a girl with her robotic baby against hot-pink curtains.

Can Robotic Babies Help Prevent Teenage Pregnancies?

One in five Colombian mothers is a teenager. This program seeks to reduce early pregnancies by having youths spend time with some very needy dolls.

At 3 a.m. Sara Gómez, 13, cares for her robotic baby at her home in Guamal, Colombia. Designed to mimic month-old infants, the babies help students learn about parenthood.
ByDavid Brindley
Photographs byChristian Rodriguez
8 min read
This story appears in the February 2018 issue of National Geographic magazine.

Jefrin Bayona is already running late for school and it’s just after 6 a.m. “I barely slept last night,” the 15-year-old student says. “The baby woke me up at 10, 12, four in the morning.” Classes start early here in the rural plains of northeastern Colombia. Standing in the dark kitchen of his home, Jefrin drags a hand down his tired face between sips of hot chocolate. Estiven, his infant son, silently sits in a baby carrier on the sparse living room floor.

Fortunately for Jefrin his early foray into fatherhood ends today. He’s participating in an immersive school program that aims to prevent teenage pregnancy. “Estiven” is actually a robotic baby designed to simulate a needy one-month-old—crying at programmed intervals day and night to provoke students to feed and burp the baby and change its diaper. The responses are tracked and recorded, and students are graded on how quickly they react. A baby left unattended for too long will shut down, affecting the student’s grade.

boy and girl paired up to take care of robotic baby.
three boys with robotic babies.
three girls in school uniform with robotic babies by the white wall.
twin sisters and a girl and a boy in school uniform with robotic babies
a very young looking boy with a robotic baby and a girl wearing “pregnancy suit”.
For the baby-simulation portion of the weeklong program, students are paired up to take care of each robotic baby in 48-hour shifts. Here Lorena Pedraza, 14, and Miguel Ruiz, 15, take a family portrait in the rural town of Tame, in northeastern Colombia.
Photograph by Christian Rodriguez

Jefrin has taken care of the baby for the past 48 hours, and the typically outgoing and buoyant teen is clearly exhausted. He arrives at school five minutes after the bell and hands the baby off to fellow student, and designated mother, Alexandra Guerrero, 15, for the next two-day shift.

Worldwide some 17 million teenage girls give birth every year, facing increased risk of health complications during pregnancy as well as lifelong economic challenges for themselves and their families.

two boys and girl learning how to use condoms with classroom chalkboard behind them.
Students at the Santo Domingo Savio school in Acacías, Colombia, participate in a weeklong sex education and teen pregnancy prevention program called ¿Bebé? ¡Piénsalo Bien!—or Baby? Think It Over! Martin Reina, 14, Danna Álvarez, 13, and Andrés Felipe Rondón, 13, awkwardly learn how to use condoms.
a boy with his robotic baby in a classroom surrounded by students.

Julián David Velázquez, 13, cradles a robotic baby during class. Students spend 48 hours with their babies.

Education and dreams of advancement are often derailed for these young mothers. Latin America has the third highest teenage pregnancy rate in the world. While the global rate has declined over the past decade, the pace of decline in Latin America lags behind that of other regions. In Colombia one in five mothers is between 15 and 19 years old; poor rural teens are at the greatest risk of early pregnancy.

Map of Colombia
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That brings us here, to the low-slung concrete classrooms at a public school in the small town of Tame, Colombia. The program that Jefrin, Alexandra, and 100 of their ninth-grade classmates, ages 14 to 16, are enrolled in—with their parents’ consent—aims to prevent early pregnancies. In addition to the two-day simulated-baby exercise, students undergo 30 hours of instruction, from basic sex education and contraceptive use to discussion of gender stereotypes and roles, domestic violence, and family budgeting. Students have to pass a final exam on these topics and write an essay or shoot a video on their experiences with the babies.

students with robotic babies in carriers sitting on grass at school break.
Students—with babies in carriers—take a break at the Santo Domingo Savio school. One study found that the program reduced the teen pregnancy rate by 40 percent among participants.
a girl holding two robotic babies at her home.
Danna Álvarez holds two babies at her home in Acacías. Danna’s mother had twins, so she was assigned two babies to help her empathize with her mother’s experience.

“Sex education and the baby simulation are both important; they reinforce each other,” says Camila Guzmán, director of the program ¿Bebé? ¡Piénsalo Bien!—or Baby? Think It Over!—in Colombia. “The objective isn’t to scare the students. We want to create a consciousness about sex and pregnancy. It’s OK for them to have kids—when they’re ready.”

The robotic babies were developed in the United States more than 20 years ago, and the program has been implemented around the world. But it is relatively expensive—costing more than $100 per student here in Colombia and requiring multiple instructors. That raises questions of scalability in developing countries with scarce resources. Yet the program has proved effective. In a study of more than 1,400 student participants in one region of Colombia, the program reduced the teen pregnancy rate by 40 percent.

a boy with a robotic baby eating dinner on his bed.
a boy with a robotic babies at the table with his mother and sister.
a girl and her mother taking care of two robotic babies.
frustrated girl with crying robotic baby at night.
a girl sleeping on her bed and her robotic baby sucking from a bottle next to her.
a girl with her mother caring for a robotic baby at night.
a girl taking selfie with her robotic baby behind her on her bed.
Jefrin Bayona, 15, soothes his baby while eating dinner at his home in Tame. “It’s a huge responsibility,” Jefrin says of fatherhood. “I want to have kids, but only when I’m older and can take good care of them.”
Photograph by Christian Rodriguez

After the weeklong course Alexandra, who plans to pursue engineering in college but admits, “I really want to be an actress,” is determined to delay motherhood. “I don’t want to have a baby now. I’m not capable of taking care of it,” she says. “Maybe when I’m 25 or 26 and I finish studying.”

six robotic babies lined up poolside while students are in the pool.
Their babies lined up poolside, students enjoy an after-school dip at a hotel in Tame. The robotic babies sense extreme temperatures and were later moved to a shady spot.

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