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Reducing Teenage Pregnancy in England, 2010 to 2015: A case study
Nichols, Joanna E.
Nichols, Joanna E.
Publication Date
2020
End of Embargo
Supervisor
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The University of Bradford theses are licenced under a Creative Commons Licence.
Peer-Reviewed
Open Access status
Accepted for publication
Institution
University of Bradford
Department
Faculty of Health Studies
Awarded
2020
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Abstract
The policy to reduce teenage pregnancy in England has been used as a case
study to explore health policy sustainability. Between 2010 and 2015 many areas
across England sustained and improved their conception rate reductions
following implementation of the 2000-2010 national Teenage Pregnancy
Strategy. Little is known of the factors underpinning these successes in the policy
context beyond 2010. This thesis investigates sustained and improved reductions
in teenage pregnancy in local authority areas post 2010. The broader political
and economic context in which policy is shaped is examined, and the influence
of New Public Managerialism considered. The findings suggest three overarching
themes which impact on policy sustainability: leadership; understanding the
issue; and resources. The thesis develops a seven elements framework,
identifying factors to be analysed for policy sustainability. The thesis makes a unique contribution to the understanding of teenage pregnancy policy, providing
a detailed review of local actions post 2010. It further adds to the body of
knowledge regarding policy sustainability with the development of the seven
elements framework. In addition, the thesis is presented at a notable point in
history, as the global Covid-19 pandemic takes hold across the world. This
situation is considered in the light of insights from the thesis and implications for
the policy context into the future are contemplated.
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Type
Thesis
Qualification name
PhD