Nearly a third of all women in developing countries start having children at the age of 19 or younger, and nearly half of first births are to children or girls aged 17 or under, new research released on Tuesday by UNFPA, the United Nations sexual and reproductive health agency, revealed.
While total fertility across the globe has fallen, the UNFPA report shows that women who began childbearing in adolescence, had almost five births by the time they reached 40, during the period examined in the report, between 2015 and 2019.
Gender-based and income inequalities are high-lighted as key in fueling teen pregnancies by in-creasing child marriage rates, keeping girls out of school, restricting their career aspirations, and limit-ing healthcare.
Entrenching these inequalities are climate disas-ters, COVID-19 and conflict, which are all upending lives around the world, obliterating livelihoods and making it more difficult for girls to afford or even physically reach school and health services. This leaves tens of millions yet more vulnerable to child marriage and early pregnancy.
“When nearly a third of all women in developing countries are becoming mothers during adolescence, it is clear the world is failing adolescent girls,” UNFPA Executive Director Dr. Natalia Kanem, said in a statement. “The repeat pregnancies we see among adolescent mothers are a glaring signpost that they desperately need sexual and reproductive health information and services.”
After having their first child, additional child-bearing in adolescence is common for child mothers, said UNFPA. Among girls with a first birth at 14, or younger, nearly three quarters also have a second birth later in adolescence, and 40% of those with two births, progress to a third birth before leaving the teen years.
Most births among girls under the age of 18 in 54 developing countries are reported as taking place within a marriage or union.
Although more than half of those pregnancies were classified as “intended”, young girls’ ability to decide whether to have children can be severely constrained. The report finds that adolescent preg-nancy is often — albeit not always — driven by a lack of meaningful choice, limited agency, and even force or coercion, said UNFPA.
Complications from giving birth are a leading cause of death and injury for adolescent girls, but being an adolescent mother can also lead to other grave violations of their human rights and serious social consequences, including child marriage, inti-mate-partner violence and mental health issues.
And the youngest child mothers, face the highest risks. Across the globe, there are encouraging signs of declining levels of motherhood in childhood and adolescence, the UN agency said.
But the pace of decline has been “alarmingly slow”, according to UNFPA, by some three percent-age points, per decade.
“Governments need to invest in adolescent girls and help expand their opportunities, resources, and skill sets, thereby helping avoid early and unintended pregnancies,” said Dr. Kanem. “When girls can meaningfully chart their own life course, motherhood in childhood will grow increasingly rare.”
The report lays out recommendations for poli-cymakers including the need to provide girls with comprehensive sexuality education, mentorship, social support, and quality health services.
It also calls on families to provide greater eco-nomic support, and engage local organisations, all within a supportive policy and legal framework that recognises the rights, capacities and needs of ado-lescents, particularly marginalised adolescent girls.—APP