1. Teenage Pregnancy Scrutiny Topic Group Seminar Local overview – targets, trends and national recommended good practice Christine Oker 18 May 2006

2. Hertfordshire TP targets A 10 –year Teenage Pregnancy Strategy (2001-2010) with a rolling annual Action Plan of implementation. 15% reduction in under 18 conception rate by 2004 45% reduction in under 18 conception rate by 2010 Increase to 60% the participation of teenage parents in education, training or employment to reduce their risk of long- term social exclusion by 2010

3. Teenage Pregnancy Trends in Hertfordshire Source: ONS & TPU, Jan 2006 1998 baseline 2004 target 2010 target

4. Overall % change in U18 conception – 1998 -2003 Eastern Region Source: ONS & TPU, Feb 2006 1998 Numbers 1998 Rates2004 Numbers 2004 RatesOverall % change 1998-2003 England41,08946.6 39,54541.5-11.1 East of England3,59237.93,38932.8-13 Hertfordshire County5883254627.4-14.5 Luton UA15943.118044.73.8 Peterborough UA18557.717553.8-6.7 Southend-on-Sea UA15556.413547.4-16 Thurrock UA14762.312343.1-30.7 Bedfordshire County2824124232.3-21.2 Cambridgeshire County30531.426825.6-18.6 Essex County84136.977330.6-17 Norfolk4913751335.8-3.2 Suffolk43937.543433.9-9.6

5. Under 18 conception split by age group, 2001-2003 <16 16-17 Hertfordshire5.4 23.6 East England6.3 27.7 England8.1 34.3

6. A different picture at district level….

7. Overall % change in U18 conception at Herts district level – 1998 -2003 Source: ONS & TPU Jan, 2006 Hertfordshire Districts 1998 Number 1998 Rate 2003 Number 2003 Rate Overall % change 1998-2003 Broxbourne5337.55734.8-7.2 Dacorum10139.86825.8-35.2 East Hertfordshire 5223.55020.7-11.8 Hertsmere3923.55027.216.8 North Hertfordshire 6931.76732.00.7 St. Albans5223.34218.4-20.8 Stevenage7653.57847.6-11.1 Three Rivers5133.63621.8-35.1 Watford5136.73424.5-33.2 Welwyn Hatfield 4424.86133.536.1

8. Ward Level Conception ….

9. Ward Level Conception … There are 14 wards in the county with under 18 conception rates among the highest 20% in England. These wards are spread out with some in districts with low conception rates. Source: TPU, under 18 conception rates at ward level 2001-2003

10. Education attainment also has an impact over and above the effects of deprivation Deprived wards with higher educational attainment have lower teenage conception rates Source: TPU, 2005

11. Link between education attainment and u18 conception rate in Herts

12. Understanding the causes of teenage pregnancy is complex……

13. Some Local Challenges… Understanding the causes of teenage pregnancy locally remains complex Mainstreaming of successful projects Ongoing re-organisation in Health Education of school age mothers SRE support to schools

14. National Recommended Good Practice – “deep dive findings” All key partners contributing to the Strategy Strong delivery of SRE/PSHE by schools Accessible, confidential, highly visible, young people friendly sexual health/contraceptive advice services Workforce training on sex and relationship issues within mainstream partner agencies Targeted work with at risk groups of young people, in particular Looked After Children Active and well resourced youth service