According to the most recent data, adolescentsand youth account for approximately 40per cent <strong>of</strong> unsafe abortions worldwide (Shahand Ahman, 2004). Adolescents may havehigher rates <strong>of</strong> death and disability than adultwomen due to delays in seeking abortion servicesand failure to seek care for complications.Abortion rates increase with limits to contraception,increased demand for smaller families ordelayed childbearing.Family planning aimed at young people canhelp prevent the leading causes <strong>of</strong> death amonggirls between the ages <strong>of</strong> 15 and 19: complicationsrelated to pregnancy, delivery and unsafeabortion (Patton et al., 2009). Almost all maternaldeaths occur in developing countries, withmore than half <strong>of</strong> these deaths occurring insub-Saharan Africa and almost one-third inSouth Asia (<strong>World</strong> Health Organization, <strong>2012</strong>).A comparative study <strong>of</strong> hospitalizations across13 developing countries estimated that nearlyone-fourth <strong>of</strong> women (8.5 million) who have anTotal abortion rates and theprevalence <strong>of</strong> modern contraceptivemethods in 59 countriesTotal abortion rate432100 10 20 30 40 50 60 70 80Source: West<strong>of</strong>f, 2005.Percent <strong>of</strong> married women using modern methodsabortion each year experience complications thatrequire medical attention, with about 3 million<strong>of</strong> them unable to receive the care they need(Singh, 2006).Young girls face greater risks than adults <strong>of</strong>complications and death as a result <strong>of</strong> pregnancy.Compared to adult women, younger mothers aretwo-to-five times more likely to die during childbirth,and the risk <strong>of</strong> maternal death is highestamong girls who have children before their fifteenthbirthdays (<strong>World</strong> Health Organization,2006). Pregnant girls age 18 or younger areat up to four times greater risk <strong>of</strong> maternaldeath than women who are at least 20 years old(Greene and Merrick, n.d.).Often overlooked, maternal morbidities arealso a concern for young people. Young motherswho survive childbirth are at greater risk <strong>of</strong>suffering from pregnancy-related injuries andinfections, including obstetric fistula. In sub-Saharan Africa and Asia, the United Nationsestimates that more than 2 million youngwomen live with untreated obstetric fistula, acondition associated with disability and socialexclusion (<strong>World</strong> Health Organization, 2010).In most settings, high levels <strong>of</strong> maternal deathand disability reflect inequalities in access tohealth services and the social disadvantage andexclusion that young people face—both a causeand consequence <strong>of</strong> health risk that young peopleface as a consequence <strong>of</strong> pregnancy (Swannet al., 2003; Greene and Merrick, n.d.).Nearly 95 per cent <strong>of</strong> births among adolescentstake place in developing countries, andin these countries, about 90 per cent <strong>of</strong> birthsto adolescents 15-19 occur within marriage(<strong>World</strong> Health Organization, 2008). Child marriage—marriagethat takes place before the age<strong>of</strong> 18—is increasingly recognized as a violation<strong>of</strong> a girl’s human rights, including the right tobe protected from traditional harmful practices34 CHAPTER 2: ANALYSING DATA AND TRENDS TO UNDERSTAND THE needs
(as stated in the Convention on the Rights <strong>of</strong>the Child), but it remains all too common,particularly in Africa and South Asia, whereapproximately half <strong>of</strong> all girls are marriedbefore age 18 (Hervish, 2011). Most marriedgirls become pregnant not long after marriage(Godha, Hotchkiss and Gage, 2011).Even though 75 per cent <strong>of</strong> all births amongadolescents are described as “intended,”(<strong>World</strong> Health Organization, 2008), suchintentions may be strongly influenced by socialpressures and cultural norms, for example, thata woman prove her fertility to her husbandand his family soon after marriage (Godha,Hotchkiss and Gage, 2011). For unmarriedgirls, pregnancy is far more likely to be unintendedand to end in abortion (<strong>World</strong> HealthOrganization, 2008).In Latin America, births among adolescentshave declined more rapidly, but remain high,averaging 80 births per 1,000 young womenper year. In a few countries, such as Ecuador,Honduras, Nicaragua, and Venezuela, adolescentbirth rates are above 100 births per 1,000women ages 15 to 19, approaching those <strong>of</strong>most sub-Saharan countries (<strong>UNFPA</strong> 2011).Adolescent pregnancy and childbearing areOthermuch higher among indigenous groups in thesecountries; these groups tend to be socioeconomicallyand educationally disadvantaged (Lewisand Lockheed, 2007). In the United <strong>State</strong>s,birth rates among adolescents have recently40%declined among all ethnic groups to an historiclow level <strong>of</strong> 34 births per 1,000 women but are60%still higher than they are in Western Europe(<strong>UNFPA</strong>, 2010a).Births among adolescents are declining inmost regions, but the rate <strong>of</strong> decline has slowedin some parts <strong>of</strong> the world, even reversed insome countries in sub-Saharan Africa wherebirths among adolescents are the highest in theAdolescentsand youth (15-24)Unsafe abortionsamong adolescents and youthpercentage <strong>of</strong> total unsafe abortions in developingcountries and proportion as a percentage <strong>of</strong> unsafeabortion BY regionPercentage among adolescents and youth, as apercentage <strong>of</strong> total unsafe abortions worldwideAdolescentsand youth (15-24)60%40%OtherBreakdown, as a percentage <strong>of</strong> unsafeabortions (15-24 years) in their region605040302010020-24323125Africa15-19AsiaSource: Shah, I., Ahman, E (2004). “Age Patterns <strong>of</strong> Unsafe Abortionin Developing Country Regions. Reproductive Health Matters. 12(24Supplement):9–17.2392914Latin Americaand Caribbean654321THE STATE OF WORLD POPULATION <strong>2012</strong>35
- Page 6 and 7: OverviewOne hundred seventy-nine go
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- Page 10 and 11: viiiCHAPTER 1: THE RIGHT TO FAMILY
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- Page 58 and 59: per cent in Guatemala. Across all c
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to secure the future population’s
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86 CHAPTER 5: THE COSTS AND SAVINGS
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Unintended Pregnancies and outcomes
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tDonor Commitmentspanel at the Lond
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UNFPA supports the Health for All c
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tDr. BabatundeOsotimehin, Executive
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96 CHAPTER 6: MAKING THE RIGHT TO F
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When individuals are able to exerci
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Family planning programmes must ref
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Family planning programmes reinforc
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tPresident of NigeriaGoodluck Jonat
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Monitoring Monitoring ICPD ICPD Goa
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Monitoring Monitoring ICPD ICPD Goa
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Monitoring Monitoring ICPD ICPD Goa
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Monitoring ICPD Goals Demographic -
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Monitoring ICPD Goals - Selected In
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BibliographyAbbasi-Shavazi, Mohamma
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Monitoring ICPD Goals - Selected In
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Delivering a world where every preg