reason to talk about it today Lic GERMAN LOPEZ SUAREZ First, insurance let me thank the Bogotana Association of Obstetrics and Gynecology, as well as the Health With Prevention Association and in particular to Dr. Gabriel Acuna, the honor of sharing with you some reflections on contraception in adolescence. We could argue that today, it is clear to everyone the fact the need to talk, to accept and provide the means for teenage girls and boys of our country have access to knowledge and use of contraceptive methods, even before their first -coital sex. But the reality is different, because the diversity of adult conceptions about sexuality and health, is responsible for creating real barriers that hinder or prevent access to contraception by young people. I will try to present arguments in favor of contraception in adolescence, taking into account the main arguments that have served to defend the cause of teenage girls and boys. From the Demographic: From the demographic standpoint, the logical effect of a life-coital unprotected sex in the young, will result in an increase in the number of teenage pregnancies, and their subsequent contribution to growth of population . It says’ and the statistics show “that early pregnancy tends to lead the young to breed a larger number of children and a smaller spacing between them, which helps hospital to raise the general fertility rate of population growth . Although its impact on population growth can not be seen immediately and the proportion of births to adolescents do not have to mean magnitude needed alarming increases. The high growth Health insurance in both absolute and relative terms, the group of teenagers in the last decades, has become more evident, and has meant that, even at the lower fertility in the country, the number of children of adolescent women is very large . A fact that more easily perceive who are working in delivery rooms in clinics and hospitals. specializes in affordable plans that facilitate access to quality healthcare services objective is to deliver and design a lower cost alternative which allows individuals and families to have access to high quality healthcare Colombia is one of the third world countries with the greatest advances in population and has reduced fertility rates. So for example we went from a total fertility rate (number of children per woman throughout her reproductive life) of 7 children per woman in 1965 to 2.6 in 2000. But the best indicator that shows the status of the population between 15 and 19 years of age is the age specific fertility rate (number of annual births per 1,000 women in different age groups). This indicator has dropped the last 15 years for the age groups of adult women, but in adolescents has increased by 12 , according to data from the last ENDS-2000, the results will be presented soon by PROFAMILIA. Likewise, contrasts the fact that at present, adolescents and young women have greater access to education, school retention rates have also increased progressively as well as access to health services, which are factors that are truly protective against pregnancy and early motherhood. But the reality is contrary and reflected in the NSDS-2000 that the percentage of pregnant teens who have ever been mothers increased in the period 1995 to 2000 going from 17.4 to 19.1 . From the Economy: It’s true that the event of a few pregnancies may not represent a significant economic cost to an institution or for the State.