1. The Central African Republic
229 teenage pregnancies among 1000 teenagers
This number of teenage pregnancies makes the Central African Republic the number one on our list of the 15 countries with the highest teenage pregnancy rates in the world in 2020. The teenage pregnancy rate is over 45%. The country has the second lowest GDP in the world, along with the second highest rate of child marriage. Families often see child marriage as a way to ensure the safety of their daughters who otherwise may be at risk of sexual harassment and violence.
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