evidence: In 1999, the government announced its 10-year Teenage Pregnancy Strategy for England, which aimed to reduce the conception rate for women aged under 18 years. This was followed by the release of the Teenage pregnancy prevention framework guidance in 2018, which aims to prevent unplanned pregnancy and promote healthy relationships among young people in England. These initiatives may have contributed to the low teenage conception rates we see today when compared with the last two decades. [...] Conception numbers and rates continue to show variation by area of usual residence. In 2021, the West Midlands had the highest conception rate, out of all the English regions and Wales, with 78.1 conceptions per 1,000 women aged 15 to 44 years. The South West had the smallest conception rate in 2021 with 64.6 conceptions per 1,000 women aged 15 to 44 years. [...] Image .csv .xlsThe North East had the highest conception rate for those aged under 18 years, out of all the English regions and Wales in 2021. In the North East there were 19.8 conceptions per 1,000 women of the same age in 2021. Over the last decade, the North East also had the smallest percentage decrease for those aged under 18 years, despite conception rates having nearly halved since 2011 from 38.4 conceptions per 1,000 women aged under 18 years.