0 Less than 25
1 25 to 49
2 50 to 74
3 75 to 99
4 100 to 149
5 150 and over
6 No Data
1 Less than 15%
2 15%-29.9%
3 30%-39.9%
4 40%-49.9%
5 50% and over
6 No data

A Mother Too Soon in 2015

For all too many girls around the world, pregnancy happens when they are themselves still children. However the repercussions of early motherhood can have a disastrous impact on a young woman's life. Women who give birth between the ages of 15-19 are twice as likely to die from pregnancy and birth related causes than women in their 20s, and for girls aged under 15 the risk is five times higher that women in their 20s.

Babies under one with adolescent mothers are 50% more likely to die than those with mothers in their 20s, and the younger the mother, the higher the risk.

Potential disadvantages are not just limited to health. When girls start having babies in their early teens, they miss out on school, which means they also miss opportunities to escape poverty.

As a result of unprotected sex, teenage girls are also at high risk of contracting sexually transmitted diseases including HIV. Young girls may feel unable to ask to use condoms – and in many cases they may be forced into sex. In both Malawi and Ghana around a third of girls reported that they were "not willing at all" during their first sexual experience.

Mothers under 16

In many countries girls are often married and bear their first child before the age of 16. This is particularly prevalent in Sub-Saharan Africa, but also in parts of Asia and Latin America. These very young pregnancies, which carry the greatest risks for both mother and baby, are concentrated in those countries where services are poorest.

No attribution

Out of Pocket Health Expenditure

What does it mean ?

This indicator is calculated by adding together all direct payments from every household to health care providers or pharmacists, as a proportion of the total health-related spending in a country. Out of pocket health expenditure is only part of private health spending, because it does not include private health insurance. Together, government, external and private health spending make up the total health care spending in a country.

Why does it matter ?

Out of pocket health expenditure is a core indicator measuring the equity of health systems and the extent to which access to health care depends on one's ability to pay. Certain households may not be able to fund health care expenses out of pocket, resulting in untreated health problems and lack of care. For others, unplanned health spending will impoverish their whole household as they may be forced borrow money, to sell their assets or pull their children out of school to afford the costs.

How is it collected ?

The preferred source of data for this indicator is a National Health Account, which is an internationally agreed method for collecting information about all financial flows related to health in a country. Where a recent National Health Account is not available, the WHO's health financing team collects similar information using technical contacts in-country and publicly available documents.

WHO World Health Statistics 2014. Estimates for 2012 http://apps.who.int/nha/database