Children and adolescents from 10 to 18 years old make up 23% of the total population in Bolivia, and 49% of them are girls. Nationally, about 18% of adolescent girls between 15 to 18 are pregnant or already mothers and at least 70% of these pregnancies are unplanned. In the municipality of El Alto, these statistics are much a higher. The 2008 National Youth Survey revealed an alarming 83% of adolescent girls and young women in El Alto are pregnant or already mothers by 18. This is the highest teenage pregnancy rate in the country. To complicate matters, 32.1% of male and female adolescents in El Alto stated that they were victims of some form of violence.
With a population of 848,452 , the municipality of El Alto is the youngest city in Bolivia. 38% of the population are migrants from elsewhere in the country and 77% self-identify as Aymara, one of the country’s indigenous groups. Adolescent girls who are migrants and/or members of these indigenous groups face even more challenges than their peers and are among the most vulnerable young people in the country.
El Alto’s adolescent girls lack the protective environment and educational opportunities they need to both feel safe and prevent early pregnancy. UNICEF is positioned to guarantee their rights to education, protection and prevention by working with the adolescents themselves, the Bolivian Government and partners to provide evidence-based programming and services that address their needs.
This programme seeks to reduce the prevalence of teenage pregnancy and sexual violence against adolescent girls by enabling adolescents to play an active role in demanding quality pregnancy prevention services, while at the same time addressing risk factors in their families, their communities and their schools. It is aligned with country priorities and the Bolivian Government’s Plan for Integrated Adolescent Care 2015-2020.
The specific objectives are to:
|Output / Line of Actions||Expresed in USD|
|Year 1||Year 2||Total|
Adolescents from schools carry out initiatives and actions to prevent violence and unplanned pregnancy within and outside the school community, working together with teachers and parents
Review, print and distribute teaching materials to teachers and students
Train teachers on life skills and how to prevent violence and unplanned pregnancy
Train student leaders to promote prevention and identify cases of violence
Train parent peers as school advisers to address violence and unplanned pregnancy
Organisations of adolescents mobilise, disseminate information and carry out advocacy work to prevent teenage pregnancy and violence together with social sector authorities, community organisations and the municipal government
Design a communication strategy
Produce printed and audio-visual materials and other media
Implement the communication strategy under the adolescents’ leadership
Health service networks improve their capacity to provide differentiated, integrated, culturally appropriate services to adolescents, paying particular attention to sexual and reproductive health and violence
Rapid assessment of the care provided to adolescents in the health service network
Organize health services to provide appropriate care to adolescents
Train health service staff to provide the kind of care adolescents require/demand
Develop and strengthen violence detection processes and methods
Monitoring and evaluation
Define the baseline
Conduct a field visit to health service networks and schools to monitor progress
Evaluate the initiative’s impact
Develop the capacity of sustainable institutions to deliver quality social services
Support monitoring and evaluation of services to identify and address challenges
|6.||External communications and visibility||7,500||7,500||15,000|
|Total programmable amount||232,500||449,400||681,900|
|Recovery cost (10%)||23,200||44,900||68,100|
|Total required budget||255,700||494,300||750,000|