7$5#).#5$/99#22$+&$29"&&6;$$<)F5#4+"$.)+#('.#12$`IJ<CTZ$R@Q@a$1.+"$+##)/7#$*&+"#(2$/)5$4(#7)/)+$+##)/7#(2$(#'#/6$/$,##6.)7$&,$ 8=)7+28)98$ m=#.)7$ +(/44#5g$/)5$"#646#22)#22;$ !##)/7#$*&+"#(2$&($4(#7)/)+$ +##)/7#(2$"/'#$)&$&)#$+&$+/6H$+&$/=&3+$1"/+$+"#:$/(#$7&.)7$+"(&37";$!"#(#$.2$'#(:$6.++6#$&($)&$42:9"&2&9./6$2344&(+$,&($4(#7)/)+$+##)/7#(2$53(.)7$+"#$4(#7)/)9:$&($/,+#($+"#$=.(+"$&,$+"#.($9".65;$T+")&7(/4".9$(#2#/(9"$`N#22#62$R@QQa$".7"6.7"+$+"/+$7.(62$9&)2.2+#)+6:$ .5#)+.,.#5$+"#$.)/=.6.+:$&,$/$4(#7)/)+$7.(6$&($:&3)7$*&+"#($+&$9&)+.)3#$29"&&6$/2$&)#$&,$+"#$*&2+$"/(*,36$/)5$42:9"&6&7.9/66:$5.2+(#22.)7$/24#9+2$&,$#/(6:$4(#7)/)9:;$!"#$2+(/.)$.)$+"#$(#6/+.&)2".4$1.+"$+"#.($4/(#)+`2a$53#$+&$3)+.*#6:$4(#7)/)9:8$+"#$5.22/+.2,/9+.&)$1.+"$+"#$/*&3)+$&,$#539/+.&)$+"#:$(#9#.'#58$/)5$+"#$.)/=.6.+:$+&$(#9#.'#$9&)2.2+#)+$/)5$ E3/6.+:$ "#/6+"$ 9/(#$ /(#$ 2&*#$ &,$ +"#$ ,/9+&(2$ +"/+$ 9&)+(.=3+#$ +&$ +"#$ ,##6.)7$ &,$ 5#4(#22.&);$T+")&7(/4".9$(#2#/(9"$`N#22#62$R@QQa$/62&$,&3)5$+"/+$#/(6:$+##)$4(#7)/)9:$&3+$&,$1#56&9H$1/2$/$2.7).,.9/)+$2&3(9#$&,$,/*.6:$5.29&(5$/)5$#'#)$'.&6#)9#;$!"#2#$5:)/*.92$"#.7"+#)$+"#$42:9"&2&9./6$5.2+(#22$+"/+$.2$9/32#5$=:$+##)/7#$4(#7)/)9:$&3+$&,$1#56&9H;$$!"#$.*4/9+2$&,$/5&6#29#)+$4(#7)/)9:$/(#$,#6+$,/($=#:&)5$+"#$1/662$&,$+"#$,/*.6:$"&*#;$<+$/62&$"/2$/$5#*&)2+(/=6#$ .*4/9+$ &)$ +"#$ =)B8+7' +9*' 4B)9)D8B' *4E47)5D492' )1' B)DD698284=' +9*' B)692;84=$!"#$%&' ()*' "+),((#-./' 01123;$ K$ (#4&(+$ =:$ +"#$N&(65$ O/)H$ ".7"6.7"+#5$ +"#$ 6.,#+.*#$ &44&(+3).+:$9&2+2$ &,$ /5&6#29#)+$ 4(#7)/)9:$ &)$ )/+.&)/6$ #9&)&*.#2;$ !"#:$ (/)7#5$ ,(&*$ QA$ &,$ 7(&22$ 5&*#2+.9$4(&539+$ `%YMa$ .)$C".)/$+&$QRA$ .)$ <)5./8$/)5$S@A$ .)$I7/)5/;$ <)$ <)5./8$/5&6#29#)+$4(#7)/)9:$1/2$#2+.*/+#5$+&$ 6#/5$+&$d&'#($nQ@@$=.66.&)$ .)$ 6&2+$ .)9&*#8$/)$/*&3)+$#E3.'/6#)+$+&$+1#)+:$:#/(2$&,$+&+/6$"3*/).+/(./)$/22.2+/)9#$1&(65F1.5#e;$`45((6()'()*'4$))7),5(8/'011239$$G39"$ &,$ +".2$ .*4/9+$ .2$ 9"/))#6#5$ +"(&37"$ 7.(62g$ #539/+.&)f$ #/9"$ #D+(/$ :#/($ &,$ 29"&&6.)7$ /$ 7.(6$(#9#.'#2$ .2$ #2+.*/+#5$ +&$ (/.2#$ "#($ .)9&*#$ =:$ Q@kR@A$ !:(-#7)+./' 011;38$ 1.+"$ (#+3()2$ &)$ 7.(62g$#539/+.&)$=#.)7$38?34;' 23+9' 23)=4')1'C),=;$!"#(#$ .2$/$2+(&)7$#'.5#)9#$=/2#$5#*&)2+(/+.)7$+"/+$H##4.)7$ 7.(62$ .)$ 29"&&6$ /)5$ 5#6/:.)7$ +"#.($ ,.(2+$ 4(#7)/)9:$ .2$ /$1.)k1.)$ 2.+3/+.&)8$1".9"$ "/2$ +"#$4&+#)+./6$+&$9/29/5#$+"(&37"$7#)#(/+.&)2;$$$

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 *"

$

'

WHY INVEST IN GIRLS?

There is clear and convincing evidence, amassed over the past two decades, that investing in girl-specific resources in the areas of education, health services, reproductive health, and financial literacy leads to better educated, safer, healthier, and economically powerful adolescent girls. This can contribute to a substantially better future not just for the individual girls, but also for their families, communities, and country. Every year of schooling increases a girlʼs individual earning power by 10 to 20%, while the return on secondary education is even higher, in the 15 to 25% range. Girlsʼ education is proven to increase not only wage earners but also productivity for employers, yielding benefits for the community and society. Women who have control of their own income tend to have fewer children and fertility rates have shown to be inversely related to national income growth. Girls and young women delaying marriage and having fewer children means a bigger change of increasing per capita income, higher savings, and more rapid growth. When women and girls earn income, they reinvest 90% of it into their families. The impact of investing in girls is intergenerational. A mother with a few years of formal education is considerably more likely to send her children to school, breaking the intergenerational chain of poverty. In many countries each additional year of formal education completed by a mother translates into her children remaining in school for up to an additional one-half year. The choices and opportunities available to adolescent girls will determine in many respects the future of Sierra Leone: whether the cycle of poverty is broken in service of prosperity and security.

Source: United Nations Foundation, 2012"

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 !+"

(34'L+28)9+7':2;+24?,'1);'234';4*6B28)9')1'(449+?4'J;4?9+9B,''$T/(6:$ 9".65=#/(.)7$ /)5$ +##)/7#$ 4(#7)/)9:$ .2$ /$ 9&*46#D$ .223#$ 1.+"$ *36+.46#$ 9/32#2$ /)5$ 5.'#(2#$9&)2#E3#)9#28$ 1".9"$ (#E3.(#2$ /$ 7+;?4' =54B2;6D' )1' 8924;E4928)9=;$ <+$ /44#/(2$ +"/+$ .+$ 9/))&+$ =#$/55(#22#5$ .)5#4#)5#)+6:$ ,(&*$ &+"#($ /5&6#29#)+$ /)5$ :&3+"$ 2#D3/6$ /)5$ (#4(&539+.'#$ "#/6+"$`KU-WXWa$E3#2+.&)2$/)5$,(&*$#9&)&*.9$/)5$2&9./6$.223#2;$$$!&$=#++#($(#24&)5$+&$+"#$&'#(/66$)##52$&,$:&3)7$4#&46#$/)5$+&$/55(#22$24#9.,.9$ .223#2$(#6/+#5$+&$#/(6:$ 9".65=#/(.)7$ /)5$ +##)/7#$ 4(#7)/)9:$ +"#$ %&'#()*#)+$ /6(#/5:$ +&&H$ +"#$ 6#/5$ +"(&37"$ +"#$5#'#6&4*#)+$ &,$ /44(&4(./+#$ 4&6.9.#2;$ !"#2#$ /(#$ =#.)7$ &4#(/+.&)/6.B#5$ +"(&37"$ #D.2+.)7$ .)+#(F*.).2+#(./6$ 2+(39+3(#28$ 1".9"$ .)9635#$ +"#$G36+.2#9+&(/6$ M(&7(/**#$ +&$ /55(#22$ K5&6#29#)+2g$ /)5$U&3)7$ M#&46#g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g2$4(&7(#228$#24#9./66:$/2$+"#$J/+.&)/6$-+(/+#7:$"/2$=##)$.5#)+.,.#5$/2$/$,6/72".4$4(&7(/*$.)$+"#$K7#)5/$,&($M(&24#(.+:$/)5$/7/.)2+$1".9"$+"#$%&'#()*#)+$1.66$(#4&(+$4&2.+.'#$(#236+2;$$R;Q$ZWKGTNLWi$LZ$!XT$-!WK!T%U$ZLW$!XT$WTYIC!<LJ$LZ$!TTJK%T$MWT%JKJCU$$!"#$ -+(/+#7:$ 1.66$ =#$ .*46#*#)+#5$ 3)5#($ +"#$ 6#/5#(2".4$ &,$ X;$ T;$ +"#$ M(#2.5#)+$ /)5$ 3)5#($ +"#$234#('.2.&)$ &,$ +"#$ G36+.2#9+&(/6$ C&&(5.)/+.&)$ C&**.++##$ `/+$ G.).2+#(./6$ 6#'#6a;$ !"#$ /44(&/9"$,&66&12$/$2A89a2;+Bb'=2;+24?,-$1".9"$.)+#('#)#2$/+$+1&$6#'#62>$$$

Qa K+$ 4&6.9:$ 6#'#68$ 4/(+)#(2$ &,$ +"#$ M(&7(/**#$ /.*$ /+$ (#'.#1.)7$ #D.2+.)7$ 4&6.9.#2$ /)5$ 6#7/6$5&93*#)+2$&($/+$5#'#6&4.)7$)#1$ .)2+(3*#)+2$ +&$4(&+#9+$/5&6#29#)+2$/)5$:&3)7$4#&46#V2$(.7"+2$/)5$73/(/)+##$+"#.($/99#22$+&$-WXW$.),&(*/+.&)$/)5$2#('.9#2;$

Ra K+$ 9&**3).+:$ 6#'#68$ 4/(+)#(2$ /(#$ *&=.6.B#5$ +&$ (#539#$ #/(6:$ 9".65=#/(.)7$ /)5$ +##)/7#$4(#7)/)9:$ +"(&37"$ .*4(&'#5$ /99#22$ +&$ -WXW$ 2#('.9#2$ ,&($ :&3)7$ 4#&46#8$ 9&*4(#"#)2.'#$#539/+.&)$ &)$ #/(6:$ 9".65=#/(.)7$ /)5$ +##)/7#$ 4(#7)/)9:$ /)5$ -WXW$ .)$ 7#)#(/6$ /2$ 1#66$ /2$+"(&37"$:&3)7$4#&46#g2$/)5$1&*#)g2$#*4&1#(*#)+$/)5$.)9(#/2#5$6#/5#(2".4;$$

$!"#$2+(/+#7:g2$#D4#9+#5$&3+9&*#$.2$+&$(#539#$!##)/7#$M(#7)/)9:$.)$-.#((/$0#&)#$=:$R@Q^8$+"(&37"$.)+#7(/+#5$/)5$ 9&&(5.)/+#5$ .)+#('#)+.&)2$&,$ /66$ 4/(+)#(2$ `%&'#()*#)+8$IJ$/7#)9.#28$J%L28$C.'.6$-&9.#+:$/)5$U&3+"$L(7/).B/+.&)2a;$$F,'MV/R-'234'=2;+24?,'89249*='2)'3+E4';4*6B4*'234'+*)74=B492'14;28782,' ;+24' 1;)D' /MMc/VVV' dHWK:' MV/Ve' 2)' //Vc/VVV@' (34' 96DC4;' )1' ?8;7=' A3)' 3+*' +' C8;23'C41);4'+?4'/['A877'C4';4*6B4*'1;)D'N.'0'd:<&U:'MVV>e'2)'NV'0@'$""""""""""""""""""""""""""""""""""""""""""""""""""""""""!",-."/0102345."671789.28"0:"/.359-"31;"<317939701"=6>/<?@"0:"A0B9-"CDE50FD.19"31;"<E0298"=6AC<?@"0:"C;BG39701"<G7.1G."31;",.G-1050HF@"0:"<0G735"I.5:32."J.1;.2"31;"K-75;2.1L8"M::3728"=6<IJKM?"31;"0:"N7131G."31;"CG010D7G"O.P.50ED.19"=6>NCO?"

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 !!"

$!"#$2+(/+#7:g2$#D4#9+#5$&3+43+2$/(#$+"#$,&66&1.)7>$$

! "62562' /X' WD5;)E4*' 5)78B,' +9*' 74?+7' 49E8;)9D492' 2)' 5;)24B2' +*)74=B492=' +9*' ,)69?'54)574Y=';8?32=''

! "62562' MX' WD5;)E4*' +BB4==' 2)' Z6+782,' :#U-' J;)24B28)9' +9*' $*6B+28)9' =4;E8B4=' 1);'+*)74=B492='+9*',)69?'54)574'

'! "62562' NX' K)D5;4349=8E4' +?4' +55;)5;8+24' 891);D+28)9' +9*' 4*6B+28)9' 1);' +*)74=B492='

+9*',)69?'54)574''

! "62562' .X' K)DD698284=-' +*)74=B492=' +9*' ,)69?' 54)574' 4D5)A4;4*' 2)' 5;4E492' +9*';4=5)9*'2)'2449+?4'5;4?9+9B,''

! "62562' RX' K));*89+28)9-'H)982);89?' +9*' $E+76+28)9'D4B3+98=D=' 89' 57+B4' +9*' +77)A89?'5;)54;'D+9+?4D492')1'234'=2;+24?,'

$Y#+/.62$&,$+"#$2+(/+#7:$/)5$.+2$/9+.'.+.#2$/(#$4(&'.5#5$.)$+"#$/++/9"#5$*/+(.D;$$$R;R$CLLWY<JK!<LJ$LZ$!XT$-!WK!T%U$'!"#$2+(/+#7:$ .2$ .*46#*#)+#5$3)5#($+"#$7#)#(/6$ (#24&)2.=.6.+:$&,$X;$T;$ +"#$M(#2.5#)+;$!"#$7#)#(/6$9&&(5.)/+.&)$ &,$ +"#$ 2+(/+#7:$ 1.66$ =#$ 3)5#($ +"#$ (#24&)2.=.6.+:$ &,$ +"#$ G36+.2#9+&(/6$ C&&(5.)/+.)7$C&**.++##$ `/+$ *.).2+#(./6$ 6#'#6a8$ 2344&(+#5$ =:$ +"#$ G36+.2#9+&(/6$ !#9").9/6$ C&**.++##$ /)5$ +"#$J/+.&)/6$-#9(#+/(./+;$$$Y.(#9+$ 234#('.2.&)$ /)5$ 5/:F+&F5/:$*/)/7#*#)+$ &,$ +"#$ -+(/+#7:$ .2$ 5#6#7/+#5$ +&$ +"#$G.).2+(:$ &,$X#/6+"$/)5$-/).+/+.&)$ `GLX-a8$1"#(#$ +"#$J/+.&)/6$-#9(#+/(./+$&,$ +"#$-+(/+#7:$ .2$ 6&9/+#58$/)5$ +&$+"#$G.).2+(:$&,$-&9./6$N#6,/(#8$%#)5#($/)5$C".65(#)g2$K,,/.(2$`G-N%CKa;$$$!"#$ 2+(/+#7:$ .2$ /62&$ ,366:$ .)+#7(/+#5$ 1.+".)$ +"#$ %&'#()*#)+g2$ /7#)5/;$ K2$ 239"8$ +"#$ -+(/+#7:$ .2$.*46#*#)+#5$=:$/66$9&)9#()#5$.*46#*#)+.)7$G.).2+(.#2>$G.).2+(:$&,$X#/6+"$/)5$-/).+/+.&)$`GLX-a8$G.).2+(:$ &,$ -&9./6$ N#6,/(#8$ %#)5#($ /)5$ C".65(#)g2$ K,,/.(2$ `G-N%CKa8$ G.).2+(:$ &,$ U&3+"$ K,,/.(2$`GUKa8$ G.).2+(:$ &,$ T539/+.&)8$ -9.#)9#$ /)5$ !#9")&6&7:$ `GT-!a8$ G.).2+(:$ &,$ 0/=&($ /)5$ -&9./6$-#93(.+:$`G0--a8$G.).2+(:$&,$0&9/6$%&'#()*#)+$/)5$W3(/6$Y#'#6&4*#)+$`G0%WYa$/2$1#66$/2$&+"#(2$/2$/44(&4(./+#;$$$$!"#$9&&(5.)/+.)7$*#9"/).2*2$/(#$/2$,&66&12>$$$! L,,.9#$ &,$ +"#$ M(#2.5#)+>$ X.2$ TD9#66#)9:$ +"#$ M(#2.5#)+$1.66$ 4(&'.5#$ &'#(/66$ 6#/5#(2".48$ 9"/.($ =.F

/))3/6$ *##+.)72$ +&$ /22#22$ /)5$ *&).+&($ 4(&7(#22$ .)$ /9".#'.)7$ +"#$ #D4#9+#5$ &3+9&*#$ &,$ +"#$2+(/+#7:;$X#$1.66$/62&$4(&'.5#$&'#(/66$73.5/)9#;$'

! !"#$G36+.2#9+&(/6$ C&&(5.)/+.)7$ C&**.++##$ `GCCa>$ !"#$ C&&(5.)/+.)7$ C&**.++##$ &)$ !##)/7#$M(#7)/)9:$.2$9"/.(#5$=:$+"#$G.).2+#($&,$X#/6+"$/)5$-/).+/+.&)$/)5$C&F9"/.(#5$=:$+"#$G.).2+#($&,$-&9./6$N#6,/(#8$%#)5#($/)5$C".65(#)g2$K,,/.(2;$'

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 !#"

C&)9#()#5$G.).2+#(28$ "#/52$ &,$IJ$K7#)9.#2$ `IJK<Y-8$IJYM8$IJZMK8$IJ<CTZ8$NXL$/)5$IJFN&*#)a8$(#4(#2#)+/+.'#2$&,$+"#$5&)&($9&**3).+:8$"#/52$&,$+"#$J/+.&)/6$C&**.22.&)$,&($-&9./6$K9+.&)$`JKC-Ka$/)5$&,$+"#$J/+.&)/6$K.52$-#9(#+/(./+$/2$1#66$/2$/$(#4(#2#)+/+.'#$&,$+"#$J%L2$/(#$*#*=#(2$&,$+"#$GCC$*##+.)72;$!"#$(&6#$&,$+"#$GCC$.2$+&$4(&'.5#$4&6.9:$73.5/)9#$/)5$5.(#9+.&)$.)$ +"#$ .*46#*#)+/+.&)$ &,$ +"#$ -+(/+#7:8$ +&$ #)23(#$ #,,#9+.'#$ .)+#(F2#9+&(/6].)+#(F*.).2+#(./6$9&**3).9/+.&)$/)5$.),&(*/+.&)$2"/(.)7$/9(&22$/66$4/(+.9.4/+.)7$4/(+)#(2$/2$1#66$/2$+&$*&).+&($+"#$4(&7(#22$&,$/9+.'.+.#2$3)5#(+/H#);$$!"#$GCC$1.66$*##+$E3/(+#(6:$`3)6#22$&+"#(1.2#$.)2+(39+#5$=:$+"#$9"/.(.)7$G.).2+(.#2a;'

'! G36+.2#9+&(/6$ !#9").9/6$ C&**.++##$ `G!Ca>$ !".2$ +#9").9/6$ 9&**.++##$ .2$ 9"/.(#5$ =:$ +"#$

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`3)6#22$&+"#(1.2#$.)2+(39+#5$=:$GLX-$/)5$G-N%CKa;'

$! !"#$ J/+.&)/6$ -#9(#+/(./+$ &,$ +"#$ -+(/+#7:X' +"#$ -#9(#+/(./+$ 1.66$ =#$ (#24&)2.=6#$ ,&($ 7#)#(/6$

9&&(5.)/+.&)$ &,$ .*46#*#)+/+.&)$ /)5$ *&).+&(.)7;$ <+2$ (&6#$ .2$ +&$ 2344&(+$ i#:$ G.).2+(.#2$ /)5$4/(+.9.4/+.)7$ &(7/).B/+.&)2$ +&$ .).+./+#$ 4&6.9:$ 5./6&73#8$ +&$ 96&2#6:$ *&).+&($ 4(&7(/*$.*46#*#)+/+.&)8$ +&$ #)23(#$4(&7(#22$ .)$ /9".#'.)7$ 2#+$ &=h#9+.'#2$ /)5$ +&$ /9+.'#6:$ #)7/7#$ .)$ +"#$#,,&(+2$&)$2+(#)7+"#).)7$)/+.&)/6$9&'#(/7#$,&($+"#$.*46#*#)+/+.&)$&,$+"#$2+(/+#7:;$

$! G.).2+(:$ Z&9/6FM&.)+2$ &)$ !##)/7#$ M(#7)/)9:>$ K66$ 4/(+.9.4/+.)7$ G.).2+(.#2$ 1.66$ 5#2.7)/+#$ /$

+#9").9/6$2+/,,$&,$+"#$G.).2+(:$+&$/9+$/2$Z&9/6FM&.)+$,&($+"#$J/+.&)/6$-+(/+#7:$,&($+"#$W#539+.&)$&,$!##)/7#$M(#7)/)9:;$G.).2+(:$Z&9/6FM&.)+2$1.66$4/(+.9.4/+#$ .)$ +"#$G!C$*##+.)7$/)5$2344&(+$9&&(5.)/+.&)$ /)5$ *&).+&(.)7$ #,,&(+2$ &,$ +"#$ -#9(#+/(./+$ /)5$ H##4$ -#).&($ &,,.9#(2$ 345/+#5$ &)$4(&7(/*$.*46#*#)+/+.&)2$/2$1#66$/2$&,$5.29322.&)2$,(&*$+"#$G!C;$

$$

Integration of the Strategy into Ministries' programs

Technical guidance, coordination and M&E

Policy guidance and Supervision

Overall responsibility H.E. The President

Multisectoral Coordination Committee

Multisectoral Technical

Committee

Ministry Focal Point

Ministry Focal Point

Ministry Focal Point

Ministry Focal Point

Secretariat of the

Strategy

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 !$"

R;S$GLJ<!LW<J%$KJY$T\K0IK!<LJ$$L=h#9+.'#2$/)5$M(.)9.46#2>$!"#$G&).+&(.)7$/)5$T'/63/+.&)$`GoTa$2:2+#*$/.*2$+&$4(&'.5#$/993(/+#$/)5$(#6./=6#$5/+/$+&$#)23(#$+"#$#,,#9+.'#)#22$&,$+"#$.)+#('#)+.&)$*/)/7#*#)+8$+"#$/9".#'#*#)+$&,$.+2$ &=h#9+.'#2$ /)5$ +/(7#+2$ /)5$ +"#$ 232+/.)/=.6.+:$ &,$ =#)#,.+2$ 4(&'.5#5$ +"(&37"$ +"#$ /9+.'.+.#2$3)5#(+/H#)$=:$+"#$J/+.&)/6$-+(/+#7:$,&($+"#$W#539+.&)$!##)/7#$M(#7)/)9:;$$$!"#$H#:$,3)9+.&)2$&,$+"#$GoT$2:2+#*$/(#$+&$#)23(#$+"/+$/9+.'.+.#2$3)5#(+/H#)$=:$+"#$4/(+)#(2$&,$+"#$ -+(/+#7:>$ `.a$ /(#$=#.)7$ .*46#*#)+#5$/99&(5.)7$ +&$46/)f$ `..a$ "/'#$ +"#$ .)+#)5#5$ .*4/9+$&)$ +"#$=#)#,.9./(.#2f$`...a$/(#$=#.)7$#,,#9+.'#$.)$5#6.'#(.)7$=#)#,.+2$/)5$+"#$=#)#,.+2$/(#$=#.)7$232+/.)/=6:$*/)/7#5$ /)5$ &1)#5$ =:$ 9&**3).+.#2f$ `.'a$ /(#$ (#6#'/)+$ +&$ +"#$ )##52$ &,8$ /)5$ 4(.&(.+.B#5$ =:8$ +"#$=#)#,.9./(.#2f$/)5$ `'a$/(#$=#.)7$*&).+&(#5$2&$/2$ +&$ .5#)+.,:$4(&=6#*2$/)5$(.2H2$#/(6:$/)5$#)23(#$+"#$4(&7(#22$&,$+"#$4(&7(/*$.2$&)$+(/9H;$$!"#$GoT$ 2:2+#*$ 2"&365$ =#$ 932+&*.B#5$ +&$ +"#$ )##52$ &,$ +"#$ =#)#,.9./(.#2$ /)5$ /6.7)#5$1.+"$ +"#$&=h#9+.'#2$&,$+"#$-+(/+#7:;$!&$#)23(#$+"#$&=h#9+.'#2$/(#$/9".#'#58$4(&7(/**#$*/)/7#*#)+$)##5$+&$+(/9H$(#236+2$/+$+"#$&3+43+$/)5$&3+9&*#$6#'#6$9&)2.2+#)+6:;$!".2$1.66$#)/=6#$/44(&4(./+#$(#236+2F=/2#5$ */)/7#*#)+$ /66&1.)7$ /5h32+*#)+2$ +&$ 4(&7(/*$ 9&*4&)#)+2;$ T,,#9+.'#)#22$ /)5$232+/.)/=.6.+:$ &,$ 4(&7(/**#$ =#)#,.+2$ )##5$ +&$ =#$ *&).+&(#5$ 96&2#6:;$ L1)#(2".4$ ,(&*$ +"#$4(&7(/**#$ 2+/H#"&65#(2$ `%&'#()*#)+$ /+$ )/+.&)/6$ /)5$ 5.2+(.9+$ 6#'#68$ 4/(+)#($ &(7/).B/+.&)28$ 9.'.6$2&9.#+:a$1.66$#)23(#$=&+"$+"/+$=#)#,.+2$/(#$#,,#9+.'#6:$5#6.'#(#58$/)5$+"/+$=#)#,.+2$9&)+.)3#$=#:&)5$4(&7(/*F9&*46#+.&);$!"#$5#'#6&4*#)+$(#236+2$=#.)7$+(/9H#5$)##5$+&$.)9&(4&(/+#$+"#$/24.(/+.&)2$/)5$9"/66#)7#2$&,$+"#$9&**3).+.#2$9&'#(#5$.)$&(5#($+&$=#$+(36:$(#6#'/)+$+&$+"#.($)##52;$$$!"#$ GoT$ 2:2+#*$ ,&($ /9+.'.+.#2$ 3)5#(+/H#)$ +"(&37"$ +"#$ -+(/+#7:$ ,&($ +"#$ (#539+.&)$ &,$ !##)/7#$M(#7)/)9:$.2$=/2#5$&)$+"#$2:2+#*$5#'#6&4#5$,&($+"#$G36+.F-#9+&(/6$M(&7(/**#;$<+$,&66&12$2#'#(/6$4(.)9.46#2$9&((#24&)5.)7$+&$+"#$,&66&1.)7$/44(&/9"#2>$$

`.a I';4=672=aC+=4*'D+9+?4D492'+55;)+B3>$!"#$/.*$&,$+"#$GoT$2:2+#*$2"&365$/.*$/+$ #)"/)9.)7$ (#236+2F=/2#5$*/)/7#*#)+;$ !"#(#,&(#8$*/)/7#*#)+$ /+$ /66$ 6#'#62$)##52$+&$H##4$/=(#/2+$&,$GoT$+&&62$/)5$32#$+"#*$.)$46/)).)7;$$

`..a I' =,=24D' 1)B6=4*')9'54)574'+9*'C49418B8+;84=X'!"#$GoT$2:2+#*$2"&365$ ,&932$&)$ =#)#,.+2$ ,6&1.)7$ +&$ +"#$ 4#&46#$ &,$ -.#((/$ 0#&)#f$ *&).+&(.)7$ 2"&365$ )&+$ =#$6.*.+#5$ +&$ .)43+2$ &($ /9+.'.+.#2;$ <)2+#/58$ +"#$ ,.)/6$ =#)#,.+2$ &,$ #/9"$ 4(&7(/**#$/9+.'.+:$2"&365$=#$*#/23(#5$.)$+#(*2$&,$#9&)&*.9$/)5$2&9./6$=#)#,.+$/2$1#66$/2$.)$+#(*2$&,$)3*=#($&,$=#)#,.9./(.#2;$!"#$GoT$2:2+#*$2"&365$=#$9&**3).+:F=/2#5$/2$ 1#66$ /2$ 4/(+.9.4/+&(:$ /)5$ (#236+2$ 2"&365$ =#$ *#/23(#5$ =:$ .)'&6'.)7$=#)#,.9./(.#2$ /)5$ 2+/H#"&65#(2;$ W#236+2$ /)5$ d9"/)7#$ *#/23(#5e$ 2"&365$ =#$9&)2.2+#)+6:$ 9&**3).9/+#5$ /2$ ,##5=/9H$ +&$ +"#$ =#)#,.9./(.#2$ /)5$ &+"#($2+/H#"&65#(2;$

`...a I'2+;?424*'H\$'=,=24DX$!"#$GoT$+&&62$/)5$5/+/$2"&365$4/:$24#9./6$/++#)+.&)$+&$7#)5#($/)5$:&3+";$%#)5#($/)5$:&3+"$ .223#2$*32+$=#$".7"6.7"+#5$/)5$5/+/$1.66$/62&$=#$5.2/77(#7/+#5$/99&(5.)76:;$

`.'a I' =6=2+89+C8782,a1)B6=4*' =,=24DX' !"#$ GoT$ 2:2+#*8$ /)5$ (#6/+#5$ .)5.9/+&(28$2"&365$ 46/9#$ /$ 24#9./6$ /++#)+.&)$ &)$ +"#$ 232+/.)/=.6.+:$ &,$ 4(&7(/*$ .).+./+.'#2;$%.'#)$ +"#$ .*4&(+/)9#$ &,$ +"#$G36+.F2#9+&(/6$ M(&7(/**#$ /2$ /$ )/+.&)/6$ ,6/72".4$4(&7(/*8$ 232+/.)/=.6.+:F(#6/+#5$ .)5.9/+&(2$ /)5$ .*4/9+$ *#/23(#*#)+$ .)5.9/+&(2$1.66$"/'#$+&$=#$.)9&(4&(/+#5$,&($GoT$/9(&22$/66$.)+#('#)+.&)2;$!"#$/44(&/9"$/62&$

"

Reducing Teenage Pregnancy in Sierra Leone – February 2013 !%"

*32+$ =#$ 9&*4/+.=6#$ 1.+"$ 2:2+#*2$ 5#'#6&4#5$ =:$ 4/(+)#(2$ &,$ +"#$ M(&7(/**#$`%&'#()*#)+$&,$-.#((/$0#&)#8$IJ$/7#)9.#28$&+"#($4/(+)#(2a;$

`'a I9'H\$'=2;+24?,'+78?94*'A823'_:4B2);':54B818B'H+9+?4D492'!;+D4A);b=`X$+"#$GoT$ 2:2+#*8$ /)5$ (#6/+#5$ .)5.9/+&(28$ 2"&365$ =#$ 5.(#9+6:$ /6.7)#5$ 1.+"$ #D.2+.)7$)/+.&)/6$*/)/7#*#)+$2:2+#*2;$$

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

!

Reducing Teenage Pregnancy in Sierra Leone – February 2013 "#!

!"##$%&'(&)*+%,-./&+,#"01&$2/&#.3$#&.2-"%,2*.24&4,&+%,4.04!$/,#.50.245&$2/&1,623&+.,+#.75&%"38459!

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

:64+64;<04"-"4".5& )2/"0$4,%5& L$%2,.%+-3$!2('&.$'=%G!

:64+64&'(&)*+%,-./&+,#"01&$2/&#.3$#&.2-"%,2*.24&

4,&+%,4.04&$/,#.50.245&$2/&1,623&+.,+#.75&%"38459&&

=>"54"23&%.#.-$24&+,#"0".5&?=/60$4",2&+,#"01@&

A8"#/&B"3845&<04@&C.>6$#&:DD.25.5&<04@&E)F;<"/5&

+,#"01G&%.-".H./&$2/&%.-"5./&

8JM@!E33!N+.+%&'+$%@!J('3+(6$.&('+(.%@!+.!4,.%?3&(&+,.!0+&#!2('&.$'%!!

</,#.50.245&$2/&I,623&!.,+#.&CBEB&+,#"01&NOB8!+.!4,33(-,'(&+,.!0+&#!(33!2('&.$'%!,5!&#$!

8&'(&$)*!(./!I,?&#!,')(.+P(&+,.%!

L$<+$0!$1+%&+.)!2,3+4+$%!=>/?4(&+,.!2,3+4*@!A#+3/!E4&@!B;CDE+/%!2,3+4*G!(./!(/,2&!'$<+%+,.%! >1+%&+.)!2,3+4+$%!=>/?4(&+,.!2,3+4*@!A#+3/!L+)#&%!

E4&@!8$1?(3!O55$.%$%!E4&@!B;CDE+/%!2,3+4*G!'$<+$0$/!(./!'$<+%$/!&,!$.%?'$!(22',2'+(&$!(4&+,.%!&,0('/%!&#$!'$/?4&+,.!,5!&$$.()$!

2'$).(.4*!(./!5,33,0$/Q?2!(&!4,66?.+&*!3$<$3!&#',?)#!-+Q3(0%!(./!'$)?3(&+,.%!

8JM@!E33!N+.+%&'+$%!(./!J('3(6$.&('+(.%@!+.!4,.%?3&(&+,.!0+&#!MR!E)$.4+$%@!RSO%@!A+<+3!8,4+$&*!

(./!I,?&#!E%%,4+(&+,.%!

E/<,4(&$!5,'!&#$!/$<$3,26$.&!,5!-+Q3(0%!(&!/+%&'+4&@!4#+$5/,6!(./!4,66?.+&*!3$<$3!

E33!2('&.$'%!,5!&#$!8&'(&$)*!(%!0$33!(%!3,4(3!4,?.4+3%!(./!2('(6,?.&!4#+$5%!

>.5,'4$!3(0%!&#',?)#!.(&+,.(3!%$'<+4$%!(./!()$.4+$%!!

E33!N+.+%&'+$%!(./!R(&+,.(3!()$.4+$%!(%!0$33!(%!3,4(3!4,?.4+3%!(./!2('(6,?.&!4#+$5%!

8?22,'&!&,!N,B8!+.!/$%+).+.)!(.!EIJ8LBL!2,3+4*!R?6-$'!,5!6$$&+.)%!0+&#!2('&.$'%!,5!&#$!R(&+,.(3!8&'(&$)*!,.!&#$!2'$2('(&+,.!,5!&#$!

EIJ8LBL!J,3+4*!

NOB8!+.!4,33(-,'(&+,.!0+&#!(33!2('&.$'%!,5!&#$!8&'(&$)*!(./!I,?&#!,')(.+P(&+,.%!

!!

!

Reducing Teenage Pregnancy in Sierra Leone – February 2013 "$!

!"##$%&J(&)*+%,-./&$00.55&4,&K6$#"41&CBE@&!%,4.04",2&$2/&&

=/60$4",2&5.%-"0.5&D,%&$/,#.50.245&$2/&1,623&+.,+#.&

&

"#$!%&'(&$)*!(47.,03$/)$%!&#(&!(/,3$%4$.&%!(./!*,?&#!$.4,?.&$'!%+).+5+4(.&!-(''+$'%!0#$.!(&&$62&+.)!&,!(44$%%!B$(3&#@!J',&$4&+,.!(./!>/?4(&+,.!%$'<+4$%!(./!&#(&!&,,!,5&$.@!&#$%$!%$'<+4$%!/,!.,&!(22',2'+(&$3*!&(7$!+.&,!4,.%+/$'(&+,.!E/,3$%4$.&K%!(./!I,?.)!J$,23$K%!.$$/%!(./!%2$4+5+4+&+$%:!!!

:64+64;<04"-"4".5& )2/"0$4,%5& L$%2,.%+-3$!2('&.$'=%G!

:64+64&J(&)*+%,-./&$00.55&4,&K6$#"41&CBE@&

!%,4.04",2&$2/&=/60$4",2&5.%-"0.5&D,%&$/,#.50.245&

$2/&1,623&+.,+#.&

L6*M.%&,D&!EN5&+%,-"/"23&K6$#"41&1,648O

D%".2/#1&0#"2"0$#&5.%-"0.5&4,&<I!9&NOB8!0+&#!MR;A>T@!MRTJE@!UBO!(./!RSO%!

L6*M.%&,D&3"%#5&$2/&M,15&"2&PCC&H8,&%.0."-.&D6##&

508,,#&D..&H$"-.%5&&N>8"!(./!2('&.$'%!

L6*M.%&,D&.>4%.*.#1&+,,%&8,65.8,#/5&&H8,&

%.0."-.&/"%.04&0$58&4%$25D.%5&REA8E@!N8USAE@!N9>88!(./!2('&.$'%!

L6*M.%&,D&QCN&$++#1"23&48.&C:!&,2&RSF& N8USAE!0+&#!MR;A>T@!MRTJE!(./!,&#$'%!

J'$Q%$'<+4$!&'(+.+.)!,5!NABQE+/$%!(./!6+/0+<$%! R?6-$'!,5!#$(3&#Q4('$!2',<+/$'%!'$4$+<+.)!2'$Q%$'<+4$!&'(+.+.):! NOB8!0+&#!MR;A>T@!UBO!(./!,&#$'%!

;.Q%$'<+4$!&'(+.+.)!,5!#$(3&#!0,'7$'%!&#',?)#!NOB8!A(%4(/$!&'(+.+.)!

R?6-$'!,5!#$(3&#Q4('$!2',<+/$'%!0#,!'$4$+<$/!+.Q%$'<+4$!&'(+.+.)!,.!EIT!%$'<+4$%:! NOB8!0+&#!MR;A>T!(./!MRTJE!

"'(+.+.)!,5!%,4+(3!0,'7$'%!,.!&'$(&6$.&!(./!4,?.%$3+.)!,5!EIJ@!2('$.&%!(./!%&(7$#,3/$'%:!

R?6-$'!,5!%,4+(3!/$<$3,26$.&!,55+4$'%!0#,!'$4$+<$/!&'(+.+.)!! N8USAE!0+&#!MR;A>T!(./!MRTJE!

"'(+.+.)!,5!T8M!,55+4$'%!,.!&'$(&6$.&!(./!4,?.%$3+.)!,5!EIJ@!2('$.&%!(./!%&(7$#,3/$'%:! R?6-$'!,5!T8M!,55+4$'%!0#,!'$4$+<$/!&'(+.+.):! N8USAE!0+&#!MR;A>T!(./!MRTJE!

L$5?'-+%#6$.&D>H?+26$.&!,5!JBM%!&,!2',<+/$!EIT!%$'<+4$%:!

R?6-$'!,5!S,<$'.6$.&!#$(3&#!5(4+3+&+$%!&#(&!2',<+/$!*,?&#Q5'+$./3*!43+.+4(3!%$'<+4$%!! NOB8!0+&#!MR;A>T@!MRTJE@!UBO!(./!RSO%!

8?22,'&!6?3&+Q2('&.$'%!,?&'$(4#!4(62(+).%!&,!'$(4#!*,?.)!2$,23$!&#(&!('$!.,&!(-3$!&,!(44$%%!JBM%!

R?6-$'!,5!EIJ!'$4$+<+.)!%$'<+4$%D4,?.%$3+.)!&#',?)#!,?&'$(4#!4(62(+).:! NOB8!0+&#!MR;A>T@!MRTJE@!UBO!(./!RSO%!

J',<+/$!5'$$!-(%+4!$/?4(&+,.!+.!V?.+,'!8$4,./('*!84#,,3!

R?6-$'!,5!)+'3%!(./!-,*%!+.!V88!0#,!'$4$+<$!5?33!%4#,,3!5$$!0(+<$'%!! N>8"!(./!2('&.$'%!

F$<$3,26$.&!,5!(!J+3,&!J',)'(66$!(33,4(&+.)!4(%#!&'(.%5$'%!&,!$1&'$6$3*!2,,'!#,?%$#,3/%!

R?6-$'!,5!$1&'$6$3*!2,,'!#,?%$#,3/%!0#,!'$4$+<$!/+'$4&!4(%#!&'(.%5$'%! REA8E@!N8USAE@!N9>88!(./!2('&.$'%!

!

Reducing Teenage Pregnancy in Sierra Leone – February 2013 "%!

!"##$%&T(&A,*+%.8.25"-.&$3.&$++%,+%"$4.&"2D,%*$4",2&$2/&

./60$4",2&D,%&$/,#.50.245&$2/&1,623&+.,+#.&

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

:64+64;<04"-"4".5& )2/"0$4,%5& L$%2,.%+-3$!2('&.$'=%G!

:64+64&T(&A,*+%.8.25"-.&$3.&$++%,+%"$4.&

"2D,%*$4",2&$2/&./60$4",2&D,%&$/,#.50.245&$2/&

1,623&+.,+#.&

L6*M.%&,D&+%"*$%1&$2/&5.0,2/$%1&508,,#5&

4.$08"23&=*.%3"23&"556.5&N>8"!0+&#!MR;A>T@!MRTJE!(./!,&#$'!2('&.$'%!

L6*M.%&,D&<I!&H8,&+$%4"0"+$4.&"2&,64O,DO508,,#&

+%,3%$**.5&&

NIE!0+&#!MR;A>T@!MRTJE@!(./!2('&.$'%!+.43?/+.)!RSO%@!;RSO%@!RE8!(./!,&#$'%:!!

A,*+%.8.25"-.&2$4",2$#&0,**62"0$4",2&54%$4.31&

,2&4..2$3.&+%.32$201&/.-.#,+./&E33!2('&.$'%!,5!&#$!8&'(&$)*!

U,'7%#,2=%G!&,!+/$.&+5*!7$*!6$%%()$%!&,!#('6,.+P$!2('&.$'W%!2',)'(66$%!(./!4?''+4?3(!

J('&.$'%W!4?''+4?3(!(./!&'(+.+.)!6,/?3$%!'$<+$0$/!(./!#('6,.+P$/:!!

E33!2('&.$'%!,5!&#$!8&'(&$)*!?./$'!3$(/$'%#+2!,5!N>8"!

84(3$!?2!,5!&$(4#$'!&'(+.+.)%!,.!)$./$'!(./!8LBL! R?6-$'!,5!2'+6('*!(./!%$4,./('*!%4#,,3!&$(4#$'%!(./!)?+/(.4$!4,?.%$33,'%!&'(+.$/!! N>8"!0+&#!MR;A>T@!MRTJE!(./!,&#$'!2('&.$'%!

R(&+,.(3!&'(+.+.)!2',)'(66$!5,'!%,4+(3!0,'7$'%@!*,?.)!3$(/$'%!(./!2$$'Q$/?4(&,'%!!

R?6-$'!,5!8LBL!(./!)$./$'!2$$'Q$/?4(&,'%!&'(+.$/!!

N8USAE!(./!NOB8!0+&#!MR;A>T@!MRTJE@!I,?&#!A,66+%%+,.@!RSO%@!;RSO%!(./!,&#$'!2('&.$'%!

;.&$)'(&$!3+5$Q%7+33%!$/?4(&+,.!+.!2'+6('*!%4#,,3%!4?''+4?3?6!4,<$'+.)!&$$.()$!2'$).(.4*!+%%?$%!

E)$!(22',2'+(&$!3+5$Q%7+33%!$/?4(&+,.!+.&$)'(&$/!+.&,!4?''+4?3(!+.!2'+6('*!(./!%$4,./('*!%4#,,3%:! N>8"!0+&#!2('&.$'%!

J',)'(66$%!5,'!,?&Q,5Q%4#,,3!*,?&#!/$<$3,2$/!=5,4?%+.)!,.!)$./$'!(./!&$$.()$!2'$).(.4*G!!

R?6-$'!,5!*,?.)!2$,23$!0#,!2('&+4+2(&$!+.!,?&Q,5Q%4#,,3!2',)'(66$%!!

NIE!0+&#!MR;A>T@!MRTJE@!(./!2('&.$'%!+.43?/+.)!RSO%@!;RSO%@!RE8!(./!,&#$'%:!!

F$%+).!4,62'$#$.%+<$!.(&+,.(3!-$#(<+,'!(./!%,4+(3!4#(.)$!4,66?.+4(&+,.!4,66?.+4(&+,.!%&'(&$)*!

=+.43?/+.)!;>ADXAA!6(&$'+(3%G!

A,62'$#$.%+<$!.(&+,.(3!-$#(<+,'!(./!%,4+(3!4#(.)$!4,66?.+4(&+,.!4,66?.+4(&+,.!%&'(&$)*!(./!+623$6$.&(&+,.!23(.!,.!&$$.()$!2'$).(.4*!

/$<$3,2$/!

E33!2('&.$'%!,5!&#$!8&'(&$)*!

!

!

Reducing Teenage Pregnancy in Sierra Leone – February 2013 "&!

!"##$%&U(&A,**62"4".5@&$/,#.50.245&$2/&1,623&+.,+#.&.*+,H.%./&&

4,&+%.-.24&$2/&%.5+,2/&4,&4..2$3.&+%.32$201&

!J('&.$'%!('$!0$33!(0('$!,5! &#$!4'+&+4(3! ',3$! &#(&! +%!23(*$/!-*!4,66?.+&+$%! +.! &$'6%!,5! %,4+(3!.,'6%!(./!-$#(<+,':!"#$!%&'(&$)*!0+33!6,-+3+P$!(33!'$3$<(.&!%&(7$#,3/$'%!+.!(!2('&+4+2(&,'*!(22',(4#!+.!,'/$'!&,!/$%+).!%,3?&+,.%!(./!+.&$'<$.&+,.%!4,33$4&+<$3*:!"#$!$62,0$'6$.&!(./!/$<$3,26$.&!,5!*,?.)!2$,23$!+%!(3%,!(!4$.&'(3!$3$6$.&!,5!&#$!%&'(&$)*:!!

:64+64;<04"-"4".5& )2/"0$4,%5& L$%2,.%+-3$!2('&.$'=%G!

:64+64&U(&A,**62"4".5@&$/,#.50.245&$2/&1,623&

+.,+#.&.*+,H.%./&4,&+%.-.24&$2/&%.5+,2/&4,&

4..2$3.&+%.32$201&

L6*M.%&,D&-"##$3.5&0,##.04"-.#1&/.-.#,+"23&$&

A,**62"41&!#$2&$//%.55"23&4..2$3.&+%.32$201&&

E33!2('&.$'%!,5!&#$!8&'(&$)*!?./$'!3$(/$'%#+2!,5!N8USAE!

L6*M.%&,D&<I!&0,*+#.4"23&5V"##O/.-.#,+*.24&

$2/&"20,*.O3.2.%$4"23&$04"-"41&4%$"2"23&N8USAE@!NIE@!I,?&#!A,66+%%+,.!(./!,&#$'%!

O')(.+P$!4,66?.+&*!6,-+3+P(&+,.!$<$.&%!,.!)$./$'!',3$%!(./!&$$.()$!2'$).(.4*!! R?6-$'!,5!2$,23$!=+.43?/+.)!'$3+)+,?%!(./!

&'(/+&+,.(3!3$(/$'%@!4+<+3!%,4+$&*@!%,4+(3!)',?2%@!$&4:G!'$(4#$/!&#',?)#!4,66?.+&*!6,-+3+P(&+,.!(4&+<+&+$%!,.!)$./$'!',3$%!(./!'$%2,.%+-+3+&*@!&$$.()$!2'$).(.4*!(./!(33!+%%?$%!4,.4$'.+.)!

(/,3$%4$.&%!(./!*,?.)!2$,23$W%!8LBL:!!

E33!2('&.$'%!,5!&#$!8&'(&$)*!?./$'!3$(/$'%#+2!,5!N8USAE!

O')(.+P$!)$.$'(&+,.(3!/+(3,)?$!$<$.&%!=+.<,3<+.)!2('$.&%!(./!,&#$'!(/?3&%G!!

E33!2('&.$'%!,5!&#$!8&'(&$)*!?./$'!3$(/$'%#+2!,5!N8USAE!

N,-+3+P$!-,*%!(./!6$.!,.!&#$+'!',3$!(./!'$%2,.%+-+3+&+$%!!

E33!2('&.$'%!,5!&#$!8&'(&$)*!?./$'!3$(/$'%#+2!,5!N8USAE!

F$<$3,2!2',)'(66$%!%?22,'&+.)!6$.&,'+.)!(./!',3$Q6,/$3%!(&!4,66?.+&*!3$<$3!!

E33!2('&.$'%!,5!&#$!8&'(&$)*!?./$'!3$(/$'%#+2!,5!N8USAE!0+&#!2('&+4+2(&+,.!,5!&#$!OT9!

8?22,'&!(./!%&'$.)&#$.!&#$!I,?&#!A,66+%%+,.!=(./!*,?&#!4,?.4+3%G!!

R?6-$'!,5!*,?.)!2$,23$!6,-+3+P$/!+.!*,?&#Q3$(/!,')(.+P(&+,.%!(./!+.%&+&?&+,.%!=+.43?/+.)!&#$!

I,?&#!A,66+%%+,.!(./!*,?&#!4,?.4+3%G!&,!/$<$3,2!2',)'(66$%!(//'$%%+.)!&$$.()$!2'$).(.4*!

N8USAE@!NOB8@!NIE@!MRTJE@!I,?&#!A,66+%%+,.@!RSO%!(./!;RSO%!

8?22,'&!I,?.)!J$,23$Q3$/!,')(.+P(&+,.%!(./!.$&0,'7%!&,!+623$6$.&!8LBLDB;C!(4&+<+&+$%!! N8USAE@!NIE@!I,?&#!A,66+%%+,.!(./!,&#$'%!

>.&'$2'$.$?'%#+2!%7+33%!&'(+.+.)%! R?6-$'!,5!*,?.)!2$,23$!+.<,3<$/!+.!%7+33!/$<$3,26$.&!&'(+.+.)%!

N8USAE@!NIE@!I,?&#!A,66+%%+,.!(./!,&#$'%!

O')(.+P(&+,.!,5!%7+33!/$<$3,26$.&!4(62%! N8USAE@!NIE@!I,?&#!A,66+%%+,.!(./!,&#$'%!

F$<$3,2!+.4,6$Q)$.$'(&+.)!(4&+<+&+$%! R?6-$'!,5!*,?.)!2$,23$!+.<,3<$/!+.!+.4,6$Q)$.$'(&+.)!(4&+<+&+$%!

N8USAE@!NIE@!MR;A>T@!MRTJE@!RSO%@!;RSO%!(./!,&#$'%!

!

!

Reducing Teenage Pregnancy in Sierra Leone – February 2013 "'!

!"##$%&W(&A,,%/"2$4",2@&X,2"4,%"23&$2/&=-$#6$4",2&*.08$2"5*5&"2&+#$0.!$2/&$##,H"23&+%,+.%&*$2$3.*.24&,D&48.&54%$4.31&

&

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

:64+64;<04"-"4".5& )2/"0$4,%5& L$%2,.%+-3$!2('&.$'=%G!

:64+64&W(&A,,%/"2$4",2@&X,2"4,%"23&$2/&

=-$#6$4",2&*.08$2"5*5&"2&+#$0.&$2/&$##,H"23&

+%,+.%&*$2$3.*.24&,D&48.&54%$4.31&

Q6204",2$#&0,,%/"2$4",2&*.08$2"5*5&,D&48.&

C4%$4.31&"2&+#$0.&&

NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!0+&#!(33!2('&.$'%!

S$5.#"2.&$2/&*$++"23&,D&$04"-"4".5&.54$M#"58./&8JM@!NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!

,5!0+&#!(33!2('&.$'%!Q6204",2$#&*,2"4,%"23&5154.*&"2&+#$0.&H"48&

M$5.#"2.@&*$++"23&$2/&%.36#$%&%.+,%45&&

NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!0+&#!(33!2('&.$'%!

Q"2$#&Y..2$3.&!%.32$201&C4%$4.31&=-$#6$4",2&

%.+,%4&

8JM@!NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!0+&#!(33!2('&.$'%!

L$)?3('!6$$&+.)!,5!&#$!&$4#.+4(3!(./!#+)#Q3$<$3!6$6-$'%!,5!&#$!8&'(&$)*:! R?6-$'!,5!6$$&+.)%!,5!&#$!NAA!(./!N"A! NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!

0+&#!(33!2('&.$'%!L$)?3('!F+%&'+4&Q3$<$3!4,,'/+.(&+,.!6$$&+.)%!0+&#!

%&(7$#,3/$'%! R?6-$'!,5!6$$&+.)%!(&!/+%&'+4&!3$<$3! NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!0+&#!(33!2('&.$'%!

X(%$3+.$!.$$/%!(%%$%%6$.&@!4,33$4&+,.!,5!-(%$3+.$!(./!6(22+.)! X(%$3+.$!(./!6(22+.)!/$<$3,2$/! 8JM@!NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!

,5!0+&#!(33!2('&.$'%!"$4#.+4(3!%?22,'&!&,!3+.$!6+.+%&'+$%!+.!/$<$3,26$.&!

,5!6,.+&,'+.)!&,,3%!(./!%*%&$6%!! "$4#.+4(3!%?22,'&!'$)?3('3*!2',<+/$/!! NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!0+&#!(33!2('&.$'%!

N,.&#3*!6,.+&,'+.)!,5!(4&+<+&+$%!(&!F+%&'+4&!(./!R(&+,.(3!9$<$3!! L$)?3('+&*!,5!&#$!6,.+&,'+.)! NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!

0+&#!(33!2('&.$'%!

E..?(3!'$<+$0! L$)?3('+&*!,5!&#$!E..?(3!L$<+$0! 8JM@!NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!0+&#!(33!2('&.$'%!

><(3?(&+,.!+.![\]^!&,!2(<$!&#$!0(*!5,'!2,%&![\]^! ><(3?(&+,.!'$2,'&! 8JM@!NAA@!N"A@!R(&+,.(3!8$4'$&('+(&!+.!4,33(-,'(&+,.!,5!0+&#!(33!2('&.$'%!

!

Reducing Teenage Pregnancy in Sierra Leone – February 2013 "#!

!

!"#$%&'()&$*++,&-$%./)0"1.2#&'3(4$5&)&67)&)(/)(4/$7("##&$8".+"$9$'#.:"4)(.+/$;<=;>!"#$%&'"()%$#*"+, -&./-&.01& 2/1134'"()%$#*"+&)+567&/0, 8&-91&:;:& 2./34

%./)$.?$)3"$7)#&)"2@%./)$A@$B,)',) !"#$%&<"=#&81/9>81/; ?9;&;91&//8

@AB&@++)$%&<"=#, ?//&0.9&9:/'67&<$(*#$&<"=#&2!"#$%&'"(C4, ?/D0;'67&<$(*#$&<"=#&2)+567&/04, ?.D;1

;<=C ;<=D ;<=E FBF*8

!"# !"# !"# !"# "$%&'$( )*+

E)#()#&/,&FG(7"A65&("%*HI&$+5&%6B$%&6+A*7"+G6+#&#"&(7"#6H#&$5"%6=H6+#=&$+5&I")+B&(6"(%6J=&7*BK#=

9:1&::1&&&&&&&&&&&& 9;/&/.-&&&&&&&&&&&&&& L1&;0/&&&&&&&&&&&&&&&&&& G=;$DHI$$$$$$$$$$$$$ /11&111&&&&&&&&&&&&&&&&&& :/8&.L:&&&&&&&&&&&&&&&&

E)#()#&8,&&FG(7"A65&$HH6==&#"&M)$%*#I&NOPD&'7"#6H#*"+&$+5&Q5)H$#*"+&=67A*H6=&R"7&$5"%6=H6+#=&$+5&I")+B&(6"(%6

.&99/&81L&&&&&&&& -&:L8&.L:&&&&&&&&&& :&-.0&.--&&&&&&&&&&&&& =G$II;$=I;$$$$$$$$ -&8;1&0L9&&&&&&&&&&&&&& /8&;8/&8:L&&&&&&&&&&

E)#()#&9,&<"G(76K6+=*A6&$B6&$((7"(7*$#6&*+R"7G$#*"+&$+5&65)H$#*"+&R"7&$5"%6=H6+#=&$+5&I")+B&(6"(%6

8&LL0&/8/&&&&&&&& 8&.L-&L.:&&&&&&&&&& 8&.1.&8/9&&&&&&&&&&&&& I$GHH$;G=$$$$$$$$$$ 8&-L1&111&&&&&&&&&&&&&& ;&81L&80/&&&&&&&&&&&&&

E)#()#&.,&<"GG)+*#*6=D&$5"%6=H6+#=&$+5&I")+B&(6"(%6&6G("S6765&#"&(76A6+#&$+5&76=("+5&#"&#66+$B6&(76B+$+HI

8&1L-&18;&&&&&&&& 8&980&11L&&&&&&&&&& 8&9::&;1L&&&&&&&&&&&&& J$G<=$EDC$$$$$$$$$$ 8&99.&899&&&&&&&&&&&&&& .&.-:&9//&&&&&&&&&&&&&

E)#()#&;,&<""75*+$#*"+D&T"+*#"7*+B&$+5&QA$%)$#*"+&G6HK$+*=G=&*+&(%$H6&$+5&$%%"S*+B&(7"(67&G$+$B6G6+#&"R&#K6&=#7$#6BI

;;1&--:&&&&&&&&&&&& 8/;&:L.&&&&&&&&&&&&&& .:0&/;0&&&&&&&&&&&&&&&& =$;DD$J=H$$$$$$$$$$ 9-8&LL/&&&&&&&&&&&&&&&&&& 00/&-80&&&&&&&&&&&&&&&&

F.)&-/ =<$CDJ$IH;$$$$$$ =;$=GD$CHC$$$$$$$$ =;$HHG$H;I$$$$$$$$$$ CE$EC<$==;$$$$$$$$ ==$ICG$==J$$$$$$$$$$$$ ;C$IH=$HHJ$$$$$$$$$$

K,+5(+2$L&'

./3&"R&#K6&#"#$%&("()%$#*"+&"R&N*677$&U6"+6&2-C.&G*%%*"+4&*=&)+567&/0&I6$7=&"R&$B6&28C-G*%%*"+4C&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&!K6&(67&H$(*#$&$++)$%&H"=#&"R&#K6&=#7$#6BI&*=&?/C0;&V$=65&"+&#"#$%&("()%$#*"+&$+5&?.C;1&*R&H$%H)%$#65&"+&#K6&("()%$#*"+&)+567&/0&I6$7=&"R&$B6C&

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

M&)(.+&-$7)#&)"2@$?.#$)3"$N"5,4)(.+$.?$F""+&2"$!#"2+&+4@$(+$7("##&$8".+"$6;<=C$9$;<=E>

!K6&X$#*"+$%&N#7$#6BI&*=&V)*%5*+B&"+&*+#67A6+#*"+=&#K$#&$76&$%76$5I&V6*+B&*G(%6G6+#65&VI&#K6&($7#+67=C&Y"A67+G6+#D&ZX&$B6+H*6=D&FXYE=&$+5&"#K67&($7#+67=&K$A6&$%76$5I&6$7G$7W65&$&V)5B6#&"R&?//C:&G*%%*"+&#"&=)(("7#&#K6&N#7$#6BIC&!K6&R)+5*+B&B$(&$G")+#=&#"&?89C:&G*%%*"+&R"7&9&I6$7=C&!K*=&R*B)76&G$I&V6&76A*=65&5)7*+B&#K6&*G(%6G6+#$#*"+&"R&#K6&=#7$#6BIC&P"S6A67D&#K6&"A67SK6%G*+B&A*6S&*=&#K$#&#K6&76=")7H6&=K"7#R$%%&*=&=)V=#$+#*$%C&@55*#*"+$%&R*+$+H*$%&=)(("7#&S*%%&V6&76M)*765C

!K6&#"#$%&H"=#&"R&#K6&X$#*"+$%&N#7$#6BI&R"7&#K6&O65)H#*"+&"R&!66+$B6&'76B+$+HI&2XNO!'4&*+&N*677$&U6"+6&R"7&#K6&(67*"5&81/9&#"&81/;&*=&$((7"[*G$#6%I$OCEPE$1(--(.+C&!K6&$A67$B6&H"=#&(67&I6$7&*=&O==PG$1(--(.+C

K,+5(+2%./)$A@$B,)',)

E)#()#&/&83&

E)#()#&8&;93&E)#()#&9&

883&

E)#()#&.&/L3&

E)#()#&;&.3&

\)+5*+B&N6H)765D&&//:90&//-&&

\)+5*+B&Y$(D&&89:L/&LL-&&