• Service: Advisory
  • Type: KPMG information
  • Date: 12/18/2013

$15m annual funding for National Programm for Sexual and Reprodctive Health for Youth  

In Mexico, MEXFAM’s advocacy efforts led to the formation of the first public policy addressing adolescents' sexual and reproductive health in 2008. This policy, translated into the National Program for Sexual and Reproductive Health for Youth, is valid nationwide and subject to targeted monitoring at a state level. Moreover, in 2009 MEXFAM was able to ensure an earmarked budget of US$15 million and a legal accountability mechanism for the program.
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Context and Theory of Change


In Mexico, there are still serious obstacles to making sexual and reproductive health accessible to every adolescent regardless of age, gender, ethnicity, or sexual orientation. Mexico's demographic dynamics has rendered the current adolescent generation the largest in the history of the country. In 2012, there were 21 million males and females aged 10 to 19 (a 2% increase since 2000), making this group nearly 20% of the total population. Moreover, a population of a little over 5 million adolescent women aged 15 to 19 experienced an alarming number of unplanned pregnancies – more than 60%. Data collected in the 2009 National Demographic Dynamics Survey (ENADID) included a median age at first sexual activity of 16.6 for women and a median age at first contraceptive use of one year older. Another disturbing piece of information we found was that adolescents have the highest unmet demand for contraception (25%) compared to the rest of the population (13%), a percentage that has not changed since the 1980s. Consequently, the fertility rate among adolescents is high – approximately 70 live births per 1,000 women aged 15 to 19. This means that 360,000 births occur every year in Mexico and more than 60% of which are unplanned. Additionally, the political map analysis shows there is no specific public policy addressing adolescent sexual and reproductive health.