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Motherhood in Childhood

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Research shows that address<strong>in</strong>g un<strong>in</strong>tended<br />

pregnancy among adolescents requires holistic<br />

approaches, and because the challenges are<br />

great and complex, no s<strong>in</strong>gle sector or organization<br />

can face them on its own. Only by<br />

work<strong>in</strong>g <strong>in</strong> partnership, across sectors, and <strong>in</strong><br />

collaboration with adolescents themselves, can<br />

constra<strong>in</strong>ts on their progress be removed.<br />

Keep<strong>in</strong>g adolescent girls on healthy, safe<br />

and affirm<strong>in</strong>g life trajectories requires comprehensive,<br />

strategic, and targeted <strong>in</strong>vestments<br />

that address the multiple sources of their<br />

vulnerabilities, which vary by age, abilities,<br />

<strong>in</strong>come group, place of residence and many<br />

other factors. It also requires deliberate efforts<br />

to recognize the diverse circumstances of<br />

adolescents and identify girls at greatest risk<br />

of adolescent pregnancy and poor reproductive<br />

health outcomes. Such multi-sectoral<br />

programmes are needed to build girls’ assets<br />

across the board—<strong>in</strong> health, education and<br />

livelihoods—but also to empower girls through<br />

social support networks and <strong>in</strong>crease their status<br />

at home, <strong>in</strong> the family, <strong>in</strong> the community and <strong>in</strong><br />

relationships. Less complex but strategic <strong>in</strong>terventions<br />

may also make a difference. These could<br />

<strong>in</strong>clude the provision of conditional cash transfers<br />

to girls to enable them to rema<strong>in</strong> <strong>in</strong> school.<br />

The way forward<br />

Many countries have taken action aimed at prevent<strong>in</strong>g<br />

adolescent pregnancy, and <strong>in</strong> some cases,<br />

to support girls who have become pregnant. But<br />

many of the measures to date have been primarily<br />

about chang<strong>in</strong>g the behaviour of the girl, fail<strong>in</strong>g<br />

to address underly<strong>in</strong>g determ<strong>in</strong>ants and drivers,<br />

<strong>in</strong>clud<strong>in</strong>g gender <strong>in</strong>equality, poverty, sexual<br />

violence and coercion, child marriage, social<br />

pressures, exclusion from educational and job<br />

opportunities and negative attitudes and stereotypes<br />

about adolescent girls, as well as neglect<strong>in</strong>g<br />

to take <strong>in</strong>to account the role of boys and men.<br />

EIGHT WAYS TO GET THERE<br />

1 Girls 10 to 14<br />

Preventive <strong>in</strong>terventions for young adolescents<br />

2 Child marriage<br />

Stop marriage under 18, prevent sexual violence and coercion<br />

5 Education<br />

Get girls <strong>in</strong> school and enable them to stay enrolled longer<br />

6 Engage men and boys<br />

Help them be part of the solution<br />

3 Multilevel approaches<br />

Build girls' assets across the board; keep girls on healthy,<br />

safe life trajectories<br />

4 Human rights<br />

Protect rights to health, education, security and freedom<br />

from poverty<br />

7 Sexuality education and access to services<br />

Expand age-appropriate <strong>in</strong>formation, provide health<br />

services used by adolescents<br />

8 Equitable development<br />

Build a post-MDG framework based on human rights,<br />

equality, susta<strong>in</strong>ability<br />

ix

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