The report comes as the 10-year strategy, which aims to halve the under 18 conception rate in England by 2010, reaches its halfway point.
The strategy has not had the smoothest of rides. Every glitch in the statistics has been greeted with prophesies of doom, while heavy promotion of American-style abstinence-only programmes with their simplistic message has gnawed at public confidence. In this situation it is tempting to fear that we are losing the battle.
Yet there is clear evidence that in the majority of local areas the strategy is working. The challenge now is to apply what we have learned to those areas in which rates have crept up - typically urban areas with high levels of deprivation and mobility, where it is difficult to sustain effective action programmes.
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