Every day in developing countries, 20,000 girls below age 18 give birth. Nine in 10 of these births occur within marriage or a union. This has consequences on the health, education, employment and rights of an untold millions of girls.

Although the countries of Eastern Europe and Central Asia are not affected to the same extent as other world regions, adolescent pregnancy is a major challenge in parts of the region, and in particular among some population groups.

These guidelines are primarily intended for programme managers, technical advisors and researchers from governments, nongovernmental organizations, development agencies and academia.

This is the annual report 2009 of AFEW, the NGO working with some of the poorest and most vulnerable people in Eastern Europe and Central Asia to adress one of the fastest growing HIV epidemics in the world.