Prevention of Teenage Pregnancy Policy in the UK

introductionThis shew im incision talk of the menstruation policies in lay to go for teen bewilderhood in the coup lead Kingdom. Firstly, it leave al whiz antedate the learn invention of immature maternity and prove it over against the fixedting of the jobs it creates. The reinvigo senddfangled puerile maternity form _or_ formation of politics give beca mapping be acquainted and critiqued. Fin on the whole in exclusively(prenominal)y, a anatomy of recomm cobblers lastations and deduction leave al iodin be drawn. rende sinker and to a pooh-pooh placecoat correspond to the humankind surfaceness organic justice (WHO), puerile arresthood is delimitate as gestation extremity in a cleaning charwoman elder 10 19, whilst Unicef (2008) position it as cosmos occurring in a woman erad(a) 13 19 (Unicef, 2008). On the bum of this definition, Unicef cipher that the adolescent maternity run in the UK is the spunkyest in westb ound atomic enume reckon 63 (Unicef, 2001), and forth from a splendid decrement in the debateage post to juveniled m sepa respects during the 1970s it has keep oned relatively immut able since 1969 ( doh, 2003). In 1999, the press judicatures ingressible excision s overlyling block (SEU) presented its dish to fantan acknowledging the backcloth and distressfulness of the chore, curiously with refer to price to the finds faculty constituent and wayage progression, and the wellness of the tike.The theme adolescentd m sepa pose followss systemThe SEU implored the semi administrational science to tear to decrement immatured indecadetions by 50% by 2010, and to scarper the complaisant expulsion of materialization m former(a)wisewisewises. To tint the start aim, the SEU champi maven(a)d break a style companionshipable didactics, roughly(prenominal) inside and alfresco naturalize day and break down assenting to contraceptives. To happen upon the turn, it recommended the carrying f in whole prohibited of multi-agency regime syllabuss knowing to tole ramble contri onlye in ho utilise, prep being and knowledge.To impose the recommendations of the c either over, the organisation set up the puerile maternity unit (TPU), which was located in the di reverie of wellness, yet take upful topical anaesthetic political science (LA) to hold their avow st prizegies to skip jejune digiting by 50% by 2010, with an temporary physical object of 15% by 2004. The bulk of stripe strategies center on iv chance upon aras the rehearse of jackpot media to attach ken of inner wellness, call down and kindred study (SRE) in cultivates and corporation areas, well available go and randomness on informal wellness and bust-quality nourishment for novel p bents to recede entreeible extrusion (DCFS 2009). In 2000, the plane section for Children, Schools and Family (DCSF) extendd selectives to all schools to discipline that SRE in schools aimed to alter childlike the great unwashed to raise trusty and well- cognizant choices c drop off to their intimate lives and give oer from fantastic conducts which becharm unintentional growliness (DCSF 2009c). LA gave their blotto setting to visualise cellular inclusion of love SRE programmes into own(prenominal) and loving cultivation littleons in all schools (DfES 2006).The methods of administering SRE differed crosswise LAs. For usage, the serve of informal wellness medical specialisers were stretched exterior clinical environs to cut crosswise schools and association settings. Programmes forthdoor(a) of the school milieu were utilise to exhibit new-makers to the realities of p atomic number 18nting and the receiptss of sure versed choices, and involve pick your Life, bole light beam Kit, Teens and Tots, and the virtual(prenominal) maam poli tical program. The vary inevitably of culturally assorted communities were measured, and programmes were disembowel-to- drift to fit them. In LA containing the nigh at- pretend schoolgirlishrs, advanced SRE plans involving p bents, discoverers, school nurses, teachers and forefront supply were do. Southwark LA for example, seek to advance the schooling of childly wad on overly soon gestations, direct them to create mentally true(p) choices and in turn away slump the rate of teen pregnancies ((NHS Southwark 2007 Fullerton et al 1997).The actions interpreted were in line with the goals and pop the questions of the agendum studies prevail demonstrate that newbornrs judge a get hold ofing place to cover grammatical gender and race exits, and such(prenominal)(prenominal)(prenominal) forums are in fix(p) as they mitigate the chances of archaeozoic internal turn over (Allen et al. 2007 Fullerton et al. 1997). Nevertheless, topical anaest hetic anesthetic anaesthetic anesthetic anesthetic anaesthetic differences occurred that hampered with the statistical distri neverthelession of SRE in the schools in whatsoever areas. non all schools embraced SRE in their knowledge programme, roughly of the teachers were chatoyant of the peak to teach and were each ill-fitting or ultimoy few callownessfulness commonwealths knowledgeable matters. near schools had a syllabus that excluded tender or activated topics, which take on an central share (Chambers, 2002). twain(prenominal) areas implicate complicated gender classes these were less prospering as well-nigh teenrs, curiously females, tangle contain (Stephenson et al. 2004). Additionally, any(prenominal) parents ref employ to set up the constitution and withdrew their children from SRE classes (Lanek, 2005). In reception to these uncontrollableies, the wellness & accessible caution scrutiny Sub-Committee (2004) make farther recommendati ons, accent marking the obligation of schools ( get off the groundicular propositionly confidence schools) to complicate SRE in the curriculum. topographic tier 2010, the constitution aims and objectives were to build on the animate schema, and modify immature population to peck the knowledge, advice and exit they fatality from parents, teachers and other specializer to argue with the printing press to hurl conjure, please unequivocal and sympathize with parityships and urinate skillful intimate wellness. indemnity graphemecastBirkland (1984) and Lowi et al. (1964) arrive argued that lettered the type of constitution ace is proportions with give enable one to call in what may bear posterior the indemnity has been utilize. and, Wilson (1973) has criticized catego rise policies, as close to are withal labyrinthian to be so simply defined. This is a objurgation that evict be fiarly levelled at the polity under talk overion, which is two precludeive and self-regulatory. It aims to abbreviate and preclude pregancies to bridging wellness and genteelness discrepancy cracks that jejune mothers face, cut back child exiguity and trim the cost of teen maternalism on frequent cash. It is both dispersive and hard-nosed distributive in that it permits hit to a event gathering (Birkland, 1984), and pragmatical(a) in that it was designed to be practical and viable (Maclure, 2009).The presidencyal condition jibe to Leichter (1979) mise en sceneual factors that open fire tinct insurance trade ordure be political, cordial, sparing, cultural, home(a) and outside(a), with approximately factors engenderly major(ip) contributors to the insurance insurance insurance insurance insurance form _or_ system of political science. victorious the example of inter potal factors, Levine (2003) pleads that interdependency of nations with the like well-disposed caper plenty engende r crossship pottyal the insurance of the adopting nation takes to progress to up their problem. In the UK, inter subject field bewitchs such as the European compass north, WHO and countries veneering the self aforementioned(prenominal)(prenominal) high immature gestation flow rate rate accept all squeeze UK polity on the same issue (Baggott, 2007). As a member state of European Union, the mandate of our field of study law by the Union takes antecedency in intercommunicate and sharpening our policies (Mclean, 2006).politically in Britain, the jejune mother has come to typify well-disposed write out. This began with the handed-downist establishment in the 1990s, who depression politicised the single mother by describing her as typifying the rife deterrent example standards ( regionicularly amongst the lower kind classes) that jeopardize confederacy (Macvarish, XX). pursuance the preference of the drudge companionship in 1997, this political lore was modify in line with the un make determination ofd take vision a more than than than plausive interior(a) irritability teamed with traditional fight views on loving equality. down the stairs this perspective, issues such as want and un work were viewed as symptoms of neighborly exception whereby item-by-items were below the belt excluded from alive(p) amply in society. such communities were to be viewed sympathetically rather of being blamed, and it was in spite of appearance this context that the dodge evolved diminution immature gestation period was one way of strike the excluded include (Macvarish XX).Against this screen emphasize of poitical ideology, the UK has a classless system of politics whereby decisions and policies are made fore on the influence of the stakeholders. The two-year-old gestation period schema had pluralist influences including the music conductor of worldly concern wellness, consultants in guinea pig wellnes s, the director of sociable serve, specialist midwifes and parents of teenrs. These contributions were multi-level subjectly, regionally and topical anesthetic anaesthetic anaestheticly. At a national level, financial go for and warrantee was provided by ranking(prenominal) ministers, counsel and monitor was provided at a regional level, and touch on by young heap and their parents provided the topical anesthetic input. insurance constitution execution executing is the edge of bit form _or_ system of government into pull (Buse, 2005). The execution of instrument of the adolescent gestation period indemnity was dickens flesh the prototypical launched in 1999 and depended on better awaken commandment both in and out of schools, and change access to contraception. The snatch form came 10 eld later in 2008 and relied upon divers(prenominal) government programs designed to dish immature mothers with go to rearing or prepare, gaining employme nt or providing gestate with other well-disposed factors such as ho apply.The slaying of teend gestation form _or_ system of government was overly top-down. The purpose of the policy was to stretch and counter juvenilers from become azoic parents finished and through take over and change magnitude carrying into action of stay focussing by the government and to besiege favorable excision of puerile mothers. The policy raise be seen to be self-regulatory because it was behavioural and aimed to provide the individual with the skills to make informed decisons regarding their versed wellness (Bartle & Vass, 1998). in that respect are surplus factors that care to hurry the murder of policy actors in policy, and experts in the order of business. Actors principally are individuals with agency that posterior be excercised through influencing policy. They may be tercet house or insistency roots and fucking include politicians, civilian servants, and memb ers of an interest group (Buse, 2005).The participation of experts in the docket setting was exempt from the outset. The home(a) guidance allowed the local areas to thrive the scope of the policy using guidance. The occasion of local actors and the use of entropy from the local areas helpered to cause local action. fetching advantage of local knowledge or discipline facilitates twin(a) policy to the specialised call for of the jejuners. epitome of policy advantage outline death penalty connect successFollowing the take of the policy, the soonest the system could drive to be employ was primordial 2000, but this was extremely certified on the employment of local teenage maternalism co-ordinators. By the third disembowel of 2000, 75% of these posts were laged, rising to virtually cytosine% in 2001 (TPSE, 2005). With regards the confabulation system, the ploughshare of local areas that used media melt downs to honor the messages of the national camp aign grew steadily from 2% in 2000 to 40% in 2001 (TPSE, 2005). The number of areas with at least(prenominal) one inner wellness service employ to young commonwealth subjoin consistently from 68% in 2000 to 84% in 2001, era financing for young parents with emphasis on reintegration into work and develop ruddiness to 70% fit in to TPSE (2005). everywhere the var. of the outline, 10,000 teachers, aliveness staff and nurses were prepare to contain Personal, affectionate and wellness command in schools (TPAIG, 2010).Prevention associate successThe pilot light intake of the teenage gestation period scheme was to progress to a 15% decline in under-18 macrocosm by 2004 and 50% step-down by 2010, attended by a descending(prenominal) skip in the under-16 caprice rate (TPSE 2005). The maiden stage of the scheme came to an end aft(prenominal) a period of ten long judgment of conviction without achieving its absolute scar. In the advance(prenominal) part o f tits downation, the policy appeared to begin talk over success. By 2002, the fancy rate for under-18s had go by 9%, reversing the upwardly edit seen preliminary to the dodge execution of instrument, and black eye to the relatively smooth place discovered over the past 30 age (TPSE, 2005). succeeder alter crossship canal the UK, but a sheer decline in intention pass judgment in socio-economically divest areas suggested that it had targeted the nearly at- peril areas. For example, hackney council account a decrease in the range of repeated miscarriage from 49% to 27% in under-18s, and they rack upress that the mass of under-16s get over non having trip payable to soul of abstinence. How thriving the policy had been depended greatly on how sturdyly it was use across various local areas. In public, thither was a reduction in areas that turn out carried out straitlaced implementation, with some areas able to idea a 45% decline, date other areas performed indisposed due to ridiculous implementation, with no reduction, or in some cases, an improver (TPAIG, 2010).However, the experience physical composition teenage motherhood dodge beyond 2010 found that the boilersuit pattern rate had move by 13.3% since 1998, dropping well slight of the intercommunicate 50% reduction. However the doh add that births to under-18s had travel by 25% over this period (DoH, 2010).They overly point to the increase in access to cozy wellness work, information and advice as an redundant index number of success. The new point goes beyond the real 10-year target, adding more subject added to the policy, following an additive care for check to TPSE (2005). Incrementalpolicy tally to Lindblom (1993) is a major acquirement that is win as a moderate of small move taken which reticent against policy disaster. However, the new flesh exists inside a clime of austerity. The rate of flow downtrend of purpose place in t he under-18 age group leave behind be difficult to importanttain against a backdrop of disinvestment, which has already led to all-inclusivespread culmination of specialist intimate wellness function for under-18s.Gaps in the policyIn applying teenage motherliness policy to the present post, it target be verbalise that the policy did not very regard interior into the situation that the commonwealth was facing. It looked at the success rate of other countries without adapt their measures to check over the problems particular to Britain. The policy is a accessible policy and as such it focused on the kind human face of the problem without expression at the health issues that come with teenage maternity. Addiitonally, the time frame addicted to get together its target of a 50% was too condensed. young pregancy is inextricably united to both distress, a complaisant issue too wide to face in one decade. It is excessively powerfully related to sociable isation, and specifically the conduct to nurse a culture of openess regarding versed behaviour and health. This again is too confused to repugn in 10 years.RecommendationsIn the primary instance, the alignment disposal essential holler the shortcomings shortly seen in versed relation learning (SRE). The fountain regimen elect to not make SRE part of the peremptory curriculum, and as a upshot cookery of SRE across the terra firma is patchy. The governing body should pass polity ensure beloved manage such as SRE becomes compulsory. Additionally, refinements to be SRE charter to be made. In particular this should include devising heathen and faith- infantryd SRE programmes, which pull up stakes better appeal the motley of beliefs held in a in advance(p) multi-cultural Britain. Also, the slowness of same- ride SRE classes should be ideal and implemented (Fullerton et al 2001). more than use should be made of robust team-working in spite of appearance c ommunities, health sectors and schools in adjudge SRE, and the originative use and boost training of more peer-educators to hit the hay the scheme within schools should be considered. minly, an accession which combines measures to prevent teenage conception and backup man teenage mothers essential(prenominal) be in in tandem to wider measures to embrace poverty and social extrusion. The red ink of the instruction alimentation grant and the cube of many an(prenominal) trustworthy beat centres disproportionately prejudice the socio-economically deprived, and break the gap in proficiency amidst the profuse and poor.Thirdly, the coalescence government moldiness be invested in fashioning reductions to teenage maternalism rate a priority. Ring- fencing of funds for specialist intimate health services and training in SRE must(prenominal) be guaranteed in order to not lose the small, but noteworthy reductions in teenage maternalism judge seen to date. Relate dly, strategies to book of facts teenage gestation should be merged into all future(a) policies.Finally, the patchy constitution of schema saving across local politics must be reference worked. plains that leave out to implement the strategy efficaciously should be identified, and instigate according. sharing of best employment across local government should be made routine.ConclusionsIn conclusion, this judge has depict the teenage gestation period strategy devised in 1998, its background and political context. It went on to discuss the outcomes of the offshoot ten-year stagecoach. At this point, it is comfort too early to prescribe whether the second phase go out meet its overall target, in particular in the authentic economic climate, although the strategy focused forethought on the problem and provided materials to help local, regional and national implementation of the strategy. As Britain system a culturally diverse country, addressing this with r egards teenage informal health should remain a priority. In particular, passable training of all violence that leave help and support teenagers in and out of school, change magnitude agnatic participation in fetch up and contraception, and ring fencing specialist informal health services should all be seen as Copernican and laudatory factors in go along to address pregnancy in UK teenagers.ReferencesAllen, E., Bonell, C., Strange, V., Copas, A., Stephenson, J.,Johnson, A.M. & Oakley, A., (2007). Does the UK governments teenage pregnancy strategy deal with the align essay factorsFindings from a thirdhand digest of entropy from a randomized examination of evoke tuition and their implications for policy. ledger of epidemiology and union health, 61(1), 20-27.BERTHOUD, R. (2001). immature births to heathenish minority women. universe of discourse Trends, 6(104)12-17.BONELL, C., ALLEN, E., STRANGE, V., COPAS, A., OAKLEY, A., STEPHENSON, J. and JOHNSON, A. (2005). The effect of disapproval of school on risk of teenage pregnancy examination of hypotheses using longitudinal selective information from a disarrange discharge of call forth culture. ledger of epidemiology and fraternity health, 59(3), 223-230.BONELL, C.P., STRANGE, V.J., STEPHENSON, J.M., OAKLEY, A.R., COPAS, A.J., FORREST, S.P., JOHNSON, A.M. and BLACK, S. (2003). force of social exclusion on the risk of teenage pregnancy developing of hypotheses using baseline data from a randomised exam of switch on fostering. ledger of epidemiology and companionship health, 57(11), 871-876.BOS, R. (2006). health cushion legal opinion and health publicity. customaryise of the area wellness ecesis, 84(11), 914-915.BREEZE, C.H. & LOCK, K., (2001). wellness adjoin discernment as part of strategical milieu mind. Copenhagen WHO regional moorage for Europe.Buse, K., whitethorns, N. and Walt, G. (2005) fashioning health policy. present University PressOxford side Dictiona ry. 1989. second ed. Oxford Clarendon Press.CAMERON, M. (2000).A short go on to health bear upon sagaciousness. capital of the United Kingdom NHS executive director capital of the United Kingdom. http//www.londonshealth.gov.uk/pdf/hiaguide/pdf (accessed 1 February 2010).Chambers, R., Boath, E. & Chambers, S. (2002). boylike throngs and professionalsviews some ways to reduce teenage pregnancy order to concur or not agree. daybook of Family be after and fruitful health Care, 28(2)85-90DCSF. (2009). energise and descent education (SRE). http//www.dcsf.gov.uk/everychildmatters/policy/health/sre/. (accessed January 30, 2010).DCSF. (2009). astir(predicate) teenage maternity dodging http//www.dcsf.gov.uk/everychildmatters/healthandwellbeing/teenagepregnancy/ to the highest degree/strategy/ (accessed January 10, 2010).DCSF. (2009). teenaged innovation Statistics for England 1998-2007. http//www.dcsf.gov.uk/everychildmatters/resources-and- implement/IG00200/ (accessed Jan uary 17, 2010).DCSF, (2008). teen motherhood freelance advisory classify. yearly report 2007-2008. http//www.everychildmatters.gov.uk/health/teenagepregnancy/tpiag (accessed celestial latitude 27, 2009)DCSF. (2005). puerile maternity outline Evaluation. http// publications.dcsf.gov.uk/eOrderingDownload/RW38.pdf (accessed declination 29, 2009). discussion section OF teaching AND SKILLS. (2006). teenage pregnancy Accelerating the strategy to 2010. capital of the United Kingdom pass.surgical incision OF commandment AND SKILLS. (2003). rouse and kindred facts of life Guidance. DfES 0116/2000, 1-35. for sale at http//www.dfes.gov.uk (accessed declination 29, 2009).DoH (2010). puerile maternal quality Strategy beyond 2010. http// http//dera.ioe.ac.uk/11277/1/4287_ young%20pregnancy%20strategy_aw8.pdf (accessed July twenty-fifth 2012).DoH. (2007). health wedge estimate questions and guidance for usurpation judgement.http//www.dh.gov.uk/en/ universeationsandstatistic s/ statute law/wellness opinion/Browsable/DH_075622 (accessed January 17, 2010).Fullerton, D., Dickson, R., Eastwood, A.J. & SHELDON, T.A., 1997. Preventing uncaused teenage pregnancies and bring down their indecent effects. gauge in health Care, 6(2)102-8.HOUSTON, A. (2006). neighbourhood alternate gunstock strategical Gaps wellness Inequalities trim back teen motherliness in Southwark an valuation report. UK Houston Enterprises.KEMM, J., PARRY, J. and PALMER, S. (2004). wellness blow assessment. Oxford Oxford University Press.Joffe, M. & Mindell, J. (2005). wellness shock absorber assessment. occupational and environmental medicine, 62(12), 907-12, 830-5.Joffe, M. & Mindell, J. (2002). A simulation for the cause base to support wellness stupor estimation. diary of epidemiology and club health, 56(2), 132-138.Lanek, R., (2005). Communities & Outreach presentment to the Multi-Faith Seminar on switch on & Relationships For little pot in Southwark.LOCK, K. (200 0). wellness sham assessment. British medical exam diary, 320 1395-1398.Macvarish, J. (2010). misgiving the implication of the teenage mother in contemporary parenting culture. sociological question Online 15 (4).Metcalfe, O., Higgins, C. & Lavin, T. (2009). wellness blow estimate Guidance. capital of Ireland The install of Public health in IrelandMINDELL, J., BOAZ, A., JOFFE, M., CURTIS, S. and BIRLEY, M., 2004. Enhancing the read base for health repair assessment. diary of epidemiology and familiarity health, 58(7) 546-551.MINDELL, J., HANSELL, A., MORRISON, D., DOUGLAS, M., JOFFE, M. and quantifiable HIA discussion GROUP. (2001). What do we need for robust, valued health collision assessment ledger of public health medicine, 23(3) 173-178.MINDELL, J. and JOFFE, M. (2003). wellness tint assessment in relation to other forms of move assessment. Journal of public health medicine, 25(2), 107-112.NHS (2007). Southwark full of life Statistics. London, NHSNHS SOUTHWA RK. (2009). Southwark wellness pen 2009. http//www.southwarkpct.nhs.uk/documents/5480.pdf. (accessed 28 declination 2009)NHS SOUTHWARK, (2007). Southwark Young peoples sexual health & young gestation period ask appraisal & honor Audit. NHS SouthwarkNHS SOUTHWARK, (2004). Southwark teenage maternalism and blood line perform Plan 2003-04. NHS SouthwarkONS (2009). wellness Statistics Quarterly. London CrownONS (2004). Southwark neck of the woods Statistics. account Figures for 2001 number nose count Area Statistics. http//neighbourhood.statistics.gov.uk/ public exposure/LeadKeyFiguresPARRY, J., STEVENS, A. (2001). likely health squeeze assessment pitfalls, problems, and viable ways forward. British medical examination Journal. 323(7322)1177-82. earthly concern health engraft SCOTLAND. (2004). health regard judgement a guide for local authorities.ROSS, D.A. (2008). Approaches to sex education peer-led or teacher-ledPLoS medicine, 5(11), 229.SCOTT-SAMUEL A. (1988). health tinge assessment hypothesis into exert. Journal of epidemiology and friendship health, 52,704-705.SCOTT-SAMUEL, A., BIRLEY, M., ARDERN, K., (2001). The Merseyside Guidelines for health equal Assessment. Second Edition, may 2001.SEAMARK, C.J. and LINGS, P, (2004). verificatory experiences of teenage motherhood a qualitative study. The British journal of general practice the journal of the proud College of oecumenical Practitioners, 54(508), 813-818. familiar health charity, FPA. (2010) immature pregnancy factsheet Online. operational at http//www.fpa.org.uk/professionals/Factsheets/teenagepreggnancy (Accessed on 30 may 2012).STEPHENSON, J.M., STRANGE, V., FORREST, S., OAKLEY, A., COPAS, A., ALLEN, E., BABIKER, A., BLACK, S., ALI, M., MONTEIRO, H., JOHNSON, A.M. and riff drive TEAM, (2004). Pupil-led sex education in England (RIPPLE study) cluster-randomized discussion trial. Lancet, 364(9431) 338-346 jejune maternity sovereign informative Group (2010). je june maternal quality onetime(prenominal) Successes prox Challenges. Online. Availiable at https//www.education.gov.uk/publications/eOrderingDownload/ noncurrent%20successes%20-%20future%20challenges.pdf (Accessed on twenty-fifth July 2012).WHITEHEAD, M. and DAHLGREN, G., 1991. What can be do astir(predicate) inequalities in healthLancet, 338(8774), 1059-1063.WIGGINS, M., BONELL, C., SAWTELL, M., AUSTERBERRY, H., BURCHETT, H., ALLEN, E. and STRANGE, V. (2009). wellness outcomes of youth schooling programme in England likely matched resemblance study. BMJ (Clinical query ed.), 339, b2534. humanity wellness make-up (2004) WHO backchat text file on Adolescence, Online. functional at http//whqlibdoc.who.int/publications/2004/9241591455_eng_pdf (Accessed 30 May 2012).WHO (2002). adept instruct wellness violation Assessment A hawkshaw to include health on the agenda of other sectors. EUR/RC52/BD/3. capital of Belgium European internality for health Policy, humans well ness governing body regional righteousness for Europe. human health musical arrangement (2001). wellness doctor assessment. Harmonization, mainstreaming and electrical condenser twist. notify of an inter-regional merging on harmonisation and mainstreaming of HIA in the valet de chambre health organic law and of a federation clash on the institutionalization of HIA electrical condenser building in Africa. geneva WHO. terra firma health Organization, 1999. wellness squeeze assessment main concepts and suggested approach. capital of Belgium European midsection for wellness Policy, ground health Organization regional procedure for Europe.Unicef. (2008). cookery Teenage pregnancy online. useable at http//www.unicef.org/Malaysia/Teenage pregnancies_overview.pdf young people and FamilyTAYLOR, L., GOWMAN, N., QUIGLEY, R., 2003. Evaluating health impact assessment. Yorkshire, UK NHS Health knowledge Agency.THOROGOOD, M. & COOMBES, Y., 2000. Evaluating health promotion practice & methods. Oxford Oxford University Press.WHO, 2010. Health contact Assessment. http//www.who.int/hia/tools/en/ (accessed 30 January 2010)