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    Reducing Teenage Pregnancy in England, 2010 to 2015: A case study

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    PhD Thesis (2.907Mb)
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    Publication date
    2020
    Author
    Nichols, Joanna E.
    Supervisor
    Bradshaw, Gwendolin
    Prowse, Julie M.
    Beaumont, Julia
    Keyword
    New public management
    Public health
    Policy evaluation
    Policy implementation
    Sustainability
    Teenage pregnancy
    Young people
    Rights
    Creative Commons License
    The University of Bradford theses are licenced under a Creative Commons Licence.
    Institution
    University of Bradford
    Department
    Faculty of Health Studies
    Awarded
    2020
    
    Metadata
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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.
    URI
    http://hdl.handle.net/10454/19061
    Type
    Thesis
    Qualification name
    PhD
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    Theses

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