Specifically, literacy improved (92 per cent of participants who took the government literacy exam passed) as did school enrolment (nearly 70 per cent of programme participants entered or re-entered school). Additionally, the programme was associated with increased self-confidence: 65 per cent felt “strong and able to face any problem.” An example of one developed country that has achieved very low levels of adolescent pregnancy and abortion is the Netherlands, which has a pragmatic and comprehensive approach to family planning, especially for young people. It has resulted in one of the lowest abortion rates worldwide (UNFPA, 2013d). Since 1971, family planning has been included in the national public health insurance system, providing free contraceptives. Sexuality education is universal and comprehensive, and girl’s empowerment is among the highest worldwide.