Preventing Early Pregnancy and Pregnancy-Related Mortality and Morbidity in Adolescents in Developing Countries: The Place of Interventions in the Prepregnancy Period


  This paper applies a life-course perspective to the problem of early pregnancy and pregnancy-related mortality and morbidity inadolescents in developing countries. It describes the contribution that two categories of “pregnancy-focused” programmes make—firstly, the provision of effective care and support in the antenatal, childbirth, and postnatal periods (downstreamprogrammes), andsecondly, the provision of effective promotive, preventive, and curative care in the prepregnancy period (midstreamprogrammes). Itthen makes the case for these pregnancy-focused programmes to be set within the context of a third type of programmes, upstreamprogrammes, that is, the provision of promotive and preventive care that contributes to children and adolescents—both male andfemale—being well nourished, healthy, knowledgeable about their health, and motivated and empowered to protect their health. Itprovides examples of successful initiatives of all three types of programmes. Finally, it discusses some practical considerations inplanning, implementing, and monitoring these three programmes in a coherent manner.


Charlotte Sigurdson Christiansen, Susannah Gibbs, and Venkatraman Chandra-Mouli



Contact Details

Charlotte Sigurdson Christiansen, Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland

Year Of Publication