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Teenage pregnancy is one of the universal problems that affect the lives of adolescent and young girl’s. Teenage pregnancy often risks girls health and impediments to their, social, economic and political progress and empowerment of adolescent and young girls in Sierra Leone. All teenage pregnancies irrespective of the outcome have adverse consequences for the girls, their parents and the community..

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Many countries have taken up the cause of preventing adolescent pregnancies, often through actions aimed at changing a girl’s behaviour. Implicit in such interventions are a belief that the girl is responsible for preventing pregnancy and an assumption that if she does become pregnant, she is at fault.

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Improving the health of a nation is one of the key priorities of our Government. Formulation of launch of this National Health SEctor Strategic PLan (2010-2015) for further development of our country's health sector is therefore a major achievement.

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This is Volume One of the results of the Survey on the Availability of Modern Contraceptives and Essential Life-Saving Maternal and Reproductive Health Medicines in Service Delivery Points in Sierra Leone. It is published by the United Nations Population Fund (UNFPA) Country Office in Sierra Leone.

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Many social policies, including health policies, assume that young adolescents are living with at least one or, ideally, both parents. It is presumed that parents (or even grandparents) may be relied upon to provide income, moral or logistical support, housing, and protection. Many programs directed at this age group assume some level of engagement by parents and therefore may seek to have parental input on important policies.

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This report presents the results of the first of three successive monitoring surveys to be implemented over a two year period to assess progress on selected output and outcome indicators. The survey was conducted in May / June 2014 to establish a baseline to monitor the effectiveness of UNFPA interventions under the DFID/UK AID supported "Improving Reproductive Maternal and Newborn Health Programme (IRMNH) in Sierra Leone project.

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