Adolescent Health and

Development Program
12% 13% 8% 11% 9%
7% 7%

TRICIA B. BAROZO, RN, MPA, MCHM

Adolescent Health and Development
Program Coordinator
 What is Teen Pregnancy?

Teenage pregnancy
is defined as
pregnancy that
occurs in women
7% 7% 12% 13% 8% 11% 9%

below the age of 20

 Rate of Teenage Pregnancy in the
Philippines
● In 2011, 9.5% of girls in the Philippines aged 15-19 have
begun childbearing, 7.4% are already mothers and 2.1% are
pregnant with their first child

12% 13% 8% 11% 9%

7% 7%

● Young women from Rural areas (11.0 %) are most likely to

bear a child than those from urban areas (8.2 %)

● About 13% of the total female population under the age of 20

have been married in the Philippines. This is especially true in
rural areas, where girls are married young and pressured to
start having children immediately
 2017 PROJECTED POPULATION OF
ADOLESCENTS
1,400,000
1,200,000
1,000,000
800,000
600,000
12% 13% 8% 11% 9%
400,000 7% 7%

200,000
0

* Acceptable limit for Adolescent Deliveries is 12% out of the Total Deliveries

Data Source: HI 5 Accomplishment Report

 12% 13% 8% 11% 9%
7% 7%

* Acceptable limit for Adolescent Deliveries is

12%
 97 97 96 104 103 99 102

Data Source: HI 5 Accomplishment Report

 Adolescent Health & Development
Program
National set
Performance target as per RO Internal Annual
Variance/Remarks
Indicator/s NOH 2011- target Accomplishment
2016
Hi5 2015: 13%*
decrease by 3
4% teen 1% percentage
pregnancy decrease points
Adolescent rate 2015 report: teen
Delivery (# of teen from Hi5: 10% pregnancies/ total
Rate pregnancies out
previous deliveries
of the total
adolescent year’s rate
population) 2016 report: adol
deliveries/ total
deliveries
 Adolescent Delivery Rate
Bicol Region, Jan – Dec 2015 vs. Jan – Nov 2016
18.0

16.0

14.0

12.0

10.0

8.0

6.0

4.0

2.0

0.0
Camarines Camarines Catanduan
Albay Masbate Sorsogon Region V
Sur Norte es
2015 7.0 17.0 13.0 17.0 14.0 12.0 13.0
2016 8 8 11 12 13 11 10

• NOH Target 2016: Less than 10%

Note:
2015 data on HI5 collected : Teen Pregnancies
2016 data collected: deliveries from adolescents
Teen Pregnancy Rate Adolescent Delivery
2015 Rate 2016

Legend:
Green: less than 9%
Yellow: 9% to 12%
Orange: 12 to 15%
Red: more than 15%
 97 97 96 104 103 99 102

Data Source: HI 5 Accomplishment Report

What are the Circumstances
leading to Teen Pregnancy?
97 97 96 104 103 99 102
●Peer Pressure

●Lack of education and

97 97 96 104 103 99 102

information on their
bodily changes and
complications of early
sexual activity
Lack of adequate parental guidance

97 97 96 104 103 99 102

Media Influence and Curiosity

97 97 96 104 103 99 102

Childhood Environment

97 97 96 104 103 99 102

Sexual Abuse

97 97 96 104 103 99 102

Drug Abuse and Alcohol

97 97 96 104 103 99 102

Poverty

97 97 96 104 103 99 102

 Consequences of Early
Pregnancy/ Early Parenthood
97 97 96 104 103 99 102
Less likely to complete high school/education

97 97 96 104 103 99 102

Poverty

97 97 96 104 103 99 102

Single Parenthood

97 97 96 104 103 99 102

More Likely to have more children sooner
on a limited budget

97 97 96 104 103 99 102

More likely to abuse or neglect their children

97 97 96 104 103 99 102

Health risks of getting pregnant during
teenage years

•Malnutrition (vitamin deficiencies)

•Risk for abortion

•Risk for maternal and fetal death ( more

97 97 96 104 103 99 102

likely to develop pre-eclampsia)

•Risk for acquiring cervical cancer

Complications from pregnancy & child birth are
one of the leading causes of death among girls 15-
19 in low & middle income countries.

97 97 96 104 103 99 102

Simple equation of maternal
mortality among Adolescents

Health risks of early pregnancy

+
97
Complications during labor
97 96 104 103 99 102

=
Maternal deaths among adolescents
What will be our Program Strategy to address issues of maternal
deaths among adolescents from the perspective of our partners
from Birthing Homes/facilities

Maternal Health: advocate for the availment of the

MNCHN service packages that
includes
 Pre natal
97 immunization for TT
97 96 104 103 99 102

oral health services

nutritional assessment

 Referral to hospital for delivery

 Post natal
What will be our Program Strategy to address issues of maternal
deaths among adolescents from the perspective of our partners
from Birthing Homes/facilities

Family Planning:
 Counselling on FP method
 Guidance on the use of desired FP method to
ensure continuous use thereby delaying
succeeding pregnancy
97
 Access and availment of other info. and
97 96 104 103 99 102

services on FP and Rep. Health services

Advocacy (cut across all programs):

 Advocate for their reintegration and or
mainstreaming of various services due to
adolescents
DOH A.O. 2013-0013 National
Policy and Strategic
Framework on Adolescent
Health and Development
`

TRICIA B.BAROZO, RN, MPA, MCHM, Dip. SHRM

AHDP, IMCI and VAWC Regional Coordinator
 Coverage and Scope of
Application
• Public and private health system
- DOH
- Hospitals and other health facilities
- Attached agencies
- Local government facilities
- Development Partners
- Other stakeholders
 General Guidelines
• AHDP shall aim to achieve:
 Healthy Development
 Healthy Nutrition
 Sexual and Reproductive Health
 Reduction of Substance Abuse
 Reduction of injuries and mortality,
morbidity and psychosocial consequences
of injuries
 Reduction of all forms of violence and
mortality morbidity and psychosocial
consequences of violence
 Mental health
 General Guidelines
• AHDP recognizes the risks
inherent to early sexual initiation
or having one’s first sexual
intercourse and shall aim to delay
sexual initiation of adolescents

• AHDP shall respect the rights of

adolescents
 General Guidelines
• Program strategies shall include:
- Health promotion and behaviour change
- Improving access to quality adolescent friendly
health care services
- Expanding health insurance
- Enhancing skills of service providers, families
and adolescents to protect their health and
development
 General Guidelines
• Strengthening partnerships
• Strengthening policy at all levels to ensure that
all adolescents have access to information and
services
• Ensuring sufficient resources to implement a
sustainable adolescent health program
• Resource mobilization
 Strategic Framework
Well-informed, empowered, responsible and healthy adolescents who
Vision
are leaders in society

Adolescents able to enjoy Overall

Improved Health Status
their right to health Goals

Increased Adoption of Avoidance Participation in Behavioural

Service Healthy of Risky Community
Objectives
Utilization Behaviours Behaviours Development

Skilled
Health New and Informat
Access to service
insurance stronger ion
quality providers, Strategies
for partner- manage
services families and
adolescents ships ment
adolescents

Adolescent Capa M Partne

-Friendly Finan- Rese Advoca Program
health
city and rship Components
cing arch cy
services Bldg E Bldg
 Roles and Responsibilities
• Professional Medical and Allied Medical
Associations, Academic Institutions, Adolescent
and Youth Organizations
- Develop members’ capacity to provide adolescent
friendly health services
- Provide TA in the formulation of policies,
guidelines and tools for AHD
- Research
- Participate in M and E
- Advocate for adolescent rights
Roles and Responsibilities

- Hospitals and health care facilities

under LGU must meet national
standards for provision of
adolescent friendly health services