Field Detail
Theme Health
Code PH-MH-1.5
MDG code MDG-5.4
Sub-theme Maternal Health
Name Adolescent birth rate per 1000 (Teenage fertility rate) (MDG 5.4)
Definition The adolescent birth rate measures the annual number of births to women 15 to 19 years of age per 1,000 women in that age group. It represents the risk of childbearing among adolescent women 15 to 19 years of age. It is also referred to as the age-specific fertility rate for women aged 15-19. [http://mdgs.un.org/unsd/mdg/Metadata.aspx]
Calculation/Formula Live births born to mothers aged from 15 to 19 years of age / Total population of women aged 15 to 19 years x 1000
Range (eg Age) 15-19 years
Assumptions Should be measured over 3 -5 year aggregate periods and reported with 95% confidence intervals to minimise instability due to the small number of events. Note that the measure of interest here is actually PREGNANCIES in this age group (as these are high-risk pregnancies) however live births are used as an indicator for practicability of measurement.
Limitations Adolescent birth rate does not account for births to girls aged less than 15 years. As calculations are made from from vital or civil registration, rates are subject to limitations which depend on the completeness of birth registration, the treatment of infants born alive but dead before registration or within the first 24 hours of life, the quality of the reported information relating to age of the mother, and the inclusion of births from previous periods. The population estimates may suffer from limitations connected to age misreporting and coverage.
Purpose/Rationale To monitor magnitude of teenage pregnancy in Pacific Island countries and territories; Provides baseline data for addressing Youth Friendly Services needs. Impact indicator - Indication of age of sexual debut, level of sexual activity (behaviour) amongst young people; Effectiveness measure of AHD and other preventive programs
Policy Linkages ICPD, AHD Strategy
Preferred Data Sources Birth registration data (through health vital registration or civil registration) or Census data if registration data incomplete
Alternative_Data Sources DHS, WHO, AHD Quarterly reports
Census - HIES - DHS tag DHS
Primary Data Collection System National Administrative Database - Health Information Management Systems (HIS)
Frequency of Data Collection Annual (aggregated over multiple years)
Other agencies countries_ must report to: CHIPS / UNICEF
SPC Responsibility - Data Management SDP
Baseline Year 2009
Baseline value 56 ave for 10 PICT (2009)
Target value Reduction by 10% from baseline (nominal per year)
Data validation / quality Low (improvement in progress). Standardized data collection and information flow. we have improved the country reporting template last year and 2010 AHD Report will starting to capture this information but still not well done by some countries still.
SPC Programme PHD
Link to SPC Division Plan PHD Goal 7 - AHD
Numerator Live births born to mothers aged from 15 to 19 years of age
Denominator Total female population aged 15 to 19 years
Factor x 1000
Other Metadata Link http://mdgs.un.org/unsd/mdg/Metadata.aspx