Ife measure (Newsqol) by Buck et al..Competing interests The authors declare that they’ve no competing interests.Authors’ contributions MB conceived and carried out the study; she was the scientific director from the study and had most important responsibility for writing the manuscript.SC conceived the protocol as healthcare investigator and analysed the information.ELB realised the statistical analysis and participated in information evaluation.NC participated in information alpha-MCPG Protocol evaluation and in writing the manuscript.All authors study and authorized the final manuscript.Teenage pregnancies in LatinAmerica are linked to a larger incidence of maternal complications through pregnancy and delivery and children of adolescentmothers are at enhanced threat of preterm birth, low birth weight and neonatal mortality.In many situations, the context in which adolescent pregnancy happens tends to make it tough for the young mother to finish school and leads to adverse socioeconomic consequences.Correspondence Peter Decat, International Centre for Reproductive Health (ICRH), Ghent University, De Pintelaan UZP , Gent, Belgium.Tel .Fax .E mail [email protected] This is an openaccess short article distributed beneath the terms of the CCBYNCND .License which permits users to download and share the short article for noncommercial purposes, so extended because the report is reproduced in the entire with no changes, and supplied the original source is credited.The European Society of Contraception and Reproductive Wellness ..Adolescent contraceptive use in NicaraguaDecat et alThe prevalence of teenage pregnancies in Nicaragua is definitely the highest in Latin America with an adolescent fertility rate (births per females aged ) of , when compared with the Latin American typical of births.Just about half of Nicaraguan women aged to gave birth for the first time just before their th birthday and nearly half of these pregnancies had been unwanted.In addition, it is likely that in Nicaragua several pregnant teenagers are looking for unsafe and risky backstreet abortions, as abortion is prohibited below all circumstances.In Nicaragua, there is certainly an urgent require for powerful methods to minimize the amount of teenage pregnancies.To create such approaches drivers of adolescents’ sexual behaviour and contraceptive use should be identified.In Latin America teenagers initiate sexual activity at ever earlier ages and only few sexually active youths take any measures for preventing pregnancy.Youths move within numerous contexts (household, peers, neighborhood and so forth) and their sexual behaviour is determined by diverse variables from these different contexts that influence attitudes, know-how, skills and norms.In the PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21593786 literature we found evidence that age, residence, education level, gender norms, socioeconomic status and access to wellness services are significant intrapersonal predictors of adolescent sexual and reproductive well being (ASRH) in Nicaragua as elsewhere in Latin America.In our opinion, prior assessments of ASRH in Nicaragua focused mainly on individual determinants, disregarding the role of significant other people as well as the sociopolitical context.Firstly, the role from the family along with the community remains pivotal inside the each day life of most Nicaraguans, despite the individualising forces coming in conjunction with the current globalisation wave.Consequently, it is actually likely that interpersonal variables have an essential effect on adolescents’ sexual behaviour.Secondly, Nicaragua passed through several modifications at political level more than the last decades.In , the Sandinista Revolution place an finish for the S.