from “Trends in Teen Pregnancy and Childbearing.” Adolescent Health Topics/Reproductive Health. The Office of Adolescent Health, U.S. Department of Health and Human Services, 12 Dec. 2014.

The birth rate among teens in Massachusetts is at its lowest recorded level in the state’s history, a report out Friday says.
The birth rate of teens ages 15-19 fell 14 percent last year, from 14 births per 1,000 women in 2012 to 12 births per 1,000 women in 2013, the Massachusetts Department of Health reported.
“This is terrific news for all Massachusetts families, and a dramatic indication that our decisions to invest in our young people — through education, support and resources — can have a real and lasting impact on their lives and in their communities,” Gov. Deval Patrick said in a statement.

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I don’t know what it is precisely about those states that keeps those rates low, but I’ll speculate that it has something to do with a combination of factors including an openness to talking about sexuality in schools, accessible health care systems that can also address issues relating to the sexual behavior of teens, and adequate public funding in both areas.
What is consistently distressing to me is the states at the bottom of that list, the ones dark blue on the map.  They tend to also be toward the bottom on every social indicator, such as infant mortality, malnutrition, and literacy rates. That is harder to explain.  I’m sure it is due to a variety of factors, but whatever they are, they must be addressed.  Let’s do so honestly and candidly and without ideological blinders.