Motherhood in Childhood
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Towards empowered adolescent<br />
girls and fulfilled potential<br />
Adolescents are shap<strong>in</strong>g humanity’s present and<br />
future. Depend<strong>in</strong>g on the opportunities and<br />
choices they have dur<strong>in</strong>g this period <strong>in</strong> life, they<br />
can enter adulthood as empowered and active<br />
citizens, or be neglected, voiceless and entrenched<br />
<strong>in</strong> poverty.<br />
When adolescent pregnancy occurs, it can<br />
derail a girl’s healthy development and prevent<br />
her from achiev<strong>in</strong>g her full potential and enjoy<strong>in</strong>g<br />
her basic human rights. The impact can<br />
reverberate throughout her life and carry over<br />
to the next generation.<br />
Experience from effective programmes shows<br />
that what is needed is a transformative shift away<br />
from narrowly focused <strong>in</strong>terventions, targeted<br />
at girls or at prevent<strong>in</strong>g pregnancy, and towards<br />
broad-based approaches that build girls’ human<br />
capital, focus on their agency to make decisions<br />
about their lives (<strong>in</strong>clud<strong>in</strong>g matters of sexual and<br />
reproductive health), and present real opportunities<br />
for girls so that pregnancy is not seen as their<br />
dest<strong>in</strong>y. This new paradigm should <strong>in</strong>stead target<br />
the circumstances, conditions, norms, values<br />
and structural forces that perpetuate adolescent<br />
pregnancies on the one hand and that isolate and<br />
marg<strong>in</strong>alize pregnant girls on the other.<br />
Interventions that have the power to reduce<br />
vulnerability to early pregnancy, especially among<br />
the poorest, least-educated and marg<strong>in</strong>alized<br />
girls, are those that are grounded <strong>in</strong> pr<strong>in</strong>ciples<br />
of equity, equality and rights. Investments <strong>in</strong><br />
girls—<strong>in</strong> build<strong>in</strong>g their human capital and their<br />
agency—can yield enormous social and economic<br />
returns, to <strong>in</strong>dividuals, their families, communities<br />
and nations.<br />
Girls need access to sexual and reproductive<br />
health services and <strong>in</strong>formation. They also need<br />
to be unburdened from the economic and social<br />
pressures that too often translate <strong>in</strong>to a pregnancy<br />
and the poverty, poor health and unrealized<br />
human potential that come with it. Girls who<br />
have become pregnant need support, not stigma.<br />
Engagement by all stakeholders—families,<br />
communities, schools, health care providers and<br />
more—is essential to br<strong>in</strong>g about change by<br />
reshap<strong>in</strong>g social norms, traditions and practices<br />
that perpetuate adolescent pregnancy and compromise<br />
girls’ futures. Cooperation among all<br />
stakeholders can mobilize political will for <strong>in</strong>vestments<br />
to empower adolescent girls and build<br />
their agency.<br />
s Youth peer<br />
provider works<br />
with local health<br />
centres to reach<br />
Ethiopian youth<br />
and adolescents<br />
with contraceptive<br />
<strong>in</strong>formation and<br />
supplies.<br />
© Mark Tuschman/<br />
Planned Parenthood<br />
Global<br />
THE STATE OF WORLD POPULATION 2013<br />
97