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Complications during pregnancy and childbirth are a leading cause of death among teenage girls worldwide, according to the World Health Organization (WHO).

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Bilateral and Multilateral Organizations: International Organization for Migration and the U.

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SAN SALVADOR (Thomson Reuters Foundation) - Rape at the hands of relatives and a lack of sex education are driving pregnancies among girls in El Salvador, which is struggling to stem one of the highest rates of teenage pregnancy in Latin America, according to a top health official.

More than a third of all pregnancies in the Central American nation are among girls aged 10 to 19, and girls as young as 9 have become pregnant, said Deputy Health Minister Eduardo Espinoza.

Generally the information they have comes from other children who are just as much as misinformed as they are,” Espinoza said.

Initiatives to develop a nationwide curriculum on sex education have been opposed by the Roman Catholic Church and some evangelical groups.

While non-governmental organizations and the ministry of education train some teachers about sex education, El Salvador has no formal curriculum on sex education, and schools are not required to provide it.

“Boys and girls come to have their first sexual relationship without having had any professional information.

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