Adolescent mothers have unique health needs compared to older mothers and other adolescents (Aujoulat et al, 2010; Chablani & Spinney, 2011; Crittenden et al. 2009,). Therefore, it is important that community development nurses consider their specific needs when designing programs. This article will identify the prevalence of teenage motherhood in Saint John, New Brunswick, and Canada. The challenges and problems facing teenage mothers will be examined, along with related health determinants. Finally, the local interventions and strategies that the literature has identified as effective in improving the health status of adolescent mothers will be examined and criticized. Target population and epidemiology The target population for this evaluation is adolescent mothers aged 15 to 19 years. For this essay, teen mothers are considered to be between the ages of 15 and 19, unless otherwise indicated. In 2008, there were 15,570 live births to teenage mothers in Canada. In New Brunswick there were 488 live births in 2008 (Statistics Canada, 2008). Fewer than 5% of adolescents who become pregnant choose adoption in New Brunswick (L. Smith, personal communication, September 21, 2011). The Health Indicators Report showed that 28% of New Brunswick's teen pregnancies occurred in the Saint John area in 2009 (Office of the Chief Medical Officer of Health{OCMOH}, 2011). The report also identified the teen fertility rate in New Brunswick. This rate refers to the number of live births that occur among women aged 15 to 19 per 1,000. In Saint John, the fertility rate for adolescent girls is 43.7. This number is significantly higher than the national adolescent fertility rate of 14 and the provincial adolescent fertility rate of 20 (OCMOH). Although Canada's national fertility rate is less than half the rate of 41 in the United States of America, it is still higher than that of most European countries, including France, which has a rate of eight, and that of countries Lows of Four (OCMOH). These statistics show a significant number of teenage mothers in Saint John, New Brunswick and Canada, demonstrating the need for health interventions for this target population. Determinants of Health To conduct a comprehensive assessment of the needs of adolescent mothers, it is essential to consider the determinants of health. Common problems this population faces include high dropout rates, depression, social isolation, repeat pregnancies, and less effective parenting skills ( source ). Health determinants that are most likely to impact adolescent mothers include income and education, social support, personal health practices, healthy childhood development, and gender. Unfortunately, the literature focuses primarily on negative health determinants for this group and neglects to focus on positive health. determinants or assets.