tReturning from the field,Kiribati.©<strong>UNFPA</strong>/Ariela Zibiahbetween marriage and childbearing differsdepending on the setting or country, and thecausal relationship between adolescent pregnanciesand early school dropout can be difficultto disentangle.Research using the United <strong>State</strong>s NationalLongitudinal Survey <strong>of</strong> Youth found that earlysexual intercourse had detrimental effects ongirls’ performance in school and educationalattainment, even when socioeconomic backgroundvariables were controlled (Steward,Farkas and Bingenheimer, 2009). Another studyin the United <strong>State</strong>s confirms that motherhoodduring adolescence reduces a girl’s chances <strong>of</strong>obtaining a high school diploma by up to 10 percent, reduces annual income as a young adult by$1,000 to $2,400, and decreases years <strong>of</strong> schooling(Fletcher and Wolfe, 2008).Adolescent pregnancy also obstructs girls’educational achievement in developing countries.Lloyd and Mensch (2008) calculated thecumulative risks in five West African countries<strong>of</strong> girls’ dropping out <strong>of</strong> school before completingtheir secondary education. They estimatethe cumulative risks <strong>of</strong> dropping out as a result<strong>of</strong> adolescent pregnancy (or marriage) to rangebetween 20 per cent in Burkina Faso, Côted’Ivoire, Guinea and Togo to nearly 40 per centin Cameroon. One analysis <strong>of</strong> the impact <strong>of</strong>adolescent motherhood on high school attendanceand completion in Chile finds that beinga mother reduces girls’ likelihood <strong>of</strong> attendingand completing high school by between 24 percent and 37 per cent (Kruger et al., 2009).While some studies find that girls appearmore vulnerable to leaving school once theybecome sexually mature and once they engagein premarital sex, others have concluded thatgirls are more likely to drop out for reasonsother than pregnancy (Biddlecom et al., 2008).In some cases, pregnancy is more likely to bethe consequence <strong>of</strong> early school exit. Evidencefrom South Africa for example, suggests thatpoor performance in school is associated with aheightened risk <strong>of</strong> pregnancy and then a higherrisk <strong>of</strong> dropping out <strong>of</strong> school. This leads tolong-term negative impacts on a woman’s education,skills, employment and income (Grant andHallman, 2006).Impact on women’s labour forceparticipationAccess to reproductive health services, includingfamily planning, also improves women’s opportunitiesto enter the labour force. First, accessallows women to control the timing <strong>of</strong> birthsand thus expand their participation in labourmarkets. This is illustrated by the release <strong>of</strong>Enovid, the first birth control pill, in the United74 CHAPTER 4: THE SOCIAL AND ECONOMIC IMPACT OF FAMILY PLANNING
Estimates <strong>of</strong> Total Fertility2010-2015 median projectionRegion Total fertility (children per woman), 2010-2015<strong>World</strong> 2.45More developed regions 1.71Less developed regions 2.57Least developed countries 4.10Less developed regions, excluding least developed countries 2.31Less developed regions, excluding China 2.86Africa 4.37Eastern Africa 4.74Middle Africa 5.16Northern Africa 2.75Southern Africa 2.46Western Africa 5.22Asia 2.18Eastern Asia 1.56South-Central Asia 2.56Central Asia 2.46Southern Asia 2.57South-Eastern Asia 2.13Western Asia 2.85Europe 1.59Eastern Europe 1.49Northern Europe 1.86Southern Europe 1.49Western Europe 1.69Latin America and the Caribbean 2.17Caribbean 2.25Central America 2.41South America 2.06Northern America 2.04Oceania 2.45United Nations data estimate that the total fertility rate has fallenbelow replacement level (2.1 children per woman) in more than 83countries. Some governments in countries where each generation isnow smaller than the one before it are concerned about having fewerworkers to tax and greater numbers <strong>of</strong> elders to support. As greaternumbers <strong>of</strong> individuals and families are able to exercise their rightto family planning, national dialogue about family policy, includingparental leave, support for care-giving services, and the elimination<strong>of</strong> discriminatory employment practices against people with youngchildren may be productive. Any adjustments to public policy, however,should not dilute governments’ financial and political commitmentto ensuring that women and men <strong>of</strong> all ages have reliable access toquality family planning information and services.In societies where total fertility has dipped to below replacementlevels, individuals and families are not refraining from having childrenbecause they merely have access to family planning. Rather, they areachieving their desired small family sizes because they have the means<strong>of</strong> doing so. Access to family planning has increasingly empoweredwomen in particular with the information and services to assert theirrights and to carry out their fertility preferences.THE STATE OF WORLD POPULATION <strong>2012</strong>75
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OverviewOne hundred seventy-nine go
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The report is structured to answer
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viiiCHAPTER 1: THE RIGHT TO FAMILY
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“All human beings are born free a
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Treaties, conventions and agreement
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Health: a social and economic right
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“Everyone has the right to educat
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designing and delivering accessible
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use, and reduces unintended pregnan
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16 CHAPTER 2: ANALYSING DATA AND TR
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Change in Age-Specific Fertility Ra
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Sexuality, sexual and gender stereo
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not necessarily associated with a d
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Delivering a world where every preg