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Date: 31 August 2008
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• The under-18 conception rate has increased by 9% from 1998 baseline. Barking and Dagenham is red RAG rated.
• Barking and Dagenham is an accelerated borough, of which there are 21 nationally and 4 in London. An accelerated borough is a borough that has had considerable difficulty reducing the conception rate and needs additional support to accelerate the rate of reduction.
• There are high levels of deprivation and under-18 conceptions
• There is a concentration of high under-18 conceptions in the south and through the centre of the borough
• There is a strong overlap with deprivation, except for a disadvantaged area in the northern-most tip of borough.
• There are 4 Community contraceptive clinics taking place once or twice a week each, located through the centre of borough
• There is no service provision other than a pharmacy providing EHC in the south of borough where there are highest TP rates
• There is 1 central GUM service open throughout the week.
• The opening times of community contraceptive and GUM offer spread throughout day and evening – around half would be accessible to young people in education.
• There are 3 young people’s services, each offering a two-hour session each week.Two are located in high conception rate areas in the west of the borough.
• All clinical services offer pregnancy testing and referral to abortion or ante natal care
• There is an EHC in pharmacy scheme.
• There is a small condom distribution scheme covering young people’s settings.
Suggestions for future developments
• In comparison with other boroughs with similar rates, there is a relatively low level of provision of both community contraceptive and young people specific services
• Consider the development of services targeted to the areas of the borough where there are highest conception rates
• Consider further development of dedicated young people’s services offering both a clinical services and sexual health promotion
• Consider the extension of the condom distribution scheme and distribution of condoms across a range of settings accessed by young people
