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Angola Contraception within the context of adolescents’ sexual and reproductive lives: Country profile

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Angola Contraception within the context of adolescents’ sexual and reproductive lives: Country profile

SOCIO-DEMOGRAPHIC CHARACTERISTICS

BBootthh SSeexxeess FFeemmaallee MMaallee

1100--1199 yyeeaarrss 1100--1144 yyeeaarrss 1155--1199 yyeeaarrss 1100--1144 yyeeaarrss 1155--1199 yyeeaarrss TToottaall ppooppuullaattiioonn ooff aaddoolleesscceennttss ((mmiilllliioonnss))11((22002200)) 77..99 22..22 11..88 22..22 11..88

%

% ooff ttoottaall ppooppuullaattiioonn tthhaatt aarree aaddoolleesscceennttss11 ((22002200)) 2244..00 1133..11 1100..77 1133..33 1100..88

%

% ooff aaddoolleesscceennttss tthhaatt lliivvee iinn rruurraall aarreeaass22 ((22001144)) 5500..99 5522..66 5500..88 5511..55 4488..33

%

% ooff ttoottaall rruurraall ppooppuullaattiioonn tthhaatt aarree aaddoolleesscceennttss22 ((22001144)) 2211..77 1122..00 99..55 1122..55 99..55

%

% ooff ttoottaall uurrbbaann ppooppuullaattiioonn tthhaatt aarree aaddoolleesscceennttss22 ((22001144)) 2266..66 1144..33 1122..22 1144..22 1122..44

%

% nnaattiioonnaall mmoonneettaarryy cchhiilldd ppoovveerrttyy33 ((22001177)) NNoo ddaattaa

CCoommpplleettiioonn rraattee ffoorr lloowweerr sseeccoonnddaarryy sscchhooooll44 ((22001155)) FFeemmaallee 3311..99 M

Maallee 4411..77

CCoommpplleettiioonn rraattee ffoorr uuppppeerr sseeccoonnddaarryy sscchhooooll44 ((22001155)) FFeemmaallee 1155..33 M

Maallee 2233..77

OOuutt ooff sscchhooooll rraattee FFeemmaallee NNoo ddaattaa

M

Maallee NNoo ddaattaa

CHILD MARRIAGE/UNION STATUS5 (2015-16)

FFeemmaallee MMaallee

AAddoolleesscceennttss,, 1155--1199,, wwhhoo aarree m

maarrrriieedd// iinn uunniioonn ((%%)) 1188..22 11..88

%

% mmaarrrriieedd//iinn uunniioonn bbeeffoorree aaggee 1155

((aaggeedd 2200--2244)) 77..99 00..00

%

% mmaarrrriieedd//iinn uunniioonn bbeeffoorree aaggee 1188

((aaggeedd 2200--2244)) 3300..33 66..00

SEXUAL ACTIVITY5 (2015-16)

FFeemmaallee

M Maallee 1100--1144

yyeeaarrss 1155--1199

yyeeaarrss 1100--1144

yyeeaarrss 1155--1199 yyeeaarrss

%

% ooff aaddoolleesscceennttss eennggaaggeedd iinn pprree--ccooiittaall pphhyyssiiccaall

bbeehhaavviioorr NNoo ddaattaa NNoo ddaattaa NNoo ddaattaa NNoo ddaattaa

%

% ooff aaddoolleesscceennttss tthhaatt eevveerr--

hhaadd sseexx NNoo ddaattaa 6611..44 NNoo ddaattaa 6666..55

%

% ooff aaddoolleesscceennttss hhaavviinngg

hhaadd sseexx bbyy aaggee 1155 NNoo ddaattaa 2222..99 NNoo ddaattaa 3344..88

%

% ooff aaddoolleesscceennttss sseexxuuaallllyy

aaccttiivvee iinn tthhee llaasstt mmoonntthh NNoo ddaattaa 2288..66 NNoo ddaattaa 2288..11 FEMALE GENITAL MUTILATION

1100--1144

yyeeaarrss 1155--1199 yyeeaarrss

%

% ooff ggiirrllss wwhhoo hhaavvee uunnddeerrggoonnee

ffeemmaallee ggeenniittaall mmuuttiillaattiioonn//ccuuttttiinngg NNoo ddaattaa NNoo ddaattaa

CHILDBEARING

%

% ooff aaddoolleesscceenntt ggiirrllss wwhhoo hhaavvee bbeegguunn cchhiillddbbeeaarriinngg55 ((22001155--1166))

1100--1144 yyeeaarrss NNoo ddaattaa 1155--1199 yyeeaarrss 3344..55

%

% ooff wwoommeenn ((aaggeedd 2200--2244)) wwhhoo ggaavvee bbiirrtthh bbeeffoorree 1188

yyeeaarrss55 ((22001155--1166)) 3388..44

NNuummbbeerr ooff bbiirrtthhss ppeerr 11,,000000 ggiirrllss,, 1155--119966 ((22001199)) 113377..77

%

% ooff aaddoolleesscceenntt ggiirrllss ((aaggeedd 1155--1199)) wwiitthh lliivvee bbiirrtthhss wwhhoo

rreecceeiivveedd aanntteennaattaall ccaarree ((AANNCC44++ vviissiittss))77 ((22001155)) 5555..99

%

% ooff bbiirrtthhss aammoonngg ggiirrllss ((aaggeedd 1155--1199)) aatttteennddeedd bbyy sskkiilllleedd

hheeaalltthh ppeerrssoonnnneell55 ((22001155--1166)) 5500..33 GENDER-BASED VIOLENCE5 (2015-16)

%

% ooff ggiirrllss wwhhoo rreeppoorrtt eexxppeerriieenncciinngg:: 1100--1144

yyeeaarrss 1155--1199 yyeeaarrss PPhhyyssiiccaall vviioolleennccee iinn tthhee llaasstt 1122

m

moonntthhss NNoo ddaattaa 1100..99

SSeexxuuaall vviioolleennccee iinn tthhee llaasstt 1122 m

moonntthhss NNoo ddaattaa 11..99

%

% ooff aaddoolleesscceennttss ((aaggeedd 1155--1199)) wwhhoo tthhiinnkk aa hhuussbbaanndd iiss jjuussttiiffiieedd iinn hhiittttiinngg oorr bbeeaattiinngg hhiiss wwiiffee iinn cceerrttaaiinn

cciirrccuummssttaanncceess

FFeemmaallee MMaallee

2244..77 2244..00

(2)

ABORTION

10-14 years 15-19 years

Abortion rate per 1,000 girls No data No data

FERTILITY INTENTIONS & CONTRACEPTIVE USE

5,8 (2015-16)

% of most recent pregnancies experienced by adolescent girls aged 15-19, including

current pregnancies by planning status Married/ In union Unmarried/ not in

union

Last pregnancy wanted (<2 years) 59.9 38.9

Last pregnancy wanted later (>=2 years) 39.0 58.5

Last pregnancy not wanted at all 1.1 2.6

% of adolescent girls (aged 15-19) with an unmet need for modern methods of

contraception 43.0 54.3*

% of sexually active unmarried adolescent girls (aged 15-19) who currently use at least

one method of modern contraception 20.1

Current use and non-use of contraception, 15-19

years

8 (2015-16)

Contraceptive method mix, 15-19 years

8 (2015-16)

Main reasons for not intending to use contraception, 15-19 years 8 (2015-16)

Main sources of contraception, 15-19 years

8 (2015-16) 86.3

12.5

1.1 87.1

12.4 0% 0.5

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Not using Modern method Traditional

In Union Not in Union

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

In Union Not in Union

Other

Impants/norplant Emergency contraceptives Periodic abstinence Injectables Condoms Pill

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

In Union Not in Union

Other public Friends/relatives Maternity Pharmacy Health Center/post Government

40.6%

11.1%

11.1%

5.6%

4.4%

Breastfeeding Knows no method

Other Fatalistic Don’t know

In Union

20.9%

14.8%

10.1%

10.1%

9.3%

Not married Other Not having sex Fear of side effects/ health

concerns Infrequent sex

Not in Union

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WHO/SRH/20.14 © World Health Organization 2020. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. For more information, please contact: Department of Sexual and Reproductive Health and Research; E-mail: srhavp@who.int Website: www.who.int/health- topics/adolescent-health/

HIV/AIDS, SEXUALLY TRANSMITTED INFECTIONS (STIs) AND HUMAN PAPILLOMA VIRUS (HPV)

Female Male

10-19

years 10-14

years 15-19

years 10-19

years 10-14

years 15-19

years

Number of adolescents living with HIV9 (2020) 15,000 3,900 11,000 7,500 3,900 3,600

Number of new HIV infections among adolescents per year9 (2020) 3,400 No data 3,400 700 No data 700

% of adolescents with comprehensive knowledge about AIDS5 (2015-16) No data No data 31.1 No data No data 29.4

% prevalence of sexually transmitted infections among adolescents5 (2015-16) No data No data 13.6 No data No data 12.1

% of sexually active adolescents who had an HIV test in the last 12 months

and received the results5 (2015-16) No data No data 25.0 No data No data 6.1

% of girls, 15 or older, who have completed the full three dose vaccination

schedule for HPV No data No data No data No data No data No data

MENSTRUAL HEALTH

10-14 years 15-19 years

% of adolescent girls who were aware of menstruation before the onset of their first

menstruation No data No data

% of adolescent girls who did not participate in social activities, school, or work due to their

last menstruation in the last 12 months No data No data

DATA SOURCES

1. World Population Prospects, 2019 Revision. Population data. United Nations Department of Economic and Social Affairs, Population Division. Available from:

https://esa.un.org/unpd/wpp/Download/Standard/Population/ [Accessed 17th October, 2019].

2. United Nations. World Urbanization Prospects, the 2014 Revision. New York: United Nations; Department of Economic and Social Affairs, Population Division; 2014.

3. Keeley B, Little C. The State of the World’s Children 2017: Children in a Digital World. UNICEF: New York; 2017.

4. UNESCO Institute of Statistics. UIS Statistics. Available from: http://data.uis.unesco.org [Accessed 23rd September 2019].

5. Instituto Nacional de Estatística - INE/Angola, Ministério da Saúde - MINSA/Angola, Ministério do Planeamento e do Desenvolvimento Territorial (MINPLAN) and ICF.

Inquérito de Indicadores Múltiplos e de Saúde em Angola 2015-2016. Luanda, Angola e Rockville, Maryland, EUA: INE, MINSA, MINPLAN and ICF; 2017.

*Unmet need for modern methods of contraception for girls not married/in union is for the proportion that are sexually active in the last month.

6. United Nations Department of Economic and Social Affairs, Population Division. World Population Prospects.Fertility data- 2020-2025. Available from:

https://population.un.org/wpp/Download/Standard/Fertility/ [Accessed 30th October 2019].

7. UNICEF. Adolescent health. Available from: https://data.unicef.org/topic/maternal-health/adolescent-health/#status [Accessed 23rd February, 2019].

8. Instituto Nacional de Estatística - INE/Angola, Ministério da Saúde - MINSA/Angola, Ministério do Planeamento e do Desenvolvimento Territorial (MINPLAN) and ICF.

Inquérito de Indicadores Múltiplos e de Saúde em Angola 2015-2016/ AOIR71FL.DTA. Rockville, Maryland: General Directorate of Statistics, Ministério da Saúde - MINSA/Angola, Ministério do Planeamento e do Desenvolvimento Territorial (MINPLAN) and ICF; 2017.

9. UNAIDS. Trends of new HIV infections. Available from: http://aidsinfo.unaids.org [Accessed 9th October 2020].

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