This new paradigm must taiget the circumstances, conditions, norms, values and structural forces that perpetuate adolescent pregnancies on the one hand and that isolate and marginalize pregnant girls on the other. Girls need both access to sexual and reproductive health services and information and to be unburdened from the economic and social pressures that too often translate into a pregnancy and the poverty, poor health and unrealized human potential that come with it. Also builds skills, raises girls' status.