Contraception within the context of adolescents’ sexual and reproductive lives: country profile: Philippines

Philippines Contraception within the context of adolescents’ sexual and reproductive lives: Country profile SOCIO-DEMOGRAPHIC CHARACTERISTICS Both Sexes Female Male 10-19 years 10-14 years 15-19 years 10-14 years 15-19 years Total population of adolescents (millions)1 (2019) 21.4 5.3 5.1 5.6 5.4 % of total population that are adolescents1 (2019) 19.5 9.8 9.3 10.1 9.8 % of adolescents that live in rural areas2 (2014) 57.2 58.2 53.5 59.1 57.5 % of total rural population that are adolescents2 (2014) 21.8 11.4 9.8 11.8 10.6 % of total urban population that are adolescents2 (2014) 20.5 10.0 10.3 10.6 10.2 % national monetary child poverty3 (2017) No data Completion rate for lower secondary school4 (2018) Female 87.7 Male 74.9 Completion rate for upper secondary school4 (2018) Female 83.4 Male 73.9 Out of school rate4 (2015) Female 7.7 Male 12.4 CHILD MARRIAGE/UNION STATUS5 (2017) Female Male Adolescents, 15-19, who are married/ in union (%) 8.5 No recent data % married/in union before age 15 (aged 20-24) 2.2 No recent data % married/in union before age 18 (aged 20-24) 16.5 No recent data SEXUAL ACTIVITY5 (2017) Female Male 10-14 years 15-19 years 10-14 years 15-19 years % of adolescents engaged in pre-coital physical behavior No data No data No data No data % of adolescents that ever- had sex No data 12.2 No data No data % of adolescents having had sex by age 15 No data 1.6 No data No data % of adolescents sexually active in the last month No data 7.0 No data No data FEMALE GENITAL MUTILATION 10-14 years 15-19 years % of girls who have undergone female genital mutilation/cutting No data No data CHILDBEARING % of adolescent girls who have begun childbearing5 (2017) 10-14 years No data 15-19 years 8.6 % of women (aged 20-24) who gave birth before 18 years5 (2017) 10.5 Number of births per 1,000 girls, 15-196 (2019) 57.2 % of adolescent girls (aged 15-19) with live births who received antenatal care (ANC4+ visits)5 (2017) 79.7 % of births among girls (aged 15-19) attended by skilled health personnel5 (2017) 83.4 GENDER-BASED VIOLENCE5 (2017) % of girls who report experiencing: 10-14 years 15-19 years Physical violence in the last 12 months No data 6.1 Sexual violence in the last 12 months No data 0.6 % of adolescents (aged 15-19) who think a husband is justified in hitting or beating his wife in certain circumstances Female Male 12.4 No recent data ABORTION 10-14 years 15-19 years Abortion rate per 1,000 girls No data No data FERTILITY INTENTIONS & CONTRACEPTIVE USE5,7 (2017) % of pregnancies experienced by adolescent girls aged 15-19 in the 5 years preceding the survey, including current pregnancies, by planning status Married/ In union Unmarried/ not in union Last pregnancy wanted (<2 years) 66.3 42.2 Last pregnancy wanted later (>=2 years) 29.7 49.5 Last pregnancy not wanted at all 4.0 8.3 % of adolescent girls (aged 15-19) with an unmet need for modern methods of contraception 27.9 61.8 % of sexually active unmarried adolescent girls (aged 15-19) who currently use at least one method of modern contraception 12.9 Current use and non-use of contraception, 15-19 years 7 (2017) Contraceptive method mix, 15-19 years 7 (2017) Main sources of contraception, 15-19 years 7 (2017) Main reasons for not intending to use contraception, 15-19 years 7 (2017) 64.2 29.7 6.1 99.5 0.4 0.2 0% 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 Lactational amenorrhea (lam) Implants/norplant Other traditional method Withdrawal Calender or rhythm method/periodic abst Condoms 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% In Union Not in Union Friend/relative Pharmacy/shop Private hospital/clinic Barangay health station/supply/service Rural health center/urban health Government hospital 36.1% 24.9% 9.1% 7.8% 7.0% Not married Not having sex Infrequent sex Fear of side effects/health concerns Respondent opposed Not in Union 24.5% 14.8% 9.9% 9.7% 6.7% Breastfeeding Fear of side effects/health concerns Costs too much Postpartum amenorrheic Respondent opposed In Union WHO/SRH/20.77 © World Health Organization 2020. 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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 HIV8 (2020) 550 <100 540 5400 <100 5400 Number of new HIV infections among adolescents per year8 (2020) <500 No data <500 No data 2400 2400 % of adolescents with comprehensive knowledge about AIDS5 (2017) No recent data No recent data 15.7 No recent data No recent data No recent data % prevalence of sexually transmitted infections among adolescents5 (2017) No data No data No data No data No data No recent data % of sexually active adolescents who had an HIV test in the last 12 months and received the results5 (2017) No data No data 1.3 No data No data No recent data % 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 15th May, 2020]. 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 15th May 2020]. 5. Philippine Statistics Authority (PSA) and ICF. Philippines National Demographic and Health Survey 2017. Quezon City, Philippines, and Rockville, Maryland, USA: PSA and ICF; 2018. *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 15th May 2020]. 7. Philippine Statistics Authority (PSA) and ICF. Philippines National Demographic and Health Survey 2017/ PHIR70FL.DTA. Quezon City, Philippines, and Rockville, Maryland, USA: PSA and ICF; 2018. 8. UNAIDS. Trends of new HIV infections. Available from: http://aidsinfo.unaids.org [Accessed 15th May 2020].