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These include comparatively high rates of sexually transmitted infections, particularly syphilis, alongside elevated levels of unplanned pregnancies and under‑18 conceptions leading to abortion. The absence of standalone sexual health or teenage pregnancy strategies across Teesside reinforces a gap in coordinated, strategic planning.\nThe Sexual Health Needs Assessment recommends improved access to sexual health services, reduced inequalities, strengthened contraceptive provision, and enhanced STI prevention, testing, and treatment, leading to the implementation of this pilot initiative.\nThe pilot aims to support residents aged 13+ at risk of poor sexual health by offering convenient, stigma‑free access to free condoms by post, thereby removing travel and cost barriers. 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