teenage pregnancy - scphrp
TRANSCRIPT
Teenage Pregnancy:
Everybody’s business!
Teenage pregnancy: A complex issue associated with a large range of risk factors… (DoH Teenage Pregnancy Unit)
Teenage Pregnancy: everybody’s business!
Teenage pregnancy: A complex issue associated with a large range of risk factors…
Looked after children/young
people leaving careBehavioural
Problems
Poor educational
attainment
Sexual abuse in
childhood
Lack of confidence in
resisting pressure to
have sexEmotional
well-being
Disengagement
from school/poor
attendance
Social
deprivation
Low aspirations
Mental health
problems
Low self-esteem
Peer influence
Cultural influence
Ethnicity
Teenage
Mother
Fear of
parents/carers
finding out
Parents and professionals lack
confidence to discuss sex and
relationship issues with young
people
Parental
influence
Alcohol/substance
misuse
Lack of confidence
in mainstream
health services
Young people lack skills and
confidence to make and
carry through positive
choices
Poor and inconsistent
contraceptive use among young
people
Lack of easy
access to
contraception
Low knowledge levels among
boys and young men
Poor knowledge and skills
among young people in
relation to sex,
relationships and sexual
health risks
Less likely to use
contraception
More likely
to have sex
earlyTeenage
Pregnancy
Source: SNS <20 births 2006-2008 by IG, Identifier: IDHS-fbirth19
Tayside: First time mums under 20 by Intermediate Geography
Intermediate Geography
First time mothers
aged 19 and under
Percentage first time
mothers aged 19 and under CHP
S02000226 Whitfield 52 34.4 Dundee City
S02000211 Hilltown 31 30.7 Dundee City
S02000218 Douglas East 27 30.7 Dundee City
S02000222 Douglas West 31 26.5 Dundee City
S02000221 Linlathen and Midcraigie 38 26.2 Dundee City
S02000214 Lochee 31 25.2 Dundee City
S02000228 Kirkton 27 24.5 Dundee City
S02000965 Letham 24 24.5 Perth & Kinross
S02000114 Arbroath Cliffburn 22 24.2 Angus
S02000115 Arbroath Warddykes 29 24 Angus
S02000126 Brechin East 15 23.8 Angus
S02000969 Hillyland, Tulloch and Inveralmond 28 23.1 Perth & Kinross
S02000978 Blairgowrie East (Rattray) 14 23 Perth & Kinross
S02000229 Fintry 31 22.3 Dundee City
S02000227 Downfield 14 21.5 Dundee City
S02000223 Caird Park 19 21.3 Dundee City
S02000216 Charleston 27 21.1 Dundee City
S02000225 Ardler and St Marys 28 20.6 Dundee City
S02000127 Brechin West 11 20.4 Angus
S02000118 Forfar West 16 20.3 Angus
S02000205 Menzieshill 24 20.3 Dundee City
S02000201 City Centre 19 19.6 Dundee City
S02000113 Arbroath Kirkton 17 19.3 Angus
S02000124 Montrose South 15 18.8 Angus
S02000209 Law 13 18.3 Dundee City
S02000967 Muirton 11 18.3 Perth & Kinross
S02000959 Moncrieffe and Friarton 9 18 Perth & Kinross
S02000953 Auchterarder 9 17.6 Perth & Kinross
S02000112 Arbroath Harbour 16 16.5 Angus
S02000123 Kirriemuir 15 15.8 Angus
S02000208 Stobswell 23 15.6 Dundee City
S02000971 North Muirton and Old Scone 7 14.6 Perth & Kinross
S02000111 Arbroath Keptie 6 14.3 Angus
S02000119 Forfar Central 13 14.3 Angus
S02000951 Milnathort and Crook of Devon 7 14.3 Perth & Kinross
S02000217 The Glens 12 14.1 Dundee City
S02000219 Fairmuir 10 13.7 Dundee City
S02000975 Stanley and Murthly 7 13.7 Perth & Kinross
S02000964 Central, North Inch and South Inch 18 13.1 Perth & Kinross
S02000107 Carnoustie West 14 12.8 Angus
S02000957 Crieff South 7 12.5 Perth & Kinross
S02000961 Gannochy and Walnut Grove 4 12.1 Perth & Kinross
S02000125 Montrose North 8 11.6 Angus
S02000980 Pitlochry 3 11.1 Perth & Kinross
S02000117 Kirriemuir Landward 4 10.3 Angus
S02000968 Scone 4 10.3 Perth & Kinross
S02000981 Rannoch and Aberfeldy 6 10.3 Perth & Kinross
S02000207 Craigie and Craigiebank 7 9.6 Dundee City
S02000206 Broughty Ferry Wes 7 9.3 Dundee City
S02000976 Coupar Angus and Meigle 7 9.3 Perth & Kinross
S02000204 Balgay 4 8.7 Dundee City
S02000963 Viewlands, Craigie and Wellshill 7 8.6 Perth & Kinross
S02000950 Kinross 4 8.5 Perth & Kinross
S02000974 Luncarty and Dunkeld 5 8.5 Perth & Kinross
S02000199 Perth Road 6 8.3 Dundee City
S02000202 Logie and Blackness 9 8.3 Dundee City
S02000972 Guildtown, Balbeggie and St Madoes 4 8.2 Perth & Kinross
S02000122 Friockheim 8 7.9 Angus
S02000979 Alyth 3 7.9 Perth & Kinross
S02000958 Crieff North 2 7.4 Perth & Kinross
S02000116 Letham and Glamis 4 7 Angus
S02000224 West Pitkerro 9 6.9 Dundee City
S02000977 Blairgowrie West 5 6.8 Perth & Kinross
S02000105 Monifieth West 3 6.7 Angus
S02000955 Bridge of Earn and Abernethy 4 6.5 Perth & Kinross
S02000203 Docks and Wellgate 6 6.3 Dundee City
S02000200 Westend 4 6.1 Dundee City
S02000128 Hillside 2 5.6 Angus
S02000106 Monifieth East 3 5.5 Angus
S02000982 Blair Atholl, Strathardle and Glenshee 2 5.3 Perth & Kinross
S02000966 Western Edge 3 5.1 Perth & Kinross
0
10
20
30
40
50
60
70
80
90
100
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SIMD Vigintile (2009)
Ave
rag
e fir
st-
tim
e <
20
mu
ms p
er
10
00
16
-19
fe
ma
les*
Tayside: First time mums aged 19 and under
Average (2006-2008) annual number of first time mothers aged 19 and under: rate per 1,000
female 16-19 population by SIMD Decile (*Population: mid-2008 estimate, SIMD 2009)
Why it matters
Although teenage pregnancy can be a positive experience, it is strongly associated with a wide range of subsequent adverse health and social outcomes.
Why it matters Teenage pregnancy severely limits young women’s
education and career prospects
Teenage mothers are:
less likely to finish their education
more likely to bring their child up alone and in poverty
3 times more likely to smoke during pregnancy
50% less likely to breastfeed
have 3 times the rate of post natal depression of older mothers
have a higher risk of poor mental health for 3 years after the birth
Why it matters
Rates of teenage pregnancy are highest among deprived communities: the most deprived groups have 10 times the rate of delivery as the least deprived.
The poorer outcomes also mean that the effects of deprivation are passed on from one generation to the next, so it is an important issue to address as part of the wider aim to tackle inequalities and give children and young people the best start in life.
“Reducing Teenage Pregnancy in Tayside” Driver Diagram
AIM Statement Primary Drivers Secondary Drivers
Reduce pregnancy in
in the under 20s in the
most deprived
communities by 15%
by 2013
Reduce pregnancy in
under 16s by 20% by
2013
Reduce pregnancy in
the under 20s in
deprived communities
by 25% by 2017
Reduce by 50%
pregnancies among
under 18s looked
after/young people
leaving care by 2020
Early Childhood Experience &
Development.
Competent Workforce
Increase expectations & aspirations
and build social capital of young
people
Young people make informed
decisions about their sexual health
Young people focussed
contraceptive and sexual health
services
Strong commitment of all partner
agencies
* All pregnant women under 20 identified and offered intensive ante-natal support
and during first 2 yrs of infancy
* Parenting skills programmes
* Intensive pre-school support for vulnerable children
* Support for young men to continue parenting involvement and support for
couples
* Improve relevance and enjoyment of school
* Improve educational attainment
* Youth development programmes that aim to promote self-esteem, positive
aspirations and a sense of purpose through vocational, educational, volunteering
& life skills
* Volunteering and befriending & peer led opportunities
* Well resourced Youth Services with a clear remit to address teenage pregnancy
•Work with parents through parenting programmes to encourage better
communication about relationships, sexual health & aspirations
•Promote community resilience and co-production of community led
(collaborative) social marketing
* High quality consistent sexual health & relationships education (SRE) that
encourages young people to delay sexual activity
* Tailored SRE for most at risk groups delivered in a range of settings
* Skills based programmes
* Easy access to information and support
* Health drop-ins available in all secondary schools
* Young people involved in informing what & how information/education is
delivered
* Dedicated young people services in or within walking distance of all secondary
schools offering advice, free condoms, pregnancy testing & Chlamydia testing
* Young people are confident to use services
* Well publicised services
* Emergency Hormonal Contraception widely available & accessible TOP
* Young people involved in planning, implementation and services so that it meets
their needs
* Relevant data & health intelligence
•Collaboration of effort embedded in community planning
•Multi-agency self-assessment
•Competent & confident workforce skilled in supporting young people to delay sex
•Training for Health care professionals, teachers, health visitors, social care &
youth workers
•Delivered by competent workforce
Background to the Project
The Sexual Health & BBV
Framework 2011-2015
Change in leadership to local
authority
Asset based approaches
Primary Research & scoping
Success in Perth & Kinross
Learning new skills
Computer Classes
1:1 mobile phone help
Digital photograph
downloading
Chair Based Exercise Instructors
Walk Leaders
1St Aid Training
Food hygiene training
Benefits of this work
Reduce isolation
Promote Mental Wellbeing
Promote active ageing
Improve social capital
Promotes resilience
Healthy Community
Collaborative
Engage with
community/key
workers
Form a team
Train / build
capacity
Look at shared
solutions, try
them out……
The PDSA Cycle for ImprovementThe PDSA Cycle for Improvement
Act
• What changes
are to be made?
• Next cycle?
Plan
• Objective
• Questions/predictions
• Plan to carry out the
cycle
(who, what, where,when)
•Plan for data collection
Study• Complete the
analysis of the data
•Compare data to
predictions
• Summarize
what was
learned
Do• Carry out the plan
• Document
problems and
unexpected
observations
• Begin analysis
of the data
Story so far.....
Steering group
Professional events in 3 areas
Tayside; partnership work
Work with Pure Media UK /
potential groups
Establishing groups
Adapting the model
Young woman who won’t go to the
sexual health clinic alone because she
can’t fill in the form
The young parents & their children who
are not getting the information they
need because of literacy issues
Confidence & aspirations: The young
woman who before she found a training
place, thought her only option was
prostitution
Young People’s Stories
hi, my gf is pregnant again!! we already
have a baby and bein a dad once at 15
is enough. B4 u say anythin yes we
have heards of comdons but tht one
split!! i love my son and my gf but I
dont want a nother baby. i want to
keep my gf but if i suggest to get rid of
it she might walk out on me... i stuck
for answers HELP!!
Cool2talk 2010
How?
Engage with key agencies
Turn the research & evidence
base into an accessible form
Adapt the model
Use this to start a conversation
with young people & the
communities they live in
Work with them to try out stuff
that makes a difference
Action Period
Team building,
Scoping & developing ideas 4-6 weeks
Action Period
To October
The Collaborative
Method
May Summit bringing together
teams to share ideas
PDSA
Engagement Workshops
Teams established
Teenage pregnancy Research
Identify issues
October summit bringing together
teams to share practice
Whitfield, Dundee
Group of local women
involved in community
development.
Plan: work with this group
to build local team
including young people:
possible link with group
young women & CLD
Young people
who have
been or are
looked after
Angus College
Work with college to
bring a team together
from across Angus.
Use this team to work
in chosen area / with
chosen group
Coupar Angus
Professionals
engaged, March
meeting set. Work
with established
networks
PURE MEDIA
working group
Workshop as
an
engagement
tool & a way to
start a
conversation
&
more….using
young people
to work with
young people
Young father’s
Working with drama
group & Michael's
story to bring
together a group of
young fathers
Michael's
story
Peer led young
mum’s group
School based
group
Braeview
Next steps
Learning
Support
Challenges & Risks
Opportunities