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Why Are Zimbabwe's Under Age Girls Still Falling Pregnant

The launch of Zimbabwe's National Framework for the Prevention and Response to Adolescent Pregnancies has been hailed by Government, the United Nations and development partners as a major step towards protecting young people from early and unintended pregnancies.

The framework, launched by Government together with the United Nations agencies UNFPA, UNICEF and UNESCO, adopts what officials describe as a "whole-of-government" and "whole-of-society" approach to tackle adolescent pregnancy by addressing poverty, harmful social norms, child marriage, gender inequality and barriers to education.

But the launch also raises a difficult question.

If Zimbabwe has spent years implementing adolescent sexual and reproductive health programmes, why do so many girls continue to fall pregnant before reaching adulthood?

 

The answer appears to lie not in a single factor but in a complex mix of poverty, child marriage, sexual violence, school dropouts, limited access to reproductive health services and persistent social norms that continue to place adolescent girls at risk.

 

According to UNICEF, adolescent pregnancy remains widespread in Zimbabwe, with 21% of girls giving birth before the age of 19. The agency warns that early pregnancy continues to undermine girls' health, education and economic prospects.

 

UNFPA, UNICEF, UNESCO and Government partners have described adolescent pregnancy as a national development challenge rather than simply a health issue.

 

In announcing the new framework, UNFPA Zimbabwe said it seeks to bridge the gap between policy and grassroots action by targeting the socio-economic drivers behind adolescent pregnancies and integrating community-based initiatives such as the "Not In My Village" campaign.

The scale of the challenge is evident in recent research.

A National Assessment on Adolescent Pregnancies conducted with support from UNFPA, UNICEF and UNESCO found that adolescent pregnancy remains alarmingly high across Zimbabwe, with significant variations across provinces and districts.

The study found that adolescent pregnancies are being driven by multiple factors including poverty, sexual abuse, child marriage, limited access to information, weak family support structures and economic vulnerability.

UNICEF says many adolescent pregnancies are unintended and often occur in circumstances where girls lack adequate information or power to make decisions about their sexual and reproductive health.

The agency notes that one in three girls report being forced into sex during their first sexual experience, while around 75% of adolescent girls say their first sexual encounter was with a boyfriend.

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The consequences can be severe.

UNICEF reports that one quarter of maternal deaths in Zimbabwe occur among adolescents and young women below the age of 24, highlighting the heightened health risks associated with early pregnancy.

For many girls, pregnancy also marks the end of formal education.

School dropouts linked to pregnancy continue to limit future employment opportunities, reinforcing cycles of poverty that can extend into the next generation. UNICEF warns that adolescent pregnancy often deprives girls of opportunities to develop skills, complete their education and participate fully in the economy.

Child marriage remains another significant driver.

UNICEF estimates that more than 20% of girls aged 15 to 19 are currently married or in a union in Zimbabwe, with rates considerably higher in rural areas than urban centres. Poverty, social pressure and certain religious practices continue to contribute to early marriage despite legal reforms prohibiting child marriage.

UNFPA has repeatedly warned that adolescent pregnancy and child marriage are closely linked.

At the launch of an earlier national study on teenage fertility, former UNFPA Country Representative Cheikh Tidiane Cisse said, "Teenage pregnancy severely curtails girls and young women's opportunities and hinders their ability to reach their full potential."

He added: "A young adolescent girl can be an asset for her country if she is not married off during her childhood; not forced to leave school or exposed to unplanned and early pregnancies that put her at high risk of illness, maternal morbidities and even death."

Research commissioned by UN agencies suggests that keeping girls in school may be one of the most effective interventions available.

Stakeholders who contributed to the development of the framework identified education as a critical protective factor, recommending efforts to keep both girls and boys in school, expand comprehensive sexuality education and address gender norms that contribute to adolescent pregnancy.

The assessment found that schools remain one of the primary sources of sexual and reproductive health information for young people, with nearly three-quarters of girls citing teachers as a key source of information.

Yet experts say information alone is not enough.

Economic hardship continues to push some adolescents into transactional relationships, while parental migration, unemployment and weakened family support systems have increased vulnerability among young people in some communities. UNICEF identifies poverty and economic stress as major underlying drivers of adolescent pregnancy.

The launch of the new framework therefore represents more than a health intervention. It is also an attempt to address broader social and economic conditions that place girls at risk.

Its success will likely depend on whether Government and partners can move beyond policy documents and deliver meaningful support at community level through schools, clinics, traditional leaders, religious institutions and social protection programmes.

The framework's architects argue that adolescent pregnancy is preventable.

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