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By Audrey Fine Published: May 23, 2008
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"For winter break, I went up north to learn how to snowboard, and it turned out that my instructor was a major cutie, so I was even more excited! But just when I started to do well, I fell on my butt in the middle of the snow. I started crying because it hurt so bad, but to make everything worse, the cute instructor came up right behind me and smiled at me in a 'You're pathetic' kind of way."
"I was in the drugstore with my best friend buying tampons, and we were debating on which ones we liked better. Right as my crush walked by we crouched down, thinking he didn't see us, but then he turned the corner and came up to us and said, 'Wow, I only thought girls were like this when they were shopping for shoes!' It was so embarrassing!"
"One day I was outside playing with my twin brother in our swimming pool. He was chasing me around, and so I got out and ran over to the front yard. Finally, he caught me and he reached out to grab me by my pants, but he accidentally pulled them off and I tripped into the mud with NO pants on. As my brother was walking over to say sorry, I noticed one of the cute guys from my school taking a picture of me with his phone. He ended up showing the picture to everyone at school! I was mortified!"
"It was that time of the month and I had forgotten my pads at home. My friends told me it would be better if I went to the nurse and got a pad there, so I did, and then went into the bathroom to put on the pad. However, she went into a long ramble about pads, tampons, periods, etc., and was talking superloud. I was so embarrassed when I walked out of her office and saw that my crush was right there, listening to everything."
"I'm a cheerleader and I'm at the top of the pyramid. I didn't realize I had my period, and as I stood at the top, I heard someone holler, 'Hey, Maria. Did you sit on some ketchup or something?' I was so embarrassed, but luckily only three people noticed and they were pretty close friends, so they didn't tell anyone."
"I'm the captain of the varsity cheerleading squad, and at one of our games my friend Maria told me that part of my cheer uniform skirt was stuck in my spanky pants! I quickly pulled it out and looked around to make sure nobody saw it, but the entire football team was laughing hysterically!"
"Last winter I was over at my friend's house and we were bored, so we decided to go in her hot tub. We went skinny-dipping since it was so cold outside and the hot tub was superhot. Afterward, we decided to go jump in the snow outside. Well, what we didn't know was that my crush lived on her street and was out taking a walk. So, when we ran to the front yard and jumped in the snow, he totally saw us! I was so embarrassed!"
"One night I was staying at my friend's house and I had my period. A little later, during dinner, my friend's brother came screaming down the stairs, yelling, 'Who has their period?' It turns out that the dog had gotten my tampon out of the trash and chewed it up on her brother's floor! I was so embarrassed!"
"So, I was sleeping over at my friend Emily's house, and when we were eating breakfast, I excused myself to use the bathroom. I had to go pretty badly, and I walked right into the bathroom as Emily's older sister was just getting out of the shower! She just stared at me, and then I ran out. I was so embarrassed!"
"My best friend, Britney, and I were at this clothing store trying on bras when my former best friend came in. She works for the school paper and she secretly took pictures of us trying on embarrassing stuff! The next day, the school paper had me on the front page! So embarrassing!"
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PHOTOS: Teen Moms In The Philippines — A "National Emergency" : Goats and Soda Over a 10-year period, 1.2 million Filipina girls between the ages of 10 and 19 have had a child. The government is trying to change things. But the pandemic has made matters worse.


Goats and Soda
STORIES OF LIFE IN A CHANGING WORLD


PHOTOS: Why The Philippines Has So Many Teen Moms





Sisters Rose Ann, age 15, (right) and Ros Jane, age 17, hold their babies in the neighborhood where they live in Manila.


The girls are very close and rely on each other for support, raising their children as if they're siblings. Ros Jane is protective of her younger sister and worries she is not mature enough to take on the responsibilities of parenthood.


Sisters and teen moms Rose Ann (center) and Ros Jane (left) are seen in the canteen where their mother works as a cook in Manila. Ros Jane had just asked her mother for money to buy medicine for her son.


Ros Jane and her son in the room she shares with her sister and her child. While their situation is bleak, the sisters support each other, creating an ad-hoc safety net to face the challenges of teen motherhood.


Rose Ann in her mother's home with her baby. She gave birth a few days after turning 15.


Rose Ann, who has a young son, hangs out outside her home.


Ros Jane walks with her child by the railway near her home in Manila. She became pregnant at age 16.



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Joan Garcia became pregnant at 14 and gave birth at 15. She and her child travel by raft between the two shacks where they live in Navotas fish port on Manila Bay.



Hannah Reyes Morales for NPR


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Joan Garcia became pregnant at 14 and gave birth at 15. She and her child travel by raft between the two shacks where they live in Navotas fish port on Manila Bay.
Editor's note: Hannah Reyes Morales has been photographing teen moms since 2017. Aurora Almendral began reporting this story in October 2019.
At 12 years old, Joan Garcia liked leaping into the sea and racing the boys to the nearest pylon. She liked playing tag. When she started having sex at 13, she thought it was just another game. Joan was skipping across the pavement, playing a game with friends, when an older neighbor noticed her rounding belly.
Her daughter, Angela, is now a year old. Joan crouched on the floor, folding up her lanky teenage limbs and fed Angela fingers-full of steamed rice, crimped strands of instant noodles and fermented anchovies from the family's small communal bowl.

Sisters Joan (center) and Jossa Garcia (left), both teen mothers, hang out in a boat with their children and their younger sister. Each year, 1.2 million Filipina girls between the ages of 10 and 19 have a child.



Hannah Reyes Morales for NPR


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Sisters Joan (center) and Jossa Garcia (left), both teen mothers, hang out in a boat with their children and their younger sister. Each year, 1.2 million Filipina girls between the ages of 10 and 19 have a child.
Joan, now 16 years old, said that since she became a mother, she's embarrassed to play kids' games, then paused for a moment. "Sometimes I still play tag in the water with my brothers," she admitted.
Over a 10-year period, 1.2 million Filipina girls between the ages of 10 and 19 have had a child. That's a rate of 24 babies per hour.
And the rate of teenage pregnancy is rising. According to the most recent data, collected every 10 years, in 2002, 6.3 percent of teenagers were pregnant; by 2013 it had gone up to 13.6 percent.
Last August, the Philippines' economic development agency declared the number of teenage pregnancies a "national social emergency."

Joan Garcia (right) and her baby take a boat ride home. Garcia says she's embarrassed to play kids' games now that she's a mother — but admits "sometimes I still play tag in the water with my brothers."



Hannah Reyes Morales for NPR


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The pandemic has made the situation worse. With Manila under a strict lockdown — including limited access to medical facilities, no public transportation and harshly enforced rules on not going out — access to birth control has been severely curtailed, particularly for teenagers, said Hope Basiao-Abella, adolescent reproductive health project coordinator for Likhaan, a nongovernmental organization that works on women's health and access to contraception.
The University of the Philippines Population Institute is predicting a baby boom in 2021 — an estimated 751,000 additional unplanned pregnancies because of the conditions created by the pandemic.
The main reasons for the high rate of teenage pregnancies are inadequate sex education (some girls do not know that having sex can result in pregnancy or fully consider the responsibility of having children) and a lack of access to birth control.
Contraceptive access has long been a complicated, divisive issue in the Philippines. Despite a constitutional separation of church and state, Catholic morals dominate Philippine law. For more than a decade, reproductive health activists and legislators fought a bitter battle with the Catholic Church and conservative politicians to pass a law that would allow the government to distribute contraceptives to those who could not afford them and require comprehensive sex education in public schools.

Outside the Quiapo Church in Manila, some vendors sell herbs, roots and bottled pills used to induce abortion — which is illegal in all circumstances in the majority-Catholic country.



Hannah Reyes Morales for NPR


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The Philippine Catholic church has long opposed birth control in the country where about 80% of people are Catholics. In the past, the Catholic Bishops Council of the Philippines preached — in public statements, on the pulpit and through allied lawmakers — against a bill to widen access to birth control on moral grounds, calling it "anti-life" and "a major attack on authentic human values and on Filipino cultural values."
The Philippines passed a reproductive health bill into law in 2012. But years of Supreme Court challenges and delays in implementation continue to this day. Among the concessions to conservatives was a provision requiring parental consent for minors to buy contraceptives or receive them for free.

The Jose Fabella Memorial Hospital serves low-income communities in Manila, where the rates of teen pregnancy are high. Locals call it the "baby factory" — and the maternity ward is typically very busy.



Hannah Reyes Morales for NPR


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The Jose Fabella Memorial Hospital serves low-income communities in Manila, where the rates of teen pregnancy are high. Locals call it the "baby factory" — and the maternity ward is typically very busy.
"It was one step back [for] adolescent health," said Dr. Juan Perez III , executive director for the Philippine Commission on Population and Development. The law improved access to birth control for women, but it became harder for teenagers to get birth control.
To address the resulting uptick in adolescent pregnancies, lawmakers have introduced bills improving access to contraception, supporting sex education and making it illegal to expel girls from school should they become pregnant. None have become law so far.
Perez said a teenage pregnancy has a significant impact on perpetuating poverty. "They cannot recover from being a child mother," he said.
That was the finding of a 2016 study by the United Nations Population Fund. By age 20, a teenage girl in the Philippines who gets pregnant and drops out of school earns 87 percent of the average 20-year-old woman's pay. Perez said the lower income continues further into adulthood.
Joan lives with 16 relatives on a small raft of bamboo poles and scavenged wood, tied to a broken cement pylon, bobbing behind a row of steel shipping vessels docked in Manila's fish port — a patchwork of spaces no larger than two king-size mattresses. Two of her sisters' babies and a kitten nap on a pile of rumpled sheets against a particle board barrier to keep them from falling into the murky, gray water.

Sisters Joan (left) and Jossa Garcia (right), both teen mothers, are seen in their home in the Navotas fish port with their children, Angela and JM, respectively.



Hannah Reyes Morales for NPR


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Sisters Joan (left) and Jossa Garcia (right), both teen mothers, are seen in their home in the Navotas fish port with their children, Angela and JM, respectively.
Like Joan, her older sisters had babies when they were young and left school before they graduated. No woman close to her has ever had a good job. Her mother occasionally finds a day of work cleaning mussels on the concrete floor of the fish port. Her father brings in some money doing odd jobs at the port. The family is often hungry and thirsty, and survives by begging sailors for food and water.
Joan can't imagine a different kind of life.
Yet the current government wants to see changes. "We made a decision in this country that population is a problem," said Perez. The government now believes that the country's birthrate of 2.92 births per woman — among the highest in Asia — is holding back economic development. So after decades of policies that limited access to contraception informed by a Catholic ethos to procreate, government agencies are now acting with a new urgency to bring the birthrate down.
If households have fewer children, Perez said, it will improve the family members' chances of getting out of the mire of poverty.
Yet the reproductive health laws in the Philippines — aimed at stemming p
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