Teenage pregnancy in South Africa: It’s everyone’s responsibility

The College of Obstetricians and Gynaecologists has noted with concern the media reports and the National Department of Health’s media statement, of teenagers giving birth over the Christmas and New Year’s Day period. It is reported that 145 of the 1708 babies born on Christmas day were born to teenage mothers. On New Year’s Day, 190 teenagers gave birth, two of whom are reported to be 14-year-olds from KwaZulu Natal and Eastern Cape provinces. What the statistics do not show are the complications associated with teenage pregnancy and childbirth, which are: caesarean sections; preterm labour, resulting in babies admitted to neonatal ICU; hypertension in pregnancy, with all of its complications; postpartum haemorrhage, which can sometimes result in a hysterectomy; maternal and perinatal mortality.
According to the World Health Organization (WHO) fact sheet on adolescent pregnancy, there has been a decrease globally in the adolescent (15–19 years) birth rate from 64.5 to 41.3 births per 1000 women between the year 2000 to 2023.1 However, the adolescent birth rate for South Africa, continues to increase every year.

Preventing adolescent pregnancy is one of the Sustainable Development Goals’ (SDG) agenda and commitment, where the indicator 3.7.2 is the reduction by 2030 of the “Adolescent birth rate (aged 10–14 years; aged 15–19 years) per 1000 women in that age group”.2 Six years away from the target year, we are far from reaching this goal.

Teenage pregnancy in our country has very serious implications. In a report by the Department of Basic Education to the Portfolio Committee on Basic Education in 2021, it was reported that “One in three girls aged between 10 and 19 years in South Africa fall pregnant and do not return to school”.3 As a country and a society, what we have done is to create a generation of girls who will most likely never participate in the economic productivity of the country, and who will most likely never take up leadership positions. We have created a cycle of poverty and dependency on government subsidy, without increasing the workforce and contributing to the economic growth of the country. We have perpetuated the gender disparity by allowing girls to drop out of school, while the male partner is not held accountable.
We call upon all South Africans to protect our children and the future of the nation by making a commitment to finding sustainable solutions to this pandemic of teenage pregnancy.

Possible solutions include:

  • Empowering teenagers with comprehensive sexuality education (CSE)
  • Equipping teenagers with skills and support to advocate for themselves
  • Providing knowledge and information so that they can make an informed choice about their reproductive needs
  • Ensuring that there are functional and accessible adolescent and youth friendly services (AYFS)
  • Practicing respectful, patient-centred care and creating an enabling, friendly environment at our health facilities
  • Increasing the uptake of self-care interventions as recommended by the WHO, to make Sexual and Reproductive Health (SRH) services accessible. These are over-the-counter emergency contraception, over-the-counter contraceptives, self-testing for pregnancy, self-administration of medical termination of pregnancy (TOP), and consistent, correct use of male and female condoms
  • Highly skilled healthcare workers, who will give counselling in a rights-based approach and manage side-effects and adverse events
  • Community engagement and involvement of religious groups
  • Stakeholder ownership of the programs, which aligns with the needs of the youth
  • Involving men in strategies to prevent unintended fatherhood or early fatherhood
  • Integration of all SRH programs
  • Using the power of social media to our advantage, to disseminate information and programs
  • The Department of Basic Education to put programs in place to retain scholars
  • The legal and justice system to be efficient where crimes of statutory rape and GBV have been proven

As custodians of women’s health, the College of Obstetricians and Gynaecologists of the Colleges of Medicine of South Africa commits to working hand in hand with all who seek to address this scourge head-on. We can no longer sit idly by while children are having children. As such, we will embark on programs in 2024, in partnership with various stakeholders, to tackle teenage pregnancy in South Africa.
Teenagers and adolescents are a vulnerable group. They are vulnerable because of their stage of emotional and cognitive development, their economic dependence, and their stigmatisation by healthcare providers, parents, the community, and religious groups. We should ensure that we address the barriers to access to SRH services.

As a country, we cannot afford to ignore this problem. As a society, it is imperative that we protect our children. As obstetricians and gynaecologists, it is our duty to provide holistic care to the vulnerable.

Teenage pregnancy is everyone’s responsibility.


  1. World Health Organization, 2023. Adolescent pregnancy [Fact Sheet]. Available from Accessed 2 January 2024
  2. United, Nations, United Nations. The UN Sustainable Development Goals. United Nations, New York, 2015. Available from Accessed 2 January 2024
  3. Portfolio Committee on Basic Education 2021. Available from Accessed 2 January 2024

Prepared by:
Zozo Nene
Adjunct Professor
Academic Coordinator/Deputy HOD
Department of Obstetrics & Gynaecology
Head: Reproductive Endocrinology & Infertility Unit
President: College of Obstetricians & Gynaecologists (CMSA)
Reproductive Medicine Sub-Specialist

More News

Job Advertisement

Job Advertisement: Deputy Editor for the Journal of the Colleges of Medicine of South Africa

The Journal of the Colleges of Medicine South Africa (JCMSA) is seeking applications for the position of Deputy Editor to join the JCMSA editorial team. The Deputy Editor,
Read More →

CMSA launches Educational E-platform to support our candidates

CMSA launches Educational E-platform to support our candidates It was with great excitement and pride that the CMSA launched its multidisciplinary educational resource E-platform yesterday. 
Read More →

Obituary of Prof BG Lindeque

It is with a profound sense of loss that we announce the passing of Professor BG Lindeque on 21 May 2024.  The College of O&G
Read More →

Tragic Loss of Zama Mkhize

It is with abject sorrow that we, the councilors of the College of Paediatricians and more broadly the Colleges of Medicine of South Africa, have
Read More →

CMSA represented at the 68th session of the Commission on the Status of Women (CSW)

Prof Zozo Nene, President of the College of O&G at the CMSA,Head of Reproductive Endocrinology and Infertility unit at the University of Pretoria and Steve
Read More →
Job Advertisement

Job Advertisement: Specialist in Postgraduate Medical and Dental Education

JOB ADVERTISEMENT SPECIALIST IN POSTGRADUATE MEDICAL AND DENTALEDUCATION This a part-time (20 hours per week) five-year contract position which reports to the Executive Director: Education
Read More →

Constituent College Officers and Councils Election Results for the 2023 – 2026 Triennium

The Colleges of Medicine of South Africa (CMSA) recently underwent a successful election process for the Constituent College Councils and Senate for the 2023-2026 triennium.
Read More →

CMSA Launches Scientific Online Journal

In an exciting development, the Colleges of Medicine of South Africa, through a joint venture with AOSIS publishing and in collaboration with the South African
Read More →