South Africa Program Sees Zero Teen Pregnancies in 6 Years

When Palesa Tsotetsi joined Girls Act in 2023, she could barely speak in front of others. Today, the 17-year-old serves as the program's deputy president and speaks publicly about youth healthcare rights.

Her transformation captures what's happening in Ratanda, Gauteng, where a six-year-old sexual health program has supported more than 120 girls without recording a single teen pregnancy among participants. The program, called Girls Act, currently serves 35 active members in the Heidelberg community.

Girls Act goes beyond typical health education. Participants learn about contraception, HIV prevention, and reproductive health, but they also receive academic tutoring, career counseling, and leadership training designed to build confidence and practical skills.

The results show up in unexpected places. Palesa Mosia, 17, joined two years ago and says the program arranged a tutor when she struggled in school. "They don't just teach us about our bodies and diseases. They also provide academic and career support," she says.

For 19-year-old Mandisa Mahlaba, who joined at 14, the impact went even deeper. "I had no confidence. The programme linked me to a therapist who helped me through issues. Girls Act helped me take back control of my life, body and mind," she says.

Simon Thebe, a nurse and mentor with the AIDS Healthcare Foundation South Africa who funds the program, credits ongoing education and engagement for the zero pregnancy rate. The program monitors participants through regular check-ins and connects them with health services when needed.

The success comes against a challenging backdrop. In South Africa, one in every 24 girls aged 15 to 19 gave birth in 2024-2025, making teenage pregnancy a persistent public health concern.

The Ripple Effect

The program's impact now extends beyond the young women it serves. In 2025, organizers launched Boys to Men, a companion club that brings 30 boys into conversations about gender-based violence, sexual health, and the challenges facing male teens.

Diana Hoorzuk, board member of AHF South Africa, says watching participants grow into advocates makes the investment worthwhile. "Many girls have developed leadership skills and are becoming advocates for change," she says.

The program maintains momentum by bringing back graduates. When participants leave for university or jobs, they can return as alumni to mentor the next generation, creating a cycle of empowerment that strengthens the community.

Tsotetsi has already experienced that broader impact. Through Girls Act, she participated in a summit with healthcare workers where teenagers explained why young people need a voice in decisions about their bodies. "Some decisions are taken about our bodies without us having an opinion to share," she says.

In a community where teen pregnancy could easily derail young women's futures, 120 girls have found a different path forward.