Preventing Early Pregnancy and Poor Reproductive Outcomes: A Toolkit

Nearly 16 million girls between 15 and 19 give birth annually, almost all of them in developing countries. Pregnancy and childbirth-related complications are the leading cause of death among adolescent girls, contributing to maternal and child mortality rates and to the vicious cycle of poverty and poor health.

After a systematic review of the evidence, WHO has developed guidelines on Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries, which focus on key actions that aim to reduce the number of adolescent pregnancies in developing countries. The first set of actions seeks to prevent early pregnancy by preventing marriage before 18 years of age, increasing knowledge and understanding the importance of pregnancy prevention, increasing the use of contraception and preventing coerced sex. The second set of actions seeks to prevent poor reproductive outcomes by reducing unsafe abortions and by increasing the use of skilled antenatal, childbirth and postnatal care.

In 2012, in collaboration with WHO and UNFPA, FCI developed this advocacy toolkit, available in English, French, and Spanish, to promote the dissemination of the guidelines’ recommendations to policy makers and program planners globally. Designed for advocates, the toolkit encourages and enables evidence-based action among decision-makers, opinion leaders, medical personnel, researchers, and affected communities to prevent early pregnancy and poor reproductive outcomes among adolescent girls. The toolkit includes a guide to using these tools to develop a step-by-step process to effect policy change, a policy brief summarizing the recommendations in the guidelines, and a slide presentation.

More information, including the full guidelines document, is available at the WHO website.


Introduction: From Evidence To Action: How To Use This Toolkit (81 KB)

Policy brief for policy makers (389 KB)

Policy brief for advocates (1.5 MB)

Slide presentation (1.3 MB)

Guidelines (WHO website)


Introduction: Des faits à l'action: Comment utiliser ce guide pratique (96 KB)

Note d'orientation (1 MB)

Présentation (1.2 MB)

Directives (bientôt disponible sur le site Web de l'OMS)


Introducción: De la evidencia a la acción: Cómo utilizar esta caja de herramientas (90 KB)

Nota de orientación sobre políticas (0.8 MB)

Presentación (1.4 MB)



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