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And national data from reveals that almost one third of women aged between 20 and 24 in Zambia had given birth before they turned This trend continues. Child marriage has historically been an important factor but even if that practice has declined over the past few decades, high rates of adolescent pregnancy persist.

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While Zambia has made considerable strides in slowing the spread of HIV, its prevalence rate remains one of the highest in the world.

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Data from a study of teenage sexual activity among secondary school girls show the need for a sex education policy as a first step in controlling teenage fertility in Zambia. A large proportion of teenage females enter into close relationships with males at young ages and a high proportion of young females have engaged in sexual intercourse. Most of these sexually active females do not use family planning methods even though a large proportion of them have heard of modern methods. The teenagers receive very little sex education from their parents and a modern institutional sex education programme is needed.

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