![]() It is vital that we continue to listen to young people throughout the implementation of the Strategy to ensure we are continue to meet their needs and support them to achieve all they can be. Through the development of the Strategy we heard from lots of young people on what was important to them, what they liked and what they would like to see change. The most appropriate logic model depends upon the scope of the maternal health program. Working in this connected way on the real underlying causes of pregnancy and parenthood in young people can ensure that we will get it right for every young person. There are different approaches to building logic models for program evaluations: basic, theory of change, outcomes approach, activities approach, and research performance. In contemporary practice, school nurses are being held to higher standards of accountability and being asked to demonstrate the effective outcomes of their interventions. The impact that Community Planning Partnerships can make for young people, particularly with regard to their role in supporting young people to stay connected with education, training or employment, and supporting young parents around health and social care and housing, has never been more important. Teenage pregnancy and the subsequent social morbidities associated with unintended pregnancies are complex issues facing school nurses in their daily work. That is why this Strategy aims to better acknowledge the role that deprivation, inequality and lack of aspiration and opportunity can have. We know change in this area cannot be achieved by health interventions alone. Pregnancy in young people is a complex matter, and supporting young people requires many different agencies to work together both at a national and local level. We need to continue to work collaboratively in order to narrow the gap in inequalities, to ensure young people have equality of opportunity and access, in a positive and supportive culture. This reflects the hard work of professionals and our approach of using evidence-based and effective interventions aimed at young people. Over the past six years the rates of pregnancy in young people in Scotland have been reducing consistently. It can be improved by continuing to work together to help all young people achieve their aspirations and ambitions. This inequality in young people is something that is not inevitable. ![]() For others it can increase the likelihood of poverty and reduce or compromise life chances, and this cycle can then repeat from one generation to the next. It can be a planned choice and a new beginning. Pregnancy at an early age can be really positive for some young people. ![]()
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