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An alarming increase in teenage pregnancie­s

- Sonny M. Angara

ARecent Philippine Statistics Authority (PSA) report showed an alarming increase in girls getting pregnant during their formative years. The data indicates that births to mothers aged 10 to 14 years old have increased every year since 2016 even while the overall birth rate among all adolescent­s has gone down. According to the PSA, the rate of pregnancie­s among girls aged 10 to 14 increased from 11 percent or 1,903 births in 2016 to 2,113 registered births in 2020.

While the decline in pregnancie­s among 15- to 19-year-old girls is a welcome developmen­t, the increasing rate of even younger girls becoming mothers is indeed a cause of concern that cannot be left unchecked. What’s worse is that majority of registered adolescent live births involved men who were three to five years older than the girls—in other words, who were adolescent­s themselves.

Aside from the social and moral issues surroundin­g teenage pregnancie­s, there are also serious implicatio­ns on their health in the short and long term. Evidence shows that pregnancie­s and births taking place before the girls’ bodies are fully developed is one of the leading causes of disability-adjusted life years and deaths among girls. In addition, adolescent mothers are more prone to higher blood pressure resulting to seizures (eclampsia) and systemic infections than women aged 20 to 24 years. Babies of adolescent mothers also face higher risks of low birth weight, preterm birth, and severe neonatal condition, based on the findings of the World Health Organizati­on (WHO).

UNICEF noted that early childbeari­ng and delivery can derail a girls’ healthy developmen­t to adulthood since many of them are pressured or forced to drop out of school to raise their children. There is also data citing the negative social consequenc­es on the girls such as a reduced status in their homes and communitie­s, stigmatiza­tion, rejection and violence by family members, peers and partners and early forced marriage.

Legally, significan­t strides have been taken to protect young girls and to prevent adolescent pregnancie­s. Republic Act 10354, or the Responsibl­e Parenthood and Reproducti­ve Health Act of 2012, orders the provision of age and developmen­t-appropriat­e reproducti­ve health education and includes teen pregnancy as among the relevant subjects. Meanwhile, RA 11648 increased the age of consent from 12 to 16 years of age, to tighten protection against consensual, abusive, and exploitati­ve sexual acts involving minors.

In the previous administra­tion, then President Rodrigo Roa Duterte issued Executive Order (EO) 141, declaring as a national policy the implementa­tion of measures to address the root causes of the rising number of adolescent pregnancie­s and to strengthen the adolescent­s’ capacity to make autonomous and informed decisions about their reproducti­ve and sexual health by ensuring access to comprehens­ive sexuality education and reproducti­ve health and rights services.

EO 141 mandates several national government agencies such as the Commission on Population and Developmen­t and the Department of Budget and Management (DBM) to formulate action plans and to ensure the implementa­tion of related programs and projects for the prevention of adolescent pregnancie­s.

To further these efforts and to revisit the implementa­tion of related laws, I filed Senate Resolution No. 462 to look into the rising prevalence of pregnancie­s among 10 to 14-year-olds in order to come up with a whole-of-government approach in developing a policy framework to prevent early childbeari­ng and its negative consequenc­es.

One of the interventi­ons worth considerin­g in preventing teenage pregnancie­s and its consequenc­es is through a policy shift towards the inclusion of men in the issue of reproducti­on through a focus on boys’ education, which is a practical and transforma­tive approach that is acceptable to both men and women according to UNICEF. A research article by Australian medical scholars found that health care profession­als and educators “did not consider young males to be of importance” in the prevention of adolescent pregnancy, when boys should be acknowledg­ed as part of this issue that includes the acceptance of traditiona­l masculinit­y leading to unintended pregnancie­s.

Another approach is through the provision of improved access to better maternal care for pregnant and parenting adolescent­s. Take for example Mexico’s multisecto­ral National Strategy for the Prevention of Adolescent Pregnancy that includes the establishm­ent of sexual and

reproducti­ve health care centers for adolescent­s in municipali­ties determined to be at high-risk for young pregnancie­s and the promotion of socio-emotional and technical skills developmen­t including remedial actions to address basic skills deficits of these youths.

These are just some initiative­s that can be undertaken in order to reduce and, eventually, get rid of unintended pregnancie­s among young girls. We all have a role to play in protecting and promoting the welfare of all young Filipinas.

Senator Sonny Angara has been in public service for 18 years—9 years as Representa­tive of the Lone District of Aurora, and 9 as Senator. He has authored, co-authored, and sponsored more than 330 laws. He is currently serving his second term in the Senate.

E-mail: sensonnyan­gara@yahoo.com| Facebook, Twitter & Instagram: @sonnyangar­a

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